| Pioneer Physicians S C | |
|
7124 W 83rd St Bridgeview IL 60455-4034 | |
| (708) 907-3422 | |
| (708) 907-3586 |
| Full Name | Pioneer Physicians S C |
|---|---|
| Speciality | Internal Medicine |
| Location | 7124 W 83rd St, Bridgeview, Illinois |
| Authorized Official Name and Position | Adrianne Allen (BILLER) |
| Authorized Official Contact | 7089073422 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pioneer Physicians S C 7124 W 83rd St Bridgeview IL 60455-4034 Ph: (708) 907-3422 | Pioneer Physicians S C 7124 W 83rd St Bridgeview IL 60455-4034 Ph: (708) 907-3422 |
| NPI Number | 1114385333 |
|---|---|
| Provider Enumeration Date | 02/02/2016 |
| Last Update Date | 02/02/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114385333 | NPI | - | NPPES |
| F400115929 | Other | IL | MEDICARE PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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