| Chmg - Melrose Park | |
|
1350 W Lake St Melrose Park IL 60160-4042 | |
| (844) 533-2464 | |
| Not Available |
| Full Name | Chmg - Melrose Park |
|---|---|
| Speciality | Internal Medicine |
| Location | 1350 W Lake St, Melrose Park, Illinois |
| Authorized Official Name and Position | Manoj Prasad (CEO) |
| Authorized Official Contact | 7087636700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Chmg - Melrose Park 4646 N Marine Dr Chicago IL 60640-5759 Ph: () - | Chmg - Melrose Park 1350 W Lake St Melrose Park IL 60160-4042 Ph: (844) 533-2464 |
| NPI Number | 1407329782 |
|---|---|
| Provider Enumeration Date | 01/09/2019 |
| Last Update Date | 01/13/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407329782 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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