| Chmg - River Grove | |
|
8330 Grand Ave River Grove IL 60171-1435 | |
| (847) 451-0643 | |
| Not Available |
| Full Name | Chmg - River Grove |
|---|---|
| Speciality | Family Medicine |
| Location | 8330 Grand Ave, River Grove, 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 - River Grove 4646 N Marine Dr Chicago IL 60640-5759 Ph: () - | Chmg - River Grove 8330 Grand Ave River Grove IL 60171-1435 Ph: (847) 451-0643 |
| NPI Number | 1366915647 |
|---|---|
| Provider Enumeration Date | 01/09/2019 |
| Last Update Date | 12/29/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366915647 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
S. David Demorest Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8383 Belmont Avenue, River Grove, IL 60171 Phone: 708-452-1200 Fax: 708-452-0157 | |
Susan C Balberde, Md,sc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8330 Grand Ave, River Grove, IL 60171 Phone: 708-681-3000 | |
River Grove Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8383 N Belmont, River Grove, IL 60171 Phone: 708-452-1200 Fax: 708-452-0157 |