| Planned Parenthood Of Illinois | |
|
19831 Governors Hwy Flossmoor IL 60422-2001 | |
| (708) 960-0907 | |
| Not Available |
| Full Name | Planned Parenthood Of Illinois |
|---|---|
| Speciality | Clinic/center |
| Location | 19831 Governors Hwy, Flossmoor, Illinois |
| Authorized Official Name and Position | Erika R Gonzalez (CREDENTIALING COORDINATOR) |
| Authorized Official Contact | 3125926892 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Planned Parenthood Of Illinois 17 N State St Ste 500 Chicago IL 60602-3384 Ph: (312) 592-6800 | Planned Parenthood Of Illinois 19831 Governors Hwy Flossmoor IL 60422-2001 Ph: (708) 960-0907 |
| NPI Number | 1467869230 |
|---|---|
| Provider Enumeration Date | 07/14/2014 |
| Last Update Date | 10/17/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467869230 | NPI | - | NPPES |
| 36170901001 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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