| Pompilia C Tudoriu M.d. S.c. | |
|
676 N Saint Clair St Suite 2220 Chicago IL 60611-2927 | |
| (312) 926-7100 | |
| (312) 926-7400 |
| Full Name | Pompilia C Tudoriu M.d. S.c. |
|---|---|
| Speciality | Internal Medicine |
| Location | 676 N Saint Clair St, Chicago, Illinois |
| Authorized Official Name and Position | Pompilia C Tudoriu (PRESIDENT/OWNER) |
| Authorized Official Contact | 3129267100 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pompilia C Tudoriu M.d. S.c. Po Box 7000 River Forest IL 60305-7000 Ph: (312) 926-7100 | Pompilia C Tudoriu M.d. S.c. 676 N Saint Clair St Suite 2220 Chicago IL 60611-2927 Ph: (312) 926-7100 |
| NPI Number | 1750603395 |
|---|---|
| Provider Enumeration Date | 02/24/2010 |
| Last Update Date | 02/24/2010 |
| Medicare PECOS PAC ID | 9638209455 |
|---|---|
| Medicare Enrollment ID | O20100604000623 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750603395 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 036099267 (Illinois) | Primary |
| Provider Name | Pompilia C Tudoriu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417094970 PECOS PAC ID: 5294799797 Enrollment ID: I20041115001028 |
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