| Primary Health Care Specialists S.c | |
|
5857 W 35th St Cicero IL 60804-4250 | |
| (708) 780-1464 | |
| (708) 780-1468 |
| Full Name | Primary Health Care Specialists S.c |
|---|---|
| Speciality | Internal Medicine |
| Location | 5857 W 35th St, Cicero, Illinois |
| Authorized Official Name and Position | Heriberto Martinez (PRESIDENT) |
| Authorized Official Contact | 7087801464 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Primary Health Care Specialists S.c 5857 W 35th St Cicero IL 60804-4250 Ph: (708) 780-1464 | Primary Health Care Specialists S.c 5857 W 35th St Cicero IL 60804-4250 Ph: (708) 780-1464 |
| NPI Number | 1598984973 |
|---|---|
| Provider Enumeration Date | 04/24/2007 |
| Last Update Date | 10/28/2010 |
| Medicare PECOS PAC ID | 2668455742 |
|---|---|
| Medicare Enrollment ID | O20040610000135 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598984973 | NPI | - | NPPES |
| Provider Name | Heriberto Martinez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336115294 PECOS PAC ID: 3577546175 Enrollment ID: I20040616001069 |
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