| Puray Medical Associates, Ltd | |
|
1835 Dixie Hwy Ste 104 Building 2 Flossmoor IL 60422-1989 | |
| (708) 799-0990 | |
| (708) 799-0991 |
| Full Name | Puray Medical Associates, Ltd |
|---|---|
| Speciality | Pediatrics |
| Location | 1835 Dixie Hwy Ste 104, Flossmoor, Illinois |
| Authorized Official Name and Position | Milagros Puray (DIRECTOR) |
| Authorized Official Contact | 7087990990 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Puray Medical Associates, Ltd 1835 Dixie Hwy Ste 104 Building 2 Flossmoor IL 60422-1989 Ph: (708) 799-0990 | Puray Medical Associates, Ltd 1835 Dixie Hwy Ste 104 Building 2 Flossmoor IL 60422-1989 Ph: (708) 799-0990 |
| NPI Number | 1033233069 |
|---|---|
| Provider Enumeration Date | 03/16/2007 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 3476613639 |
|---|---|
| Medicare Enrollment ID | O20081118000109 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033233069 | NPI | - | NPPES |
| 0001615373 | Other | IL | BLUE CROSS BLUE SHIELD PR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 03646882 (Illinois) | Primary |
| 208000000X | Pediatrics | (Illinois) | Primary |
| Provider Name | Milagros D Puray |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477607414 PECOS PAC ID: 3779643937 Enrollment ID: I20081118000089 |
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