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13450 S Kedzie Ave Robbins IL 60472-1639 | |
(708) 293-8100 | |
Not Available |
Full Name | |
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Speciality | Clinic/center - Primary Care |
Location | 13450 S Kedzie Ave, Robbins, Illinois |
Authorized Official Name and Position | Scott Andrle (DIRECTOR OF MANAGED CARE OPERATIONS) |
Authorized Official Contact | 3128644649 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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1900 W Polk St Rm 220c Chicago IL 60612-3723 Ph: (312) 864-4649 | 13450 S Kedzie Ave Robbins IL 60472-1639 Ph: (708) 293-8100 |
NPI Number | 1922127844 |
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Provider Enumeration Date | 03/29/2007 |
Last Update Date | 02/22/2019 |
Identifier | Type | State | Issuer |
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1922127844 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QP2300X | Clinic/center - Primary Care | 0001743 (Illinois) | Primary |