| Sa Padua Medical Center, Llc | |
|
2310 York St Suite 2c Blue Island IL 60406-2411 | |
| (708) 388-4902 | |
| Not Available |
| Full Name | Sa Padua Medical Center, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 2310 York St, Blue Island, Illinois |
| Authorized Official Name and Position | Jerome Jabbour (PRESIDENT) |
| Authorized Official Contact | 2198369024 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sa Padua Medical Center, Llc 9201 Calumet Ave Munster IN 46321-2807 Ph: (219) 836-9024 | Sa Padua Medical Center, Llc 2310 York St Suite 2c Blue Island IL 60406-2411 Ph: (708) 388-4902 |
| NPI Number | 1396074753 |
|---|---|
| Provider Enumeration Date | 12/15/2009 |
| Last Update Date | 08/20/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396074753 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 036119492 (Illinois) | Primary |
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