| Sanuka Medical Center Sc | |
|
114 Bartlett Plz Bartlett IL 60103-4234 | |
| (630) 483-0665 | |
| (630) 483-0526 |
| Full Name | Sanuka Medical Center Sc |
|---|---|
| Speciality | Family Medicine |
| Location | 114 Bartlett Plz, Bartlett, Illinois |
| Authorized Official Name and Position | Jorge Eduardo Martinez (PRESIDENT) |
| Authorized Official Contact | 6304830665 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sanuka Medical Center Sc 114 Bartlett Plz Bartlett IL 60103-4234 Ph: (630) 483-0665 | Sanuka Medical Center Sc 114 Bartlett Plz Bartlett IL 60103-4234 Ph: (630) 483-0665 |
| NPI Number | 1235259656 |
|---|---|
| Provider Enumeration Date | 03/30/2007 |
| Last Update Date | 11/09/2021 |
| Medicare PECOS PAC ID | 1254437668 |
|---|---|
| Medicare Enrollment ID | O20070501000663 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235259656 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Jorge E Martinez |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1114984895 PECOS PAC ID: 3476589094 Enrollment ID: I20051003000178 |
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