| Scott Palmer, M.d., Llc | |
|
1611 W Harrison St 2nd Floor Chicago IL 60612-4861 | |
| (312) 942-4040 | |
| Not Available |
| Full Name | Scott Palmer, M.d., Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1611 W Harrison St, Chicago, Illinois |
| Authorized Official Name and Position | Scott B Palmer (OWNER) |
| Authorized Official Contact | 3129424040 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Scott Palmer, M.d., Llc 1611 W Harrison St 2nd Floor Chicago IL 60612-4861 Ph: (312) 942-4040 | Scott Palmer, M.d., Llc 1611 W Harrison St 2nd Floor Chicago IL 60612-4861 Ph: (312) 942-4040 |
| NPI Number | 1154632297 |
|---|---|
| Provider Enumeration Date | 06/23/2010 |
| Last Update Date | 06/23/2010 |
| Medicare PECOS PAC ID | 5092994624 |
|---|---|
| Medicare Enrollment ID | O20110127000734 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154632297 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 036074836 (Illinois) | Primary |
| Provider Name | Scott B Palmer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144245994 PECOS PAC ID: 5092600049 Enrollment ID: I20100623000952 |
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