Simpkins Medical Inc | |
12017 Artesian Ave Blue Island IL 60406-1045 | |
(773) 524-8426 | |
Not Available |
Full Name | Simpkins Medical Inc |
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Speciality | Family Medicine |
Location | 12017 Artesian Ave, Blue Island, Illinois |
Authorized Official Name and Position | Janita Simpkins (PRESIDENT) |
Authorized Official Contact | 7735248426 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Simpkins Medical Inc 12017 Artesian Ave Blue Island IL 60406-1045 Ph: (773) 524-8426 | Simpkins Medical Inc 12017 Artesian Ave Blue Island IL 60406-1045 Ph: (773) 524-8426 |
NPI Number | 1215669270 |
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Provider Enumeration Date | 06/28/2022 |
Last Update Date | 06/28/2022 |
Medicare PECOS PAC ID | 3274915830 |
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Medicare Enrollment ID | O20220729001785 |
Identifier | Type | State | Issuer |
---|---|---|---|
1215669270 | NPI | - | NPPES |
036103265 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Janita M Simpkins |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1760507651 PECOS PAC ID: 6406846435 Enrollment ID: I20040513000285 |
Provider Name | Constance A Catellani |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1043351745 PECOS PAC ID: 1850361338 Enrollment ID: I20040730000677 |
Provider Name | Tracey M Davenport |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1114033826 PECOS PAC ID: 5799703245 Enrollment ID: I20051103000670 |
Provider Name | Elizabeth Carazo |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1922140300 PECOS PAC ID: 3476573726 Enrollment ID: I20051201000079 |
Provider Name | Julia R Roberts |
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Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1376528802 PECOS PAC ID: 8921066606 Enrollment ID: I20070502000064 |
Provider Name | Leroy M Lambey |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1548754039 PECOS PAC ID: 9830448885 Enrollment ID: I20180823002743 |
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