| Smain Sadok M.d., S.c. | |
|
6342 S Pulaski Rd Chicago IL 60629-4706 | |
| (312) 731-2184 | |
| Not Available |
| Full Name | Smain Sadok M.d., S.c. |
|---|---|
| Speciality | Family Medicine |
| Location | 6342 S Pulaski Rd, Chicago, Illinois |
| Authorized Official Name and Position | Smain Sadok (OWNER) |
| Authorized Official Contact | 3127312184 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Smain Sadok M.d., S.c. 6342 S Pulaski Rd Chicago IL 60629-4706 Ph: () - | Smain Sadok M.d., S.c. 6342 S Pulaski Rd Chicago IL 60629-4706 Ph: (312) 731-2184 |
| NPI Number | 1932434255 |
|---|---|
| Provider Enumeration Date | 10/04/2009 |
| Last Update Date | 05/12/2011 |
| Medicare PECOS PAC ID | 8729113048 |
|---|---|
| Medicare Enrollment ID | O20100311000837 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932434255 | NPI | - | NPPES |
| 036.117726 | Other | IL | STATE LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 036.117726 (Illinois) | Primary |
| Provider Name | Smain Sadok |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891916383 PECOS PAC ID: 8325132277 Enrollment ID: I20070921000823 |
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