| Southwest Medical Affiliates, Pc | |
|
5630 111th St Chicago Ridge IL 60415-2406 | |
| (708) 857-5800 | |
| (708) 857-5805 |
| Full Name | Southwest Medical Affiliates, Pc |
|---|---|
| Speciality | Podiatrist - Foot & Ankle Surgery |
| Location | 5630 111th St, Chicago Ridge, Illinois |
| Authorized Official Name and Position | Sharon L Moriarty (FINANCIAL SPECIALIST) |
| Authorized Official Contact | 7088575804 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southwest Medical Affiliates, Pc 5630 111th St Chicago Ridge IL 60415-2406 Ph: (708) 857-5800 | Southwest Medical Affiliates, Pc 5630 111th St Chicago Ridge IL 60415-2406 Ph: (708) 857-5800 |
| NPI Number | 1760603054 |
|---|---|
| Provider Enumeration Date | 05/02/2007 |
| Last Update Date | 11/20/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760603054 | NPI | - | NPPES |
| 1407861982 | Other | IL | NPI |
| 036063034 | Medicaid | IL | |
| 1629084116 | Other | IL | NPI |
| 1972519486 | Other | IL | NPI |
| 016004378 | Medicaid | IL | |
| 036063793 | Medicaid | IL |
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