| Specialized Medical Care, Llc | |
|
211 E Chicago Ave Suite 1050 Chicago IL 60611-2637 | |
| (312) 337-2288 | |
| (312) 337-2288 |
| Full Name | Specialized Medical Care, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 211 E Chicago Ave, Chicago, Illinois |
| Authorized Official Name and Position | David S Oyer (OWNER) |
| Authorized Official Contact | 6307180200 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Specialized Medical Care, Llc 211 E Chicago Ave Suite 1050 Chicago IL 60611-2637 Ph: (630) 718-0200 | Specialized Medical Care, Llc 211 E Chicago Ave Suite 1050 Chicago IL 60611-2637 Ph: (312) 337-2288 |
| NPI Number | 1427350776 |
|---|---|
| Provider Enumeration Date | 11/18/2010 |
| Last Update Date | 11/10/2011 |
| Medicare PECOS PAC ID | 1658569132 |
|---|---|
| Medicare Enrollment ID | O20101228000441 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427350776 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | 036050957 (Illinois) | Primary |
| Provider Name | David S Oyer |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1134226467 PECOS PAC ID: 0941263677 Enrollment ID: I20101228000505 |
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