St James Franciscan Medical Pavilion | |
3700 W 203rd St Olympia Fields IL 60461-1180 | |
(708) 709-6295 | |
Not Available |
Full Name | St James Franciscan Medical Pavilion |
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Speciality | Family Medicine |
Location | 3700 W 203rd St, Olympia Fields, Illinois |
Authorized Official Name and Position | Thomas Senesac (TREASURER) |
Authorized Official Contact | 7087561000 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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St James Franciscan Medical Pavilion 1040 Sierra Dr Suite 400 Greenwood IN 46143-7240 Ph: (317) 528-4250 | St James Franciscan Medical Pavilion 3700 W 203rd St Olympia Fields IL 60461-1180 Ph: (708) 709-6295 |
NPI Number | 1124322680 |
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Provider Enumeration Date | 12/27/2010 |
Last Update Date | 12/01/2011 |
Identifier | Type | State | Issuer |
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1124322680 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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