|
| |
|
19807 La Grange Rd Mokena IL 60448-8348 | |
| (708) 679-2580 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Family Medicine |
| Location | 19807 La Grange Rd, Mokena, Illinois |
| Authorized Official Name and Position | Thomas W Senesac (REGIONAL CFO) |
| Authorized Official Contact | 7087561000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1423 Chicago Rd Chicago Heights IL 60411-3400 Ph: (708) 756-1000 | 19807 La Grange Rd Mokena IL 60448-8348 Ph: (708) 679-2580 |
| NPI Number | 1518266345 |
|---|---|
| Provider Enumeration Date | 03/18/2011 |
| Last Update Date | 05/28/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518266345 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Forefront Adult & Pediatric Care, S.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 19621 La Grange Rd, Mokena, IL 60448 Phone: 708-478-8380 Fax: 708-478-3036 | |
Mh Health Care Services, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10844 187th St, Mokena, IL 60448 Phone: 708-326-6270 | |
Hedges Clinic Service Corp Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 21205 Owens Rd Ste 3, Mokena, IL 60448 Phone: 815-469-2123 Fax: 815-469-2149 | |
A Lota Healthcare Ltd Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10260 191st St Ste 100, Mokena, IL 60448 Phone: 708-572-7669 Fax: 708-469-4358 |