| Star-care Family Wellness, Llc | |
|
9830 Ridgeland Ave Ste 9a Chicago Ridge IL 60415-2668 | |
| (708) 699-9830 | |
| Not Available |
| Full Name | Star-care Family Wellness, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 9830 Ridgeland Ave Ste 9a, Chicago Ridge, Illinois |
| Authorized Official Name and Position | Nancy Youssef (PROVIDER/OWNER/DIRECTOR) |
| Authorized Official Contact | 7086999830 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Star-care Family Wellness, Llc 9830 Ridgeland Ave Ste 9a Chicago Ridge IL 60415-2668 Ph: (708) 699-9830 | Star-care Family Wellness, Llc 9830 Ridgeland Ave Ste 9a Chicago Ridge IL 60415-2668 Ph: (708) 699-9830 |
| NPI Number | 1831792852 |
|---|---|
| Provider Enumeration Date | 11/20/2020 |
| Last Update Date | 01/21/2021 |
| Medicare PECOS PAC ID | 1557773603 |
|---|---|
| Medicare Enrollment ID | O20201214001420 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831792852 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Nancy H Youssef |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437304888 PECOS PAC ID: 7911179403 Enrollment ID: I20140211000631 |
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