Stellar Home Physicians Inc | |
3530 W Peterson Ave Suite 109 Chicago IL 60659-3293 | |
(847) 436-8081 | |
Not Available |
Full Name | Stellar Home Physicians Inc |
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Speciality | Family Medicine |
Location | 3530 W Peterson Ave, Chicago, Illinois |
Authorized Official Name and Position | Rama Seedoo (AUTHORIZED OFFICIAL) |
Authorized Official Contact | 7735830921 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Stellar Home Physicians Inc 3530 W Peterson Ave Suite 109 Chicago IL 60659-3293 Ph: (773) 859-5415 | Stellar Home Physicians Inc 3530 W Peterson Ave Suite 109 Chicago IL 60659-3293 Ph: (847) 436-8081 |
NPI Number | 1881063147 |
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Provider Enumeration Date | 09/16/2015 |
Last Update Date | 12/29/2017 |
Medicare PECOS PAC ID | 4981906997 |
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Medicare Enrollment ID | O20160107003042 |
Identifier | Type | State | Issuer |
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1881063147 | NPI | - | NPPES |
Provider Name | Prema David |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1558304956 PECOS PAC ID: 2264690080 Enrollment ID: I20120225000110 |
Provider Name | Candice E Meck |
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Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1518265875 PECOS PAC ID: 5395965404 Enrollment ID: I20141117001234 |
Provider Name | Naomi Lockett |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1235536350 PECOS PAC ID: 1951626266 Enrollment ID: I20150209001171 |
Provider Name | Teshica Caldwell |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1114374139 PECOS PAC ID: 7517251606 Enrollment ID: I20160812000605 |
Provider Name | Juliet Orji |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1245775147 PECOS PAC ID: 5395027486 Enrollment ID: I20170125001935 |
Provider Name | Rosalynn J Anderson |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1689188526 PECOS PAC ID: 9638335219 Enrollment ID: I20180110002669 |
Provider Name | Taletha K Brown |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1689181372 PECOS PAC ID: 0749549665 Enrollment ID: I20180122001367 |
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