Stickney Public Health District | |
5635 State Rd Burbank IL 60459-2051 | |
(708) 424-9200 | |
(708) 499-5427 |
Full Name | Stickney Public Health District |
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Speciality | Clinic/Center |
Location | 5635 State Rd, Burbank, Illinois |
Authorized Official Name and Position | Christopher Grunow (HEALTH DIRECTOR) |
Authorized Official Contact | 7084249200 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Stickney Public Health District 5635 State Rd Burbank IL 60459-2051 Ph: (708) 237-8918 | Stickney Public Health District 5635 State Rd Burbank IL 60459-2051 Ph: (708) 424-9200 |
NPI Number | 1578765426 |
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Provider Enumeration Date | 06/04/2007 |
Last Update Date | 02/14/2019 |
Medicare PECOS PAC ID | 4183798127 |
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Medicare Enrollment ID | O20080808000336 |
Identifier | Type | State | Issuer |
---|---|---|---|
1578765426 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP0905X | Clinic/center - Public Health, State Or Local | (* (Not Available)) | Primary |
Provider Name | Nenita R Irabagon |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1104885466 PECOS PAC ID: 0547265605 Enrollment ID: I20060922000399 |
Provider Name | Eloisa Rosales |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1326222647 PECOS PAC ID: 9335206739 Enrollment ID: I20090331000061 |
Provider Name | Frances C Strulovitch |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1427127844 PECOS PAC ID: 4789732959 Enrollment ID: I20090427000376 |
Provider Name | Thomas J Mack |
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Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1548265689 PECOS PAC ID: 9436207057 Enrollment ID: I20090507000606 |
Provider Name | Chandler S Barnes |
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Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1013938554 PECOS PAC ID: 2668521196 Enrollment ID: I20090512000575 |
Provider Name | Fahmeeda Begum |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1861532228 PECOS PAC ID: 6406036946 Enrollment ID: I20110215001030 |
Provider Name | Tatiana V Buonicore |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1366800906 PECOS PAC ID: 2062719917 Enrollment ID: I20160321002373 |
Provider Name | Andrew L Marchese |
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Provider Type | Practitioner - Dentist |
Provider Identifiers | NPI Number: 1144399593 PECOS PAC ID: 6002108438 Enrollment ID: I20160706000410 |
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