| Striedinger Medical Group Sc | |
|
4733 N Damen Ave Chicago IL 60625-1442 | |
| (773) 878-4700 | |
| Not Available |
| Full Name | Striedinger Medical Group Sc |
|---|---|
| Speciality | Internal Medicine |
| Location | 4733 N Damen Ave, Chicago, Illinois |
| Authorized Official Name and Position | Fernando M Striedinger (INTERNAL MEDICINE) |
| Authorized Official Contact | 7738784700 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Striedinger Medical Group Sc 4733 N Damen Chicago IL 60625-1334 Ph: (773) 878-4700 | Striedinger Medical Group Sc 4733 N Damen Ave Chicago IL 60625-1442 Ph: (773) 878-4700 |
| NPI Number | 1023197332 |
|---|---|
| Provider Enumeration Date | 11/06/2006 |
| Last Update Date | 04/09/2015 |
| Medicare PECOS PAC ID | 2567443096 |
|---|---|
| Medicare Enrollment ID | O20040528000982 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023197332 | NPI | - | NPPES |
| 036090741 | Medicaid | IL | |
| 4932289 | Other | IL | BCBS PROVIDER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 036090741 (Illinois) | Primary |
| Provider Name | Fernando Striedinger |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851483119 PECOS PAC ID: 6901887447 Enrollment ID: I20040604000509 |
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