| Sunrise Clinical Health Services | |
|
502 W 138th Street Riverdale IL 60827-6082 | |
| (312) 778-4258 | |
| (708) 880-1239 |
| Full Name | Sunrise Clinical Health Services |
|---|---|
| Speciality | Clinic/center - Community Health |
| Location | 502 W 138th Street, Riverdale, Illinois |
| Authorized Official Name and Position | Yvetta L Massey (MSN, RN) |
| Authorized Official Contact | 7088801397 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sunrise Clinical Health Services 502 W 138th Street Riverdale IL 60827 Ph: (312) 778-4258 | Sunrise Clinical Health Services 502 W 138th Street Riverdale IL 60827-6082 Ph: (312) 778-4258 |
| NPI Number | 1942787189 |
|---|---|
| Provider Enumeration Date | 07/20/2018 |
| Last Update Date | 07/20/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942787189 | NPI | - | NPPES |
| 12141960 | Other | IL | FAMILY MEDICINE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QC1500X | Clinic/center - Community Health | 041265569 (Illinois) | Primary |
Aunt Martha's Youth Service Center, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 14424 S Wentworth Ave, Riverdale, IL 60827 Phone: 708-747-7100 |