S.t.a.r.s. Hcc | |
165 W 10th St Ste 1 Chicago Heights IL 60411-2000 | |
(309) 517-7398 | |
(309) 524-6905 |
Full Name | S.t.a.r.s. Hcc |
---|---|
Speciality | Clinic/center - Primary Care |
Location | 165 W 10th St Ste 1, Chicago Heights, Illinois |
Authorized Official Name and Position | Danica Edrire Joi Wilson (MEDICAL DIRECTOR) |
Authorized Official Contact | 3095177398 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
S.t.a.r.s. Hcc 5107 W Wellington Ave Chicago IL 60641-5020 Ph: (309) 517-7398 | S.t.a.r.s. Hcc 165 W 10th St Ste 1 Chicago Heights IL 60411-2000 Ph: (309) 517-7398 |
NPI Number | 1942992920 |
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Provider Enumeration Date | 05/25/2023 |
Last Update Date | 11/28/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1942992920 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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