| Supreme Md Inc. | |
|
5737 N Talman Ave Apt 2 Chicago IL 60659-5097 | |
| (773) 329-6545 | |
| Not Available |
| Full Name | Supreme Md Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 5737 N Talman Ave Apt 2, Chicago, Illinois |
| Authorized Official Name and Position | Cesario Boligor (CEO) |
| Authorized Official Contact | 7733296545 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Supreme Md Inc. 5737 N Talman Ave Apt 2 Chicago IL 60659-5097 Ph: (773) 329-6545 | Supreme Md Inc. 5737 N Talman Ave Apt 2 Chicago IL 60659-5097 Ph: (773) 329-6545 |
| NPI Number | 1366032724 |
|---|---|
| Provider Enumeration Date | 01/20/2021 |
| Last Update Date | 01/20/2021 |
| Medicare PECOS PAC ID | 8628484045 |
|---|---|
| Medicare Enrollment ID | O20210310001337 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366032724 | NPI | - | NPPES |
| Provider Name | Rosita S Hernandez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184712887 PECOS PAC ID: 9335102623 Enrollment ID: I20041201000562 |
| Provider Name | Wilfredo G Dacuycuy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407818545 PECOS PAC ID: 6709844608 Enrollment ID: I20041223000093 |
| Provider Name | Margot T Ocampo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760520464 PECOS PAC ID: 4789868506 Enrollment ID: I20110401000746 |
| Provider Name | Leticia Flores Claridad |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1043280621 PECOS PAC ID: 5294900288 Enrollment ID: I20111201000747 |
| Provider Name | Alex Htun |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1326546201 PECOS PAC ID: 8527484633 Enrollment ID: I20201009001286 |
Pilsen Pediatrics Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1952 W Cermak Rd, Chicago, IL 60608 Phone: 773-254-6611 Fax: 773-254-8590 | |
A Kavaliunas Md Sc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5540 S Pulaski Rd, Chicago, IL 60629 Phone: 773-585-2802 | |
Doc Cam Medical Center Sc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2315 E 93rd St Ste 337, Chicago, IL 60617 Phone: 773-731-2700 Fax: 773-373-1868 | |
Excellent Eye Care Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5352 N Milwaukee Ave, Chicago, IL 60630 Phone: 773-777-7444 Fax: 773-775-4030 | |
Pediatric General Care & Research Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4527 N Pulaski Rd, Chicago, IL 60630 Phone: 773-267-7060 Fax: 773-267-4752 | |
Urban Family Health Center Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10830 S Halsted St, Chicago, IL 60628 Phone: 773-264-1400 Fax: 773-264-1401 | |
Premier Primary Care And Alternative Medicine Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1301 E 47th Street, Bldg 2 Suite B, Chicago, IL 60653 Phone: 773-891-2890 Fax: 773-891-4107 |