| T Clarbour Md Llc | |
|
1033 Randolph St Suite 2 Oak Park IL 60302-3453 | |
| (708) 955-8033 | |
| (708) 445-8444 |
| Full Name | T Clarbour Md Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1033 Randolph St, Oak Park, Illinois |
| Authorized Official Name and Position | Terry Clarbour (MEMBER) |
| Authorized Official Contact | 7089558033 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| T Clarbour Md Llc 1033 Randolph St Suite 2 Oak Park IL 60302-3453 Ph: (708) 955-8033 | T Clarbour Md Llc 1033 Randolph St Suite 2 Oak Park IL 60302-3453 Ph: (708) 955-8033 |
| NPI Number | 1508071903 |
|---|---|
| Provider Enumeration Date | 05/11/2007 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 2062513807 |
|---|---|
| Medicare Enrollment ID | O20070724000606 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508071903 | NPI | - | NPPES |
| Provider Name | Terry L Clarbour |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043354517 PECOS PAC ID: 1951292697 Enrollment ID: I20040323000512 |
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