| Talcott Internal Medicine & Cardiology Ltd | |
|
7447 W Talcott Ave Suite 262 Chicago IL 60631-3745 | |
| (773) 775-1900 | |
| (773) 775-8034 |
| Full Name | Talcott Internal Medicine & Cardiology Ltd |
|---|---|
| Speciality | Internal Medicine |
| Location | 7447 W Talcott Ave, Chicago, Illinois |
| Authorized Official Name and Position | Casimir E Lipinski (PRESIDENT) |
| Authorized Official Contact | 7737751900 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Talcott Internal Medicine & Cardiology Ltd 7447 W Talcott Ave Suite 262 Chicago IL 60631-3745 Ph: (773) 775-1900 | Talcott Internal Medicine & Cardiology Ltd 7447 W Talcott Ave Suite 262 Chicago IL 60631-3745 Ph: (773) 775-1900 |
| NPI Number | 1245223403 |
|---|---|
| Provider Enumeration Date | 08/23/2005 |
| Last Update Date | 07/21/2022 |
| Medicare PECOS PAC ID | 1254426083 |
|---|---|
| Medicare Enrollment ID | O20071009000141 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245223403 | NPI | - | NPPES |
| 01607483 | Other | BS | |
| CM3744 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (Illinois) | Primary |
| 207RC0000X | Internal Medicine - Cardiovascular Disease | (Illinois) | Secondary |
| Provider Name | Timothy W Oconnor |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1881687036 PECOS PAC ID: 5395830137 Enrollment ID: I20090630000168 |
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