| Team Med Pc | |
|
4941 N Kedzie Ave Chicago IL 60625-5009 | |
| (773) 509-9099 | |
| (773) 509-9006 |
| Full Name | Team Med Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 4941 N Kedzie Ave, Chicago, Illinois |
| Authorized Official Name and Position | Jose J Castellanos (OWNER) |
| Authorized Official Contact | 7735099099 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Team Med Pc Po Box 577489 Chicago IL 60657-7335 Ph: (773) 509-9099 | Team Med Pc 4941 N Kedzie Ave Chicago IL 60625-5009 Ph: (773) 509-9099 |
| NPI Number | 1265845408 |
|---|---|
| Provider Enumeration Date | 06/05/2014 |
| Last Update Date | 06/05/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265845408 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 036073558 (Illinois) | Primary |
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