| Thresholds Health | |
|
5801 W Corcoran Pl Chicago IL 60644-1854 | |
| (773) 572-5210 | |
| Not Available |
| Full Name | Thresholds Health |
|---|---|
| Speciality | Family Medicine |
| Location | 5801 W Corcoran Pl, Chicago, Illinois |
| Authorized Official Name and Position | Marcella Klauer (EXECUTIVE ASSISTANT) |
| Authorized Official Contact | 7735725480 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Thresholds Health 120 S La Salle St Ste 1410 Chicago IL 60603-3579 Ph: () - | Thresholds Health 5801 W Corcoran Pl Chicago IL 60644-1854 Ph: (773) 572-5210 |
| NPI Number | 1700530300 |
|---|---|
| Provider Enumeration Date | 02/11/2022 |
| Last Update Date | 04/12/2022 |
| Medicare PECOS PAC ID | 5597147686 |
|---|---|
| Medicare Enrollment ID | O20220805002324 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700530300 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Secondary |
| Provider Name | J Wesley Cook |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104814912 PECOS PAC ID: 5698809952 Enrollment ID: I20100823000594 |
| Provider Name | Ann K Sarpy |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1750426656 PECOS PAC ID: 6800089814 Enrollment ID: I20101022000789 |
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