Total Care Physicians, Ltd. | |
3259 S Wells St Chicago IL 60616-3619 | |
(312) 225-5785 | |
(312) 225-6103 |
Full Name | Total Care Physicians, Ltd. |
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Speciality | Family Medicine |
Location | 3259 S Wells St, Chicago, Illinois |
Authorized Official Name and Position | Matthew J Frazier (VICE PRESIDENT) |
Authorized Official Contact | 3122255785 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Total Care Physicians, Ltd. 3259 S Wells St Chicago IL 60616-3619 Ph: (312) 225-5785 | Total Care Physicians, Ltd. 3259 S Wells St Chicago IL 60616-3619 Ph: (312) 225-5785 |
NPI Number | 1174896070 |
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Provider Enumeration Date | 02/23/2012 |
Last Update Date | 12/27/2021 |
Medicare PECOS PAC ID | 2860657129 |
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Medicare Enrollment ID | O20120712000066 |
Identifier | Type | State | Issuer |
---|---|---|---|
1174896070 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Matthew J Frazier |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1992931661 PECOS PAC ID: 5597920850 Enrollment ID: I20120712000104 |
Provider Name | Gina T Ciaccia |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1821231549 PECOS PAC ID: 4688839947 Enrollment ID: I20120712000837 |
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