Trapp Medical Associates, S.c. | |
70 Meadowview Ctr Suite 303 Kankakee IL 60901-2047 | |
(815) 929-9395 | |
(815) 929-9396 |
Full Name | Trapp Medical Associates, S.c. |
---|---|
Speciality | Internal Medicine |
Location | 70 Meadowview Ctr, Kankakee, Illinois |
Authorized Official Name and Position | Gregory Todd Trapp (PRESIDENT) |
Authorized Official Contact | 8159351100 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Trapp Medical Associates, S.c. 70 Meadowview Ctr Suite 303 Kankakee IL 60901-2047 Ph: (815) 935-1100 | Trapp Medical Associates, S.c. 70 Meadowview Ctr Suite 303 Kankakee IL 60901-2047 Ph: (815) 929-9395 |
NPI Number | 1861569170 |
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Provider Enumeration Date | 11/29/2006 |
Last Update Date | 08/06/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1861569170 | NPI | - | NPPES |
036095931 | Medicaid | IL | |
DF2933 | Other | IL | RR MEDICARE GROUP |
04632084 | Other | IL | BCBS IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 036095931 (Illinois) | Primary |
208000000X | Pediatrics | 036095931 (Illinois) | Secondary |
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