Traveling Doc Inc. | |
1904 S Cicero Ave Cicero IL 60804-2545 | |
(855) 484-7362 | |
(708) 863-7213 |
Full Name | Traveling Doc Inc. |
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Speciality | General Practice |
Location | 1904 S Cicero Ave, Cicero, Illinois |
Authorized Official Name and Position | Carlos Gonzalez (MEDICAL DIRECTOR) |
Authorized Official Contact | 5616245347 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Traveling Doc Inc. 1904 S Cicero Ave Cicero IL 60804-2545 Ph: (855) 484-7362 | Traveling Doc Inc. 1904 S Cicero Ave Cicero IL 60804-2545 Ph: (855) 484-7362 |
NPI Number | 1902102734 |
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Provider Enumeration Date | 01/26/2011 |
Last Update Date | 01/26/2011 |
Identifier | Type | State | Issuer |
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1902102734 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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208D00000X | General Practice | 036.127046 (Illinois) | Primary |
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