| Uih-mile Square Health Center At Cicero | |
|
4747-51 West Cermak Rd Uih-mile Square Health Center At Cicero Cicero IL 60804-2508 | |
| (708) 656-4766 | |
| (312) 413-7812 |
| Full Name | Uih-mile Square Health Center At Cicero |
|---|---|
| Speciality | Clinic/Center |
| Location | 4747-51 West Cermak Rd, Cicero, Illinois |
| Authorized Official Name and Position | Henry Taylor (CEO) |
| Authorized Official Contact | 3124131261 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Uih-mile Square Health Center At Cicero 1220 S. Wood Street Uih-mile Square Health Center Chicago IL 60608-1202 Ph: (312) 413-1261 | Uih-mile Square Health Center At Cicero 4747-51 West Cermak Rd Uih-mile Square Health Center At Cicero Cicero IL 60804-2508 Ph: (708) 656-4766 |
| NPI Number | 1407166671 |
|---|---|
| Provider Enumeration Date | 10/20/2010 |
| Last Update Date | 12/17/2015 |
| Medicare PECOS PAC ID | 3072422716 |
|---|---|
| Medicare Enrollment ID | O20120626000329 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407166671 | NPI | - | NPPES |
| 1622185 | Other | IL | BCBC PROVIDER |
| 1622185 | Other | IL | BCBS PROVIDER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Roselia Herrera Md Sc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 6039 W Cermak Rd, Cicero, IL 60804 Phone: 708-652-0056 | |
Mk Medical Group Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5729 W Cermak Rd, Cicero, IL 60804 Phone: 708-477-6525 | |
Home Doctors, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1204 S 57th Ave, Cicero, IL 60804 Phone: 312-375-7145 Fax: 708-652-5424 | |
Morton East Adolescent Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2423 S Austin Blvd, Cicero, IL 60804 Phone: 708-656-1130 | |
Hernan Reyes Md Sc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 5610 W Cermak Rd, Unit #2, Cicero, IL 60804 Phone: 708-656-9247 Fax: 708-656-9358 | |
Alivio Medical Center Cicero Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4842 W Cermak Rd, Cicero, IL 60804 Phone: 312-829-6304 Fax: 708-660-0349 | |
Luis F. Santiago, M.d., S.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 5533 W Cermak Rd, Cicero, IL 60804 Phone: 708-780-7612 Fax: 708-780-9122 |