| Vista Family Medicine Inc | |
|
10961 S Kedzie Ave Chicago IL 60655-2219 | |
| (773) 239-9100 | |
| (773) 239-9102 |
| Full Name | Vista Family Medicine Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 10961 S Kedzie Ave, Chicago, Illinois |
| Authorized Official Name and Position | James Paul Valek (PRESIDENT) |
| Authorized Official Contact | 7732399100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vista Family Medicine Inc 10961 S Kedzie Ave Chicago IL 60655-2219 Ph: (773) 239-9100 | Vista Family Medicine Inc 10961 S Kedzie Ave Chicago IL 60655-2219 Ph: (773) 239-9100 |
| NPI Number | 1144214644 |
|---|---|
| Provider Enumeration Date | 09/12/2005 |
| Last Update Date | 04/01/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144214644 | NPI | - | NPPES |
| 1053305557 | Other | IL | PROVIDER NPI |
| DF2121 | Other | IL | MEDICARE RAILROAD (GROUP) |
| P00347253 | Other | IL | MEDICARE RAILROAD (VALEK) |
| 1235321704 | Other | IL | PROVIDER NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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