Wellbeingmd, John R. Principe Md, Ltd | |
11950 S Harlem Ave Palos Heights IL 60463-1150 | |
(708) 448-9450 | |
Not Available |
Full Name | Wellbeingmd, John R. Principe Md, Ltd |
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Speciality | Internal Medicine |
Location | 11950 S Harlem Ave, Palos Heights, Illinois |
Authorized Official Name and Position | Robin L Blamer (BILLING SERVICE) |
Authorized Official Contact | 6305511097 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Wellbeingmd, John R. Principe Md, Ltd 11950 S Harlem Ave Palos Heights IL 60463-1150 Ph: (708) 448-9450 | Wellbeingmd, John R. Principe Md, Ltd 11950 S Harlem Ave Palos Heights IL 60463-1150 Ph: (708) 448-9450 |
NPI Number | 1306036439 |
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Provider Enumeration Date | 07/25/2007 |
Last Update Date | 12/12/2011 |
Medicare PECOS PAC ID | 6800829417 |
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Medicare Enrollment ID | O20050914000908 |
Identifier | Type | State | Issuer |
---|---|---|---|
1306036439 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | John R Principe |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1639285810 PECOS PAC ID: 2961421953 Enrollment ID: I20051118000546 |
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