West Town Satellite Center | |
1613 W. Chicago Chicago ID 60622 | |
(312) 744-4016 | |
Not Available |
Full Name | West Town Satellite Center |
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Speciality | Clinic/center |
Location | 1613 W. Chicago, Chicago, Idaho |
Authorized Official Name and Position | Joyce Gallagher (COMMISSIONER) |
Authorized Official Contact | 3127445770 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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West Town Satellite Center 1613 W. Chicago Chicago ID 60622 Ph: (312) 744-4016 | West Town Satellite Center 1613 W. Chicago Chicago ID 60622 Ph: (312) 744-4016 |
NPI Number | 1366610669 |
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Provider Enumeration Date | 02/20/2008 |
Last Update Date | 02/20/2008 |
Identifier | Type | State | Issuer |
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1366610669 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261Q00000X | Clinic/center | (* (Not Available)) | Primary |