| Western Springs Family Practice Center, Ltd. | |
|
5600 Wolf Rd Western Springs IL 60558-2254 | |
| (708) 246-7222 | |
| Not Available |
| Full Name | Western Springs Family Practice Center, Ltd. |
|---|---|
| Speciality | Family Medicine |
| Location | 5600 Wolf Rd, Western Springs, Illinois |
| Authorized Official Name and Position | Karen Rodgers (PRACTICE MANAGER) |
| Authorized Official Contact | 7082467222 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Western Springs Family Practice Center, Ltd. 5600 Wolf Rd Suite 140 Western Springs IL 60558-2254 Ph: (708) 246-7222 | Western Springs Family Practice Center, Ltd. 5600 Wolf Rd Western Springs IL 60558-2254 Ph: (708) 246-7222 |
| NPI Number | 1417992306 |
|---|---|
| Provider Enumeration Date | 06/17/2006 |
| Last Update Date | 12/03/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417992306 | NPI | - | NPPES |
| CF5017 | Other | IL | MEDICARE RAILROAD |
| 1617057 | Other | IL | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 42005694 (Illinois) | Primary |
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Dr. Thomas S Flach And Associates Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 512 Hillgrove Ave, Western Springs, IL 60558 Phone: 708-246-4376 Fax: 708-246-2912 | |
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