Wheelwalking Sc | |
1510 Glenwood Ave Glenview IL 60025-2142 | |
(847) 729-0403 | |
Not Available |
Full Name | Wheelwalking Sc |
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Speciality | Internal Medicine |
Location | 1510 Glenwood Ave, Glenview, Illinois |
Authorized Official Name and Position | Seong Chin (PRESIDENT) |
Authorized Official Contact | 8477290403 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Wheelwalking Sc 1510 Glenwood Ave Glenview IL 60025-2142 Ph: (847) 729-0403 | Wheelwalking Sc 1510 Glenwood Ave Glenview IL 60025-2142 Ph: (847) 729-0403 |
NPI Number | 1376974394 |
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Provider Enumeration Date | 12/01/2013 |
Last Update Date | 04/23/2014 |
Medicare PECOS PAC ID | 7113140302 |
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Medicare Enrollment ID | O20140515000464 |
Identifier | Type | State | Issuer |
---|---|---|---|
1376974394 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 036112303 (Illinois) | Primary |
Provider Name | Seong Hyo Chin |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1205941127 PECOS PAC ID: 2264463447 Enrollment ID: I20050826000873 |
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