Ysm Medical Group Center | |
4733 N Damen Ave Chicago IL 60625-1442 | |
(773) 878-6060 | |
Not Available |
Full Name | Ysm Medical Group Center |
---|---|
Speciality | Internal Medicine |
Location | 4733 N Damen Ave, Chicago, Illinois |
Authorized Official Name and Position | Cesar A Morales (INTERNAL MEDICINE) |
Authorized Official Contact | 7738786060 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Ysm Medical Group Center 653 N Kingsbury St Chicago IL 60610-7069 Ph: (773) 577-0147 | Ysm Medical Group Center 4733 N Damen Ave Chicago IL 60625-1442 Ph: (773) 878-6060 |
NPI Number | 1588743504 |
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Provider Enumeration Date | 11/02/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1588743504 | NPI | - | NPPES |
01633361 | Other | IL | BCBS PROVIDER |
0360942361 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (Illinois) | Primary |
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