| Prosalud6238 Inc | |
|
6238 Cermak Rd Berwyn IL 60402-2319 | |
| (708) 795-5020 | |
| (708) 795-5158 |
| Full Name | Prosalud6238 Inc |
|---|---|
| Speciality | Pediatrics |
| Location | 6238 Cermak Rd, Berwyn, Illinois |
| Authorized Official Name and Position | Elizabeth Canelas (MD) |
| Authorized Official Contact | 7088297422 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Prosalud6238 Inc 6238 Cermak Rd Berwyn IL 60402-2319 Ph: (708) 795-5020 | Prosalud6238 Inc 6238 Cermak Rd Berwyn IL 60402-2319 Ph: (708) 795-5020 |
| NPI Number | 1013452168 |
|---|---|
| Provider Enumeration Date | 12/28/2016 |
| Last Update Date | 03/15/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013452168 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 036084800 (Illinois) | Secondary |
| 208000000X | Pediatrics | 036085902 (Illinois) | Primary |
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