| Administer Medical Associates Ltd | |
|
3330 West 177th Street Suite 3g Hazel Crest IL 60429 | |
| (708) 798-1200 | |
| Not Available |
| Full Name | Administer Medical Associates Ltd |
|---|---|
| Speciality | Clinic/Center |
| Location | 3330 West 177th Street Suite 3g, Hazel Crest, Illinois |
| Authorized Official Name and Position | Olalekan Sowade (MD) |
| Authorized Official Contact | 3123756950 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Administer Medical Associates Ltd 3330 West 177th Street Suite 3g Hazel Crest IL 60429 Ph: () - | Administer Medical Associates Ltd 3330 West 177th Street Suite 3g Hazel Crest IL 60429 Ph: (708) 798-1200 |
| NPI Number | 1033383526 |
|---|---|
| Provider Enumeration Date | 04/16/2008 |
| Last Update Date | 12/16/2021 |
| Medicare PECOS PAC ID | 9436401916 |
|---|---|
| Medicare Enrollment ID | O20181010003740 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033383526 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 036095861 (Illinois) | Primary |
| Provider Name | Olalekan O Sowade |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962486274 PECOS PAC ID: 2365408382 Enrollment ID: I20041201001040 |
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