| Chicagoland Complete Healthcare Llc | |
|
3000 N Halsted St Ste 401 Chicago IL 60657-9268 | |
| (773) 935-5985 | |
| (773) 935-5478 |
| Full Name | Chicagoland Complete Healthcare Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 3000 N Halsted St Ste 401, Chicago, Illinois |
| Authorized Official Name and Position | Barry Summers (OWNER) |
| Authorized Official Contact | 7085290355 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Chicagoland Complete Healthcare Llc 3000 N Halsted St Ste 401 Chicago IL 60657-9268 Ph: (773) 935-5985 | Chicagoland Complete Healthcare Llc 3000 N Halsted St Ste 401 Chicago IL 60657-9268 Ph: (773) 935-5985 |
| NPI Number | 1518379700 |
|---|---|
| Provider Enumeration Date | 05/22/2014 |
| Last Update Date | 05/10/2018 |
| Medicare PECOS PAC ID | 6800010877 |
|---|---|
| Medicare Enrollment ID | O20140612001680 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518379700 | NPI | - | NPPES |
| 036125989 | Medicaid | IL |
| Provider Name | Manuel G Dominguez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437205671 PECOS PAC ID: 4385629872 Enrollment ID: I20040621000063 |
| Provider Name | Barry M Summers |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1326117383 PECOS PAC ID: 2163499518 Enrollment ID: I20040914001268 |
| Provider Name | Myrna M Patricio |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720080534 PECOS PAC ID: 6204852510 Enrollment ID: I20051017000433 |
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