| Cwmc. | |
|
4747 Lincoln Mall Dr Ste 100 Matteson IL 60443-3812 | |
| (708) 747-8006 | |
| (708) 747-8272 |
| Full Name | Cwmc. |
|---|---|
| Speciality | Clinic/center |
| Location | 4747 Lincoln Mall Dr Ste 100, Matteson, Illinois |
| Authorized Official Name and Position | Sherriff Alli-balogun (MEDICAL DIRECTOR) |
| Authorized Official Contact | 7082505091 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cwmc. 4747 Lincoln Mall Dr Ste 100 Matteson IL 60443-3812 Ph: (708) 747-8006 | Cwmc. 4747 Lincoln Mall Dr Ste 100 Matteson IL 60443-3812 Ph: (708) 747-8006 |
| NPI Number | 1144914730 |
|---|---|
| Provider Enumeration Date | 06/06/2023 |
| Last Update Date | 06/06/2023 |
| Certification Date | 06/06/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144914730 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | () | Primary |
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