| Concourse Medical Associates, Ltd | |
|
5410 Warren St Morton Grove IL 60053-3639 | |
| (847) 583-0939 | |
| (847) 583-0945 |
| Full Name | Concourse Medical Associates, Ltd |
|---|---|
| Speciality | Internal Medicine |
| Location | 5410 Warren St, Morton Grove, Illinois |
| Authorized Official Name and Position | H Edward Klemptner (PRESIDENT) |
| Authorized Official Contact | 8475830939 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Concourse Medical Associates, Ltd Po Box 388320 Chicago IL 60638-8320 Ph: (773) 767-4600 | Concourse Medical Associates, Ltd 5410 Warren St Morton Grove IL 60053-3639 Ph: (847) 583-0939 |
| NPI Number | 1043237969 |
|---|---|
| Provider Enumeration Date | 07/16/2006 |
| Last Update Date | 08/28/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043237969 | NPI | - | NPPES |
| 036026661 | Medicaid | IL | |
| 01607179 | Other | IL | BLUE SHIELD |
| P00134710 | Other | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 036026661 (Illinois) | Primary |
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