| Cottage Grove Health Center (ffs) | |
|
1645 Cottage Grove Ave Ford Heights IL 60411-3818 | |
| (708) 753-5800 | |
| Not Available |
| Full Name | Cottage Grove Health Center (ffs) |
|---|---|
| Speciality | Family Medicine |
| Location | 1645 Cottage Grove Ave, Ford Heights, Illinois |
| Authorized Official Name and Position | Scott Andrle (DIRECTOR OF MANAGED CARE OPERATIONS) |
| Authorized Official Contact | 3128644649 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cottage Grove Health Center (ffs) 1900 W Polk St Rm 220c Chicago IL 60612-3723 | Cottage Grove Health Center (ffs) 1645 Cottage Grove Ave Ford Heights IL 60411-3818 Ph: (708) 753-5800 |
| NPI Number | 1427689413 |
|---|---|
| Provider Enumeration Date | 01/29/2020 |
| Last Update Date | 03/02/2020 |
| Certification Date | 03/02/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427689413 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
Cottage Grove Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1645 Cottage Grove Ave, Ford Heights, IL 60411 Phone: 708-753-5800 |