| Cyber Medical Group LLC | |
|
5067 N Lincoln Ave Apt 201 Chicago IL 60625-8188 | |
| (414) 215-4419 | |
| Not Available |
| Full Name | Cyber Medical Group LLC |
|---|---|
| Speciality | Family Medicine |
| Location | 5067 N Lincoln Ave Apt 201, Chicago, Illinois |
| Authorized Official Name and Position | Igor Prus (PRESIDENT) |
| Authorized Official Contact | 4142154419 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cyber Medical Group LLC 5067 N Lincoln Ave Apt 201 Chicago IL 60625-8188 | Cyber Medical Group LLC 5067 N Lincoln Ave Apt 201 Chicago IL 60625-8188 Ph: (414) 215-4419 |
| NPI Number | 1093208449 |
|---|---|
| Provider Enumeration Date | 06/11/2018 |
| Last Update Date | 06/11/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093208449 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
| 207R00000X | Internal Medicine | () | Secondary |
| 208000000X | Pediatrics | () | Secondary |
| 208D00000X | General Practice | () | Secondary |
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