D/b/a Metro South Medical Center Physician Group - Primary Care in Blue Island, IL

D/b/a Metro South Medical Center Physician Group is a primary clinic (Family Medicine) in Blue Island, Illinois. The current practice location for D/b/a Metro South Medical Center Physician Group is 12935 Gregory St, Blue Island, Illinois. For appointments, you can reach them via phone at (708) 597-2000. The mailing address for D/b/a Metro South Medical Center Physician Group is P.o. Box 2753, Bedford Park, Illinois and phone number is (708) 597-2000.

D/b/a Metro South Medical Center Physician Group is licensed to practice in Illinois (license number 036099296) and its NPI number is 1225286412. This medical practice does not participate in medicare program and thus may not accept your medicare insurance. You may check if they accept your insurance at (708) 597-2000.

Contact Information

D/b/a Metro South Medical Center Physician Group
12935 Gregory St
Blue Island
IL 60406-2428
(708) 597-2000
(708) 824-4505

Map and Direction


Primary Care Clinic Profile

Full NameD/b/a Metro South Medical Center Physician Group
SpecialityFamily Medicine
Location12935 Gregory St, Blue Island, Illinois
Authorized Official Name and PositionKathleen M Wcislo (PHYSICIAN DETAILER)
Authorized Official Contact7085972000
Accepts Medicare InsuranceThis clinic does not participate in Medicare Program.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
D/b/a Metro South Medical Center Physician Group
P.o. Box 2753
Bedford Park
IL 60499-2753

Ph: (708) 597-2000
D/b/a Metro South Medical Center Physician Group
12935 Gregory St
Blue Island
IL 60406-2428

Ph: (708) 597-2000

NPI Details:

NPI Number1225286412
Provider Enumeration Date09/03/2008
Last Update Date05/20/2009

Medical Identifiers

Medical identifiers for D/b/a Metro South Medical Center Physician Group such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1225286412NPI-NPPES
0001628587OtherILBC/BS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 036099296 (Illinois)Primary
207Q00000XFamily Medicine 036106823 (Illinois)Secondary
207Q00000XFamily Medicine 036118421 (Illinois)Secondary
207Q00000XFamily Medicine 036123124 (Illinois)Secondary
207V00000XObstetrics & Gynecology 036110076 (Illinois)Secondary
207V00000XObstetrics & Gynecology 036117162 (Illinois)Secondary
207V00000XObstetrics & Gynecology 036089662 (Illinois)Secondary
207V00000XObstetrics & Gynecology 036116768 (Illinois)Secondary
207V00000XObstetrics & Gynecology 036058336 (Illinois)Secondary
207V00000XObstetrics & Gynecology 036044194 (Illinois)Secondary
207V00000XObstetrics & Gynecology 036112780 (Illinois)Secondary
207V00000XObstetrics & Gynecology 036065557 (Illinois)Secondary
207V00000XObstetrics & Gynecology 036068845 (Illinois)Secondary
207V00000XObstetrics & Gynecology 036045416 (Illinois)Secondary
367A00000XAdvanced Practice Midwife 209003023 (Illinois)Secondary

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.