| Dean S. Economos, Md, Sc | |
|
727 Grand Ave Ingleside IL 60041-9748 | |
| (847) 973-9640 | |
| (847) 973-9639 |
| Full Name | Dean S. Economos, Md, Sc |
|---|---|
| Speciality | Family Medicine |
| Location | 727 Grand Ave, Ingleside, Illinois |
| Authorized Official Name and Position | Dean S Economos (PRESIDENT) |
| Authorized Official Contact | 8479739640 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dean S. Economos, Md, Sc 727 Grand Ave Ingleside IL 60041-9748 Ph: (847) 973-9640 | Dean S. Economos, Md, Sc 727 Grand Ave Ingleside IL 60041-9748 Ph: (847) 973-9640 |
| NPI Number | 1467628461 |
|---|---|
| Provider Enumeration Date | 04/30/2008 |
| Last Update Date | 10/06/2008 |
| Medicare PECOS PAC ID | 8921178047 |
|---|---|
| Medicare Enrollment ID | O20080602000447 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467628461 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Dean S Economos |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720169758 PECOS PAC ID: 7214007335 Enrollment ID: I20080602000431 |
| Provider Name | Donna Marie V Economos |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770709644 PECOS PAC ID: 8628148749 Enrollment ID: I20080602000480 |
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