| Elmwood Park Immediate Health Care Center, Llc | |
|
2333 N. Harlem Ave Suite 100 Chicago IL 60707-2718 | |
| (773) 637-2333 | |
| (773) 637-4229 |
| Full Name | Elmwood Park Immediate Health Care Center, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 2333 N. Harlem Ave, Chicago, Illinois |
| Authorized Official Name and Position | Joanna Brzostowska (COO) |
| Authorized Official Contact | 7736371700 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Elmwood Park Immediate Health Care Center, Llc 2333 N. Harlem Ave. Suite 100 Chicago IL 60707-2718 Ph: (773) 637-2333 | Elmwood Park Immediate Health Care Center, Llc 2333 N. Harlem Ave Suite 100 Chicago IL 60707-2718 Ph: (773) 637-2333 |
| NPI Number | 1356396758 |
|---|---|
| Provider Enumeration Date | 05/23/2006 |
| Last Update Date | 10/17/2014 |
| Medicare PECOS PAC ID | 2466440839 |
|---|---|
| Medicare Enrollment ID | O20040504000988 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356396758 | NPI | - | NPPES |
| 01634215 | Other | IL | BCBS GROUP NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 036112029 (Illinois) | Primary |
| Provider Name | Charles Campbell |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1518969245 PECOS PAC ID: 1052336294 Enrollment ID: I20051102000729 |
| Provider Name | Sudheer Paruchuri |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1245221837 PECOS PAC ID: 6103842752 Enrollment ID: I20060922000295 |
| Provider Name | Naveen Tipirneni |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1679672869 PECOS PAC ID: 4688775471 Enrollment ID: I20070724000208 |
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