| Encinas Medical Center | |
|
4614 S Ashland Ave Chicago IL 60609-3251 | |
| (773) 888-2560 | |
| (773) 345-2560 |
| Full Name | Encinas Medical Center |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 4614 S Ashland Ave, Chicago, Illinois |
| Authorized Official Name and Position | Alvaro Encinas (MEDICAL DIRECTOR) |
| Authorized Official Contact | 7738882560 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Encinas Medical Center 3926 W Touhy Ave Suite 332 Lincolnwood IL 60712-1028 Ph: (773) 888-2560 | Encinas Medical Center 4614 S Ashland Ave Chicago IL 60609-3251 Ph: (773) 888-2560 |
| NPI Number | 1487058731 |
|---|---|
| Provider Enumeration Date | 10/15/2014 |
| Last Update Date | 10/15/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487058731 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 042-620315 (Illinois) | Primary |
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