| Herron Medical Center, Ltd | |
|
1150 N State St Chicago IL 60610-7481 | |
| (312) 337-6072 | |
| (312) 337-3163 |
| Full Name | Herron Medical Center, Ltd |
|---|---|
| Speciality | Internal Medicine |
| Location | 1150 N State St, Chicago, Illinois |
| Authorized Official Name and Position | Anita Nayak (ADMINISTRATOR) |
| Authorized Official Contact | 3123376072 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Herron Medical Center, Ltd 1150 N State St Chicago IL 60610-7481 Ph: (312) 337-6072 | Herron Medical Center, Ltd 1150 N State St Chicago IL 60610-7481 Ph: (312) 337-6072 |
| NPI Number | 1164669909 |
|---|---|
| Provider Enumeration Date | 01/15/2009 |
| Last Update Date | 01/15/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164669909 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | () | Primary |
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