| Metro Mg Llc | |
|
5408 W Fullerton Ave Chicago IL 60639 | |
| (786) 301-4903 | |
| Not Available |
| Full Name | Metro Mg Llc |
|---|---|
| Speciality | Registered Nurse |
| Location | 5408 W Fullerton Ave, Chicago, Illinois |
| Authorized Official Name and Position | Jose Ayala (OWNER) |
| Authorized Official Contact | 7863014903 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Metro Mg Llc 5408 W Fullerton Ave Chicago IL 60639 Ph: () - | Metro Mg Llc 5408 W Fullerton Ave Chicago IL 60639 Ph: (786) 301-4903 |
| NPI Number | 1720891674 |
|---|---|
| Provider Enumeration Date | 01/27/2025 |
| Last Update Date | 01/27/2025 |
| Medicare PECOS PAC ID | 1052836384 |
|---|---|
| Medicare Enrollment ID | O20250421000228 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720891674 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 163WW0000X | Registered Nurse - Wound Care | (* (Not Available)) | Primary |
| Provider Name | Jose A Ayala |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942457221 PECOS PAC ID: 6204017478 Enrollment ID: I20110221000900 |
| Provider Name | Oludayo O Ojelade |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245774306 PECOS PAC ID: 2163607797 Enrollment ID: I20170911000237 |
| Provider Name | Robert Esguerra |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043026826 PECOS PAC ID: 4981080090 Enrollment ID: I20241219001048 |
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