| Midwest Physician Center Of Crestwood | |
|
13811 Cicero Ave Crestwood IL 60445-1826 | |
| (708) 597-4477 | |
| (708) 597-4502 |
| Full Name | Midwest Physician Center Of Crestwood |
|---|---|
| Speciality | Family Medicine |
| Location | 13811 Cicero Ave, Crestwood, Illinois |
| Authorized Official Name and Position | Deborah J Nelson (CEO) |
| Authorized Official Contact | 7087477960 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Midwest Physician Center Of Crestwood 20110 Governors Hwy Olympia Fields IL 60461-1030 Ph: (708) 747-7960 | Midwest Physician Center Of Crestwood 13811 Cicero Ave Crestwood IL 60445-1826 Ph: (708) 597-4477 |
| NPI Number | 1215074026 |
|---|---|
| Provider Enumeration Date | 01/31/2007 |
| Last Update Date | 12/21/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215074026 | NPI | - | NPPES |
| 0001616617 | Other | IL | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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Crestwood Medical Associates Ltd Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 13117 Rivercrest Dr, Crestwood, IL 60418 Phone: 708-371-1190 Fax: 708-448-8812 |