| Prestige Medical Group LLC | |
|
8800 W 159th St Orland Park IL 60462-5618 | |
| (708) 942-6843 | |
| Not Available |
| Full Name | Prestige Medical Group LLC |
|---|---|
| Speciality | Clinic/center - Health Service |
| Location | 8800 W 159th St, Orland Park, Illinois |
| Authorized Official Name and Position | Anna Skobel (CEO) |
| Authorized Official Contact | 7089426843 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Prestige Medical Group LLC 300 N Vine St Unit 614 New Lenox IL 60451-5032 Ph: (708) 942-6843 | Prestige Medical Group LLC 8800 W 159th St Orland Park IL 60462-5618 Ph: (708) 942-6843 |
| NPI Number | 1801476502 |
|---|---|
| Provider Enumeration Date | 04/08/2021 |
| Last Update Date | 04/13/2021 |
| Certification Date | 04/13/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801476502 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QC1500X | Clinic/center - Community Health | () | Secondary |
| 261QH0100X | Clinic/center - Health Service | () | Primary |
| 291U00000X | Clinical Medical Laboratory | () | Secondary |
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