| Rush Oak Park Physicians Group Elmwood Park | |
|
7734 W North Ave Elmwood Park IL 60707-4124 | |
| (708) 456-6611 | |
| Not Available |
| Full Name | Rush Oak Park Physicians Group Elmwood Park |
|---|---|
| Speciality | Family Medicine |
| Location | 7734 W North Ave, Elmwood Park, Illinois |
| Authorized Official Name and Position | Scott A Halper (AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 3129427770 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rush Oak Park Physicians Group Elmwood Park 7734 W North Ave Elmwood Park IL 60707-4124 Ph: (708) 456-6611 | Rush Oak Park Physicians Group Elmwood Park 7734 W North Ave Elmwood Park IL 60707-4124 Ph: (708) 456-6611 |
| NPI Number | 1326318627 |
|---|---|
| Provider Enumeration Date | 01/04/2012 |
| Last Update Date | 06/04/2024 |
| Medicare PECOS PAC ID | 9234393117 |
|---|---|
| Medicare Enrollment ID | O20120605000232 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326318627 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (Illinois) | Primary |
| Provider Name | Kimberly A Harden |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821314105 PECOS PAC ID: 8426290107 Enrollment ID: I20130808000430 |
| Provider Name | Yesenia Valdez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871936146 PECOS PAC ID: 4981914090 Enrollment ID: I20160113002020 |
Alicja Barbara Poleszak S.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 7740 W North Ave, Elmwood Park, IL 60707 Phone: 708-456-3200 Fax: 708-456-3427 | |
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