| Sct Medical Clinic | |
|
2100 W Roosevelt Rd Broadview IL 60155-3957 | |
| (216) 398-0349 | |
| Not Available |
| Full Name | Sct Medical Clinic |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 2100 W Roosevelt Rd, Broadview, Illinois |
| Authorized Official Name and Position | Christopher Orr (CHIEF MEDICAL OFFICER) |
| Authorized Official Contact | 2163980349 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sct Medical Clinic 6993 Pearl Rd Cleveland OH 44130-7831 Ph: (216) 398-0349 | Sct Medical Clinic 2100 W Roosevelt Rd Broadview IL 60155-3957 Ph: (216) 398-0349 |
| NPI Number | 1477275485 |
|---|---|
| Provider Enumeration Date | 09/15/2022 |
| Last Update Date | 11/09/2023 |
| Certification Date | 11/09/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477275485 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | () | Primary |
| 261QP2300X | Clinic/center - Primary Care | () | Secondary |
| 261QU0200X | Clinic/center - Urgent Care | () | Secondary |
Eric Kelley, M.d.,s.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2215 South 17th Avenue, Broadview, IL 60155 Phone: 708-344-7171 Fax: 708-344-0319 |