| Saj Family Practice Health And Wellness Center Llc | |
|
19730 Governors Hwy Ste 6 Flossmoor IL 60422-2083 | |
| (708) 673-4604 | |
| (833) 974-1987 |
| Full Name | Saj Family Practice Health And Wellness Center Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 19730 Governors Hwy Ste 6, Flossmoor, Illinois |
| Authorized Official Name and Position | Samantha Hyche (PROVIDER) |
| Authorized Official Contact | 7086734604 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Saj Family Practice Health And Wellness Center Llc 3687 Melanie Ln Crete IL 60417-1615 Ph: (708) 860-0957 | Saj Family Practice Health And Wellness Center Llc 19730 Governors Hwy Ste 6 Flossmoor IL 60422-2083 Ph: (708) 673-4604 |
| NPI Number | 1184241903 |
|---|---|
| Provider Enumeration Date | 06/26/2020 |
| Last Update Date | 07/06/2023 |
| Medicare PECOS PAC ID | 5294132015 |
|---|---|
| Medicare Enrollment ID | O20210921003843 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184241903 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Samantha Hyche |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396113486 PECOS PAC ID: 1153638499 Enrollment ID: I20150917002878 |
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