| Sanitas Medical Group SC | |
|
1301 Copperfield Ave Suite 203 Joliet IL 60432-2056 | |
| (815) 727-4292 | |
| (815) 727-5395 |
| Full Name | Sanitas Medical Group SC |
|---|---|
| Speciality | Internal Medicine |
| Location | 1301 Copperfield Ave, Joliet, Illinois |
| Authorized Official Name and Position | Jose Antonio Penaherrera (PRESIDENT) |
| Authorized Official Contact | 8157274292 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sanitas Medical Group SC 1301 Copperfield Ave Suite 203 Joliet IL 60432-2056 Ph: (815) 727-4292 | Sanitas Medical Group SC 1301 Copperfield Ave Suite 203 Joliet IL 60432-2056 Ph: (815) 727-4292 |
| NPI Number | 1861607285 |
|---|---|
| Provider Enumeration Date | 05/11/2007 |
| Last Update Date | 01/05/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861607285 | NPI | - | NPPES |
| 9928146 | Other | IL | BC/BS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | () | Primary |
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