| Sauganash Health Associates | |
|
2740 W. Foster Ave Suite 209 Chicago IL 60625-3599 | |
| (773) 293-3510 | |
| Not Available |
| Full Name | Sauganash Health Associates |
|---|---|
| Speciality | Family Medicine |
| Location | 2740 W. Foster Ave, Chicago, Illinois |
| Authorized Official Name and Position | Derek J Kelly (SENIOR PARTNER) |
| Authorized Official Contact | 7732933510 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sauganash Health Associates 2740 W Foster Ave Suite 209 Chicago IL 60625-3500 Ph: (773) 293-3510 | Sauganash Health Associates 2740 W. Foster Ave Suite 209 Chicago IL 60625-3599 Ph: (773) 293-3510 |
| NPI Number | 1487843496 |
|---|---|
| Provider Enumeration Date | 10/16/2007 |
| Last Update Date | 10/16/2007 |
| Medicare PECOS PAC ID | 6800052747 |
|---|---|
| Medicare Enrollment ID | O20120723000374 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487843496 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (Illinois) | Secondary |
| 207Q00000X | Family Medicine | (Illinois) | Primary |
| Provider Name | Derek J Kelly |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407989106 PECOS PAC ID: 9436062080 Enrollment ID: I20120723000409 |
| Provider Name | Maria E Rivera |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770616484 PECOS PAC ID: 2062678915 Enrollment ID: I20120723000499 |
Pilsen Pediatrics Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1952 W Cermak Rd, Chicago, IL 60608 Phone: 773-254-6611 Fax: 773-254-8590 | |
A Kavaliunas Md Sc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5540 S Pulaski Rd, Chicago, IL 60629 Phone: 773-585-2802 | |
Doc Cam Medical Center Sc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2315 E 93rd St Ste 337, Chicago, IL 60617 Phone: 773-731-2700 Fax: 773-373-1868 | |
Excellent Eye Care Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5352 N Milwaukee Ave, Chicago, IL 60630 Phone: 773-777-7444 Fax: 773-775-4030 | |
Pediatric General Care & Research Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4527 N Pulaski Rd, Chicago, IL 60630 Phone: 773-267-7060 Fax: 773-267-4752 | |
Urban Family Health Center Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10830 S Halsted St, Chicago, IL 60628 Phone: 773-264-1400 Fax: 773-264-1401 | |
Inner-city Muslim Action Network Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2744 W 63rd St, Chicago, IL 60629 Phone: 773-434-4626 Fax: 773-776-3623 |