| Scott R Lowry DO PC | |
|
9501 171st St Tinley Park IL 60487-6110 | |
| (708) 966-0788 | |
| (773) 466-1644 |
| Full Name | Scott R Lowry DO PC |
|---|---|
| Speciality | Family Medicine |
| Location | 9501 171st St, Tinley Park, Illinois |
| Authorized Official Name and Position | Scott Lowry (OWNER PHYSICIAN) |
| Authorized Official Contact | 7082586300 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Scott R Lowry DO PC 127 E Crawford St Peotone IL 60468-9207 | Scott R Lowry DO PC 9501 171st St Tinley Park IL 60487-6110 Ph: (708) 966-0788 |
| NPI Number | 1265488712 |
|---|---|
| Provider Enumeration Date | 05/26/2006 |
| Last Update Date | 08/03/2021 |
| Certification Date | 08/03/2021 |
| Medicare PECOS PAC ID | 9739195108 |
|---|---|
| Medicare Enrollment ID | O20060223000120 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265488712 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
| Provider Name | Scott R Lowry |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184626673 PECOS PAC ID: 6800802273 Enrollment ID: I20060223000460 |
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