| Streeterville Internal Medicine, Pllc | |
|
676 N Saint Clair St Ste 1740 Chicago IL 60611-2963 | |
| (312) 926-0444 | |
| (312) 926-0444 |
| Full Name | Streeterville Internal Medicine, Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 676 N Saint Clair St Ste 1740, Chicago, Illinois |
| Authorized Official Name and Position | Rachel Anne O'mara (OWNER) |
| Authorized Official Contact | 3129260444 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Streeterville Internal Medicine, Pllc 676 N Saint Clair St Ste 1740 Chicago IL 60611-2963 Ph: (312) 926-0444 | Streeterville Internal Medicine, Pllc 676 N Saint Clair St Ste 1740 Chicago IL 60611-2963 Ph: (312) 926-0444 |
| NPI Number | 1205139730 |
|---|---|
| Provider Enumeration Date | 12/05/2010 |
| Last Update Date | 01/13/2021 |
| Medicare PECOS PAC ID | 3476730821 |
|---|---|
| Medicare Enrollment ID | O20110610000638 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205139730 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 036113766 (Illinois) | Primary |
| Provider Name | Rachel A Omara |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891701702 PECOS PAC ID: 6002850161 Enrollment ID: I20061122000434 |
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