| Teodoro a Alvia MD SC | |
|
990 Grand Canyon Pkwy Ste 415 Hoffman Estates IL 60169-1731 | |
| (847) 519-0500 | |
| Not Available |
| Full Name | Teodoro a Alvia MD SC |
|---|---|
| Speciality | Family Medicine |
| Location | 990 Grand Canyon Pkwy Ste 415, Hoffman Estates, Illinois |
| Authorized Official Name and Position | Teodoro a Alvia (PHYSICIAN) |
| Authorized Official Contact | 8475190500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Teodoro a Alvia MD SC 990 Grand Canyon Pkwy Ste 415 Hoffman Estates IL 60169-1731 | Teodoro a Alvia MD SC 990 Grand Canyon Pkwy Ste 415 Hoffman Estates IL 60169-1731 Ph: (847) 519-0500 |
| NPI Number | 1376730473 |
|---|---|
| Provider Enumeration Date | 10/02/2007 |
| Last Update Date | 04/30/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376730473 | NPI | - | NPPES |
| 01623255 | Other | BCBS | |
| 036049412 | Medicaid | IL | |
| DG8903 | Other | IL | RAIL ROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 036049412 (Illinois) | Primary |
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