| Teresa Mckenzie, M.d., Llc | |
|
7605 1/2 North Ave River Forest IL 60305-1133 | |
| (708) 366-4888 | |
| Not Available |
| Full Name | Teresa Mckenzie, M.d., Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 7605 1/2 North Ave, River Forest, Illinois |
| Authorized Official Name and Position | Teresa Mckenzie (OWNER) |
| Authorized Official Contact | 7083664888 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Teresa Mckenzie, M.d., Llc 7605 1/2 North Ave River Forest IL 60305-1133 Ph: (708) 366-4888 | Teresa Mckenzie, M.d., Llc 7605 1/2 North Ave River Forest IL 60305-1133 Ph: (708) 366-4888 |
| NPI Number | 1871754168 |
|---|---|
| Provider Enumeration Date | 06/19/2008 |
| Last Update Date | 01/15/2013 |
| Medicare PECOS PAC ID | 5193712594 |
|---|---|
| Medicare Enrollment ID | O20040428000350 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871754168 | NPI | - | NPPES |
| 208524 | Other | IL | MEDICARE |
| 1639941 | Other | IL | BCBS |
| 036076673 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 036076673 (Illinois) | Primary |
| Provider Name | Teresa S Mckenzie |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366488033 PECOS PAC ID: 0244227643 Enrollment ID: I20040428000622 |
Affiliates In Primary Care,s.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 7411 Lake St Ste 2210, River Forest, IL 60305 Phone: 708-450-0055 Fax: 708-450-0288 | |
Dhanalakshmi P. Ganesan M.d.s.c Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7357 North Ave, River Forest, IL 60305 Phone: 708-405-6200 Fax: 708-405-6223 | |
Dr Mary Kelly Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7319 North Ave, River Forest, IL 60305 Phone: 708-848-0040 | |
S.s. Shroff, M.d.,s.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7355 North Ave, River Forest, IL 60305 Phone: 708-484-1411 Fax: 708-484-1468 | |
River Grove Medical Partners, Ltd Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7355 North Ave, River Forest, IL 60305 Phone: 708-771-0921 Fax: 708-771-0925 | |
River Forest Medical Associates Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7353 North Ave, River Forest, IL 60305 Phone: 708-771-6611 Fax: 708-771-6335 | |
Locke & Uchitelle Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 7411 Lake St, Ste 2210, River Forest, IL 60305 Phone: 708-366-8200 Fax: 708-366-8938 |