| Valentinalb,s.c. | |
|
4727 N Clark St Ste 1n Chicago IL 60640-7554 | |
| (773) 334-9300 | |
| (177) 333-4930 |
| Full Name | Valentinalb,s.c. |
|---|---|
| Speciality | Family Medicine |
| Location | 4727 N Clark St Ste 1n, Chicago, Illinois |
| Authorized Official Name and Position | Anna Morgan (MEDICAL DIRECTOR) |
| Authorized Official Contact | 7733349300 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Valentinalb,s.c. 4727 N Clark St Ste 1n Chicago IL 60640-7554 Ph: (773) 334-9300 | Valentinalb,s.c. 4727 N Clark St Ste 1n Chicago IL 60640-7554 Ph: (773) 334-9300 |
| NPI Number | 1548541022 |
|---|---|
| Provider Enumeration Date | 08/29/2011 |
| Last Update Date | 10/22/2024 |
| Medicare PECOS PAC ID | 6204007271 |
|---|---|
| Medicare Enrollment ID | O20110922000692 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548541022 | NPI | - | NPPES |
| 036122848 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Anna Morgan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144410762 PECOS PAC ID: 6305999434 Enrollment ID: I20090806000378 |
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