| Traveling Doc Inc. | |
|
1904 S Cicero Ave Cicero IL 60804-2545 | |
| (855) 484-7362 | |
| (708) 863-7213 |
| Full Name | Traveling Doc Inc. |
|---|---|
| Speciality | General Practice |
| Location | 1904 S Cicero Ave, Cicero, Illinois |
| Authorized Official Name and Position | Carlos Gonzalez (MEDICAL DIRECTOR) |
| Authorized Official Contact | 5616245347 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Traveling Doc Inc. 1904 S Cicero Ave Cicero IL 60804-2545 Ph: (855) 484-7362 | Traveling Doc Inc. 1904 S Cicero Ave Cicero IL 60804-2545 Ph: (855) 484-7362 |
| NPI Number | 1902102734 |
|---|---|
| Provider Enumeration Date | 01/26/2011 |
| Last Update Date | 01/26/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902102734 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | 036.127046 (Illinois) | Primary |
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