| Vida Medical Centers PLLC | |
|
8101 S Cicero Ave Chicago IL 60652-2017 | |
| (773) 610-8505 | |
| Not Available |
| Full Name | Vida Medical Centers PLLC |
|---|---|
| Speciality | General Practice |
| Location | 8101 S Cicero Ave, Chicago, Illinois |
| Authorized Official Name and Position | Jose Carlo Martinez (AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 8152582115 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vida Medical Centers PLLC 8101 S Cicero Ave Chicago IL 60652-2017 Ph: (773) 610-8505 | Vida Medical Centers PLLC 8101 S Cicero Ave Chicago IL 60652-2017 Ph: (773) 610-8505 |
| NPI Number | 1093413049 |
|---|---|
| Provider Enumeration Date | 02/20/2023 |
| Last Update Date | 04/18/2023 |
| Certification Date | 04/18/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093413049 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | () | Primary |
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