| Wellbeingmd, John R. Principe Md, Ltd | |
|
11950 S Harlem Ave Palos Heights IL 60463-1150 | |
| (708) 448-9450 | |
| Not Available |
| Full Name | Wellbeingmd, John R. Principe Md, Ltd |
|---|---|
| Speciality | Internal Medicine |
| Location | 11950 S Harlem Ave, Palos Heights, Illinois |
| Authorized Official Name and Position | Robin L Blamer (BILLING SERVICE) |
| Authorized Official Contact | 6305511097 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wellbeingmd, John R. Principe Md, Ltd 11950 S Harlem Ave Palos Heights IL 60463-1150 Ph: (708) 448-9450 | Wellbeingmd, John R. Principe Md, Ltd 11950 S Harlem Ave Palos Heights IL 60463-1150 Ph: (708) 448-9450 |
| NPI Number | 1306036439 |
|---|---|
| Provider Enumeration Date | 07/25/2007 |
| Last Update Date | 12/12/2011 |
| Medicare PECOS PAC ID | 6800829417 |
|---|---|
| Medicare Enrollment ID | O20050914000908 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306036439 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Ronald L Vaught |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1841361151 PECOS PAC ID: 5799681128 Enrollment ID: I20031208000935 |
| Provider Name | John R Principe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639285810 PECOS PAC ID: 2961421953 Enrollment ID: I20051118000546 |
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