| West Town Satellite Center | |
|
1613 W. Chicago Chicago ID 60622 | |
| (312) 744-4016 | |
| Not Available |
| Full Name | West Town Satellite Center |
|---|---|
| Speciality | Clinic/center |
| Location | 1613 W. Chicago, Chicago, Idaho |
| Authorized Official Name and Position | Joyce Gallagher (COMMISSIONER) |
| Authorized Official Contact | 3127445770 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| West Town Satellite Center 1613 W. Chicago Chicago ID 60622 Ph: (312) 744-4016 | West Town Satellite Center 1613 W. Chicago Chicago ID 60622 Ph: (312) 744-4016 |
| NPI Number | 1366610669 |
|---|---|
| Provider Enumeration Date | 02/20/2008 |
| Last Update Date | 02/20/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366610669 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |