| Whitec, Inc | |
|
7318 Madison St Forest Park IL 60130-3100 | |
| (708) 560-1960 | |
| Not Available |
| Full Name | Whitec, Inc |
|---|---|
| Speciality | General Practice |
| Location | 7318 Madison St, Forest Park, Illinois |
| Authorized Official Name and Position | Beverly L Deck (CEO) |
| Authorized Official Contact | 17085601960 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Whitec, Inc 7318 Madison St Forest Park IL 60130-3100 Ph: (708) 560-1960 | Whitec, Inc 7318 Madison St Forest Park IL 60130-3100 Ph: (708) 560-1960 |
| NPI Number | 1477641280 |
|---|---|
| Provider Enumeration Date | 10/10/2006 |
| Last Update Date | 06/24/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477641280 | NPI | - | NPPES |
| 036087476 | Medicaid | IL | |
| 0001636851 | Other | IL | BLUE CROSS/BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | 036087476 (Illinois) | Primary |
Almansur Family Practice Services Ltd Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 7318 Madison St, Forest Park, IL 60130 Phone: 708-366-1871 |