| Windy City Pain Relief, S.c. | |
|
5571 W 95th St Oak Lawn IL 60453-2356 | |
| (708) 972-9695 | |
| (708) 401-0194 |
| Full Name | Windy City Pain Relief, S.c. |
|---|---|
| Speciality | Clinic/Center |
| Location | 5571 W 95th St, Oak Lawn, Illinois |
| Authorized Official Name and Position | Shanele Nichole Mcgowan (PROVIDER, SHAREHOLDER) |
| Authorized Official Contact | 3125608061 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Windy City Pain Relief, S.c. Po Box 16008 Chicago IL 60616-0001 Ph: (708) 972-9695 | Windy City Pain Relief, S.c. 5571 W 95th St Oak Lawn IL 60453-2356 Ph: (708) 972-9695 |
| NPI Number | 1023586617 |
|---|---|
| Provider Enumeration Date | 11/13/2018 |
| Last Update Date | 12/27/2019 |
| Medicare PECOS PAC ID | 1153667860 |
|---|---|
| Medicare Enrollment ID | O20190116001867 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023586617 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Shanele Vaughn |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1902194822 PECOS PAC ID: 4688961675 Enrollment ID: I20161019002618 |
Maria Vivian L. Sanchez, M.d., S.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5660 W 95th St, Oak Lawn, IL 60453 Phone: 630-241-1229 Fax: 630-963-9594 | |
Michael E Beck Md Sc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4938 W 95th St, Oak Lawn, IL 60453 Phone: 708-425-4662 Fax: 708-425-4692 | |
Mark S. Reiter, M.d., S.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4400 W 95th St, Suite 405, Oak Lawn, IL 60453 Phone: 708-499-2323 Fax: 708-499-2324 | |
Alliance Post-acute Consultants Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9525 Mayfield Ave, Oak Lawn, IL 60453 Phone: 708-801-0181 | |
Advanced Wound Care Associates Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 5540 W 111th St Ste 2, Oak Lawn, IL 60453 Phone: 708-424-7600 Fax: 708-424-7605 | |
Vanessa Hagan, Md, Sc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4400 W 95th St, 303, Oak Lawn, IL 60453 Phone: 708-423-1300 Fax: 708-423-6085 |