Progressive Medical Center Sc - Primary Care in Addison, IL

Progressive Medical Center Sc is a primary clinic (Internal Medicine) in Addison, Illinois. The current practice location for Progressive Medical Center Sc is 414 W Lake Street, Addison, Illinois. For appointments, you can reach them via phone at (630) 458-1905. The mailing address for Progressive Medical Center Sc is 1841 W Army Trail Rd, Addison, Illinois and phone number is (630) 238-9235.

Progressive Medical Center Sc is licensed to practice in Illinois (license number 036087152) and its NPI number is 1629128319. This medical practice does not participate in medicare program and thus may not accept your medicare insurance. You may check if they accept your insurance at (630) 458-1905.

Contact Information

Progressive Medical Center Sc
414 W Lake Street
Addison
IL 60101
(630) 458-1905
(630) 458-1908

Primary Care Clinic Profile

Full NameProgressive Medical Center Sc
SpecialityInternal Medicine
Location414 W Lake Street, Addison, Illinois
Authorized Official Name and PositionGabriela Henriquez (OFFICE MANAGER)
Authorized Official Contact6302389235
Accepts Medicare InsuranceThis clinic does not participate in Medicare Program.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Progressive Medical Center Sc
1841 W Army Trail Rd
Addison
IL 60101-1901

Ph: (630) 238-9235
Progressive Medical Center Sc
414 W Lake Street
Addison
IL 60101

Ph: (630) 458-1905

NPI Details:

NPI Number1629128319
Provider Enumeration Date01/12/2007
Last Update Date04/07/2011

Medical Identifiers

Medical identifiers for Progressive Medical Center Sc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1629128319NPI-NPPES
036109448MedicaidIL
036078267MedicaidIL
036103673MedicaidIL
036087152MedicaidIL
2205538OtherILBCBS OF ILLINOIS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 036103673 (Illinois)Secondary
207Q00000XFamily Medicine 036107571 (Illinois)Secondary
207R00000XInternal Medicine 036087152 (Illinois)Primary
208000000XPediatrics 036078267 (Illinois)Secondary

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Internal Medicine in Addison, IL

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Medicare: Not Enrolled in Medicare
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Medicare: Medicare Enrolled
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Phone: 630-458-0688    Fax: 630-458-0698
Primary Care Associates
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Medicare: Not Enrolled in Medicare
Practice Location: 303 W Lake St, Suite 206, Addison, IL 60101
Phone: 630-543-4200    

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