| Westlake Medical Associates | |
|
1111 Superior St Ste 101 Melrose Park IL 60160-4100 | |
| (708) 344-2161 | |
| (708) 344-3156 |
| Full Name | Westlake Medical Associates |
|---|---|
| Speciality | Clinic/center |
| Location | 1111 Superior St Ste 101, Melrose Park, Illinois |
| Authorized Official Name and Position | Vijay V Yeldandi (MEDICAL DIRECTOR) |
| Authorized Official Contact | 7089387350 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Westlake Medical Associates 1111 Superior St Ste 101 Melrose Park IL 60160-4100 Ph: (708) 344-2161 | Westlake Medical Associates 1111 Superior St Ste 101 Melrose Park IL 60160-4100 Ph: (708) 344-2161 |
| NPI Number | 1245356542 |
|---|---|
| Provider Enumeration Date | 03/21/2007 |
| Last Update Date | 02/27/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245356542 | NPI | - | NPPES |
| 036069861 | Medicaid | IL | |
| 1623610 | Other | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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Ngr Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1111 Superior St, Suite 304, Melrose Park, IL 60160 Phone: 708-786-7100 Fax: 708-786-7101 | |
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