Melrose Park Clinic in Melrose Park - Family Medicine
Melrose Park Clinic - NPI 1578603023
Melrose Park Clinic is a Family Medicine in Melrose Park, Illinois. Melrose Park Clinic practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Melrose Park Clinic is 1578603023. The last update date is 2020-08-22.
Melrose Park Clinic's current location address is 1252 Winston Plaza, Melrose Park, Illinois. You can contact this provider via phone number 7083432500 and fax number 7083439545. The mailing address for Melrose Park Clinic is 1252 Winston Plaza, Melrose Park, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Melrose Park Clinic |
|---|---|
| Address | 1252 Winston Plaza, Melrose Park, Illinois |
| Phone Number | 7083432500 |
| Fax Number | 7083439545 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | ADMINISTRA |
|---|---|
| Authorized Official Name | Gaccluno L Joseph |
| Credentials | MD |
| Telephone Number | 7083432500 |
NPI Number Detail
| NPI Number | 1578603023 |
|---|---|
| Provider Enumeration Date | 2007-02-07 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 1252 Winston Plaza |
|---|---|
| City | Melrose Park |
| State | Illinois (IL) |
| Post Code | 60160 |
| Phone Number | 7083432500 |
| Fax Number | 7083439545 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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What is the unique provider identifier assigned to Melrose Park Clinic?
The Melrose Park Clinic has been issued the NPI (National Provider Identifier) 1578603023 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Where is the Melrose Park Clinic located?
The Melrose Park Clinic is located at 1252 Winston Plaza, Melrose Park, IL 60160.
What is Melrose Park Clinic's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Melrose Park Clinic is Family Medicine, and the corresponding taxonomy classification code for this specialized field is 207Q00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1578603023 to Melrose Park Clinic?
The Centers for Medicare & Medicaid Services assigned the 1578603023 to Melrose Park Clinic on 2007-02-07.
When was the information pertaining to Melrose Park Clinic most recently updated or revised?
The details related to Melrose Park Clinic, including its address, specialty, and other relevant information, were last updated or revised on 2020-08-22.
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