MEDICARE: WIN CARE MEDICAL CONSULTANTS LTD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	207RA0000X	Adolescent Medicine (Internal Medicine) Physician
2	207RG0300X	Geriatric Medicine (Internal Medicine) Physician
3	207R00000X	Internal Medicine Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1255304382
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WIN CARE MEDICAL CONSULTANTS LTD

Provider Business Mailing Address
First Line	:	PO BOX 26975
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32226-6975
Country	:	US
Telephone Number	:	708-929-8099
Fax Number	:	888-886-4464

Provider Business Practice Location Address
First Line	:	4646 N MARINE DR STE A6100
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60640-5759
Country	:	US
Telephone Number	:	773-564-5444
Fax Number	:	773-564-5445

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. CLEMENT S ROSE
Credential	:	MD
Telephone Number	:	773-564-5444

Provider Enumeration Date	:	02/09/2006
Last Update Date	:	10/26/2020

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Directions to “WIN CARE MEDICAL CONSULTANTS LTD ” Practice Location

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