MEDICARE: VANCOL FAMILY HEALTH CENTER SC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician		IL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0001633398	OTHER	IL	BLUECROSS BLUESHIELD

General Provider Information

NPI Number	:	1477723823
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VANCOL FAMILY HEALTH CENTER SC

Provider Business Mailing Address
First Line	:	8646 S SAGINAW AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60617-2422
Country	:	US
Telephone Number	:	773-575-7447
Fax Number	:	773-846-9523

Provider Business Practice Location Address
First Line	:	67 W 111TH ST
Second Line	:	SUITE 302
City	:	CHICAGO
State	:	IL
Zip	:	60628-4247
Country	:	US
Telephone Number	:	773-575-7447
Fax Number	:

Authorized Official
Title or Position	:	BILLING CONSULTANT
Name	:	MS. ROSITA DOYLE
Credential	:
Telephone Number	:	773-846-9521

Provider Enumeration Date	:	03/01/2008
Last Update Date	:	03/19/2008

Similar Medicare Providers

1851328546 — NORYBDEER LIMITED
Practice Location Address:

45 W 111TH ST , SUITE B
CHICAGO, IL
60628-4247

Practice Phone: 773-370-5254
Practice Fax:

1972609022 — RAKESH SALGIA M.D.
Practice Location Address:

67 W 111TH ST , SUITE 301
CHICAGO, IL
60628-4247

Practice Phone: 773-995-3401
Practice Fax: 773-995-3408

1225135940 — DR. JAI DEV ARYA MD
Practice Location Address:

67 W 111TH ST
CHICAGO, IL
60628-4247

Practice Phone: 773-995-3405
Practice Fax: 773-995-3408

1801994009 — JAI D ARYA MD SC
Practice Location Address:

67 W 111TH ST STE 301
CHICAGO, IL
60628-4247

Practice Phone: 773-995-3405
Practice Fax: 773-995-3408

1538269964 — CALUMET PHYSICIANS ASS LTD
Practice Location Address:

67 W 111TH ST STE 301
CHICAGO, IL
60628-4247

Practice Phone: 773-995-3405
Practice Fax: 773-995-3408

1700055571 — METROPOLITAN CHICAGO HEALTH ASSOCIATION
Practice Location Address:

45 W 111TH ST
CHICAGO, IL
60628-4247

Practice Phone: 773-995-3110
Practice Fax: 773-995-1076

Directions to “VANCOL FAMILY HEALTH CENTER SC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.