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NPI Code Detail

MEDICARE: ML MEDICAL SERVICES CORPORATION

MEDICARE: ML MEDICAL SERVICES CORPORATION
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
1261QP2300XPrimary Care Clinic/Center336040596 (36077467)IL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11635391OTHERILBLUE CROSS BLUE SHIELD
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1922280296
Entity Type Code : Organization
Provider Name (Legal Business Name) : ML MEDICAL SERVICES CORPORATION
Provider Business Mailing Address
First Line : 5535 W CERMAK RD
Second Line : SUITE B
City : CICERO
State : IL
Zip : 60804-2218
Country : US
Telephone Number : 708-652-5423
Fax Number : 708-652-5424
Provider Business Practice Location Address
First Line : 5535 W CERMAK RD
Second Line : SUITE B
City : CICERO
State : IL
Zip : 60804-2218
Country : US
Telephone Number : 708-652-5423
Fax Number : 708-652-5424
Authorized Official
Title or Position : CEO
Name : DR. ISRAEL LABAO
Credential : M.D.
Telephone Number : 708-652-5423
Provider Enumeration Date : 11/28/2007
Last Update Date : 10/05/2012

Similar Medicare Providers

1487655726 — ISRAEL DISAMALA LABAO M.D.
Practice Location Address:
5535 W. CERMAK RD , SUITE B
CICERO, IL
60804-2218
Practice Phone: 708-652-5423
Practice Fax: 708-652-5424
1871674184 — NANCY MARTINEZ-AMINI MD
Practice Location Address:
5535 W CERMAK RD
CICERO, IL
60804-2218
Practice Phone: 708-780-6030
Practice Fax: 708-780-6068
1073668380 — DR. AMEE SONI D.D.S.
Practice Location Address:
5539 W CERMAK RD
CICERO, IL
60804-2218
Practice Phone: 708-652-7575
Practice Fax:
1629119607 — DR. UZMA AZIZ HUSSAIN DDS
Practice Location Address:
5533 W CERMAK RD
CICERO, IL
60804-2218
Practice Phone: 708-863-6366
Practice Fax:
1508900168 — DR. SABIHA THASEEN M.D.
Practice Location Address:
5535 W CERMAK RD STE A
CICERO, IL
60804-2218
Practice Phone: 708-780-7705
Practice Fax: 708-780-7795
1184831505 — DR. ANAMARIA VALENCIANO
Practice Location Address:
5533 W CERMAK RD
CICERO, IL
60804-2218
Practice Phone: 708-863-6366
Practice Fax:

Directions to “ML MEDICAL SERVICES CORPORATION ” Practice Location

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