Organization
MAXICARE VISITING PHYSICIAN, INC
Active
Organization
MAXICARE VISITING PHYSICIAN, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NELSON MERCADO (OFFICE MANAGER)
(773) 961-7580
Entity
Organization
Contact information
Practice address
3300 W PETERSON AVE, SUITE H, CHICAGO, IL 60659
(773) 961-7580
Mailing address
3300 W PETERSON AVE STE H, CHICAGO, IL 60659-3585
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
07/18/2017
Last updated
07/18/2017
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up