Organization
ANTHONY P MERZA MD P C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANTHONY PERA MERZA M.D. (PRESIDENT)
(773) 275-8811
Entity
Organization
Contact information
Practice address
5145 N CALIFORNIA AVE, CHICAGO, IL 60625-3661
(773) 275-8811
(773) 282-2120
Mailing address
5145 N CALIFORNIA AVE, CHICAGO, IL 60625-3661
(773) 275-8811
(773) 282-2120
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
060005186
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0031603386
BLUE CROSS BLUE SHIELD
IL
05
—
036067060
—
IL
01
—
100004712
RAIL ROAD MEDICARE
IL
01
—
K02230
MEDICARE PIN
IL
Enumeration date
03/18/2007
Last updated
11/05/2014
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