Organization
MARY K PALMORE MD SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY K PALMORE MD (OWNER)
(773) 779-8285
Entity
Organization
Contact information
Practice address
3641 E 108TH ST, CHICAGO, IL 60617-6951
(773) 731-5466
(773) 731-5461
Mailing address
PO BOX 5543, CHICAGO, IL 60680-5543
(773) 779-8285
(773) 779-8420
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01627483
BCBS
IL
01
—
14D0996652
CLIA
IL
01
—
DG8319
RAILROAD MEDICARE
IL
Enumeration date
05/19/2006
Last updated
04/30/2015
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us