Organization
CARMEN GNATENCO M.D., S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULIAN I GNATENCO (BILLING MANAGER)
(773) 742-8926
Entity
Organization
Contact information
Practice address
4938 W 95TH ST, OAK LAWN, IL 60453-2504
(708) 425-4662
(708) 452-4692
Mailing address
6400 W COLLEGE DR STE 600, PALOS HEIGHTS, IL 60463-1900
(708) 389-3224
(708) 389-3587
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036115290
—
IL
01
—
1639587
BCBS
IL
01
—
P00692896
RAILROAD MEDICARE
IL
Enumeration date
05/19/2008
Last updated
08/24/2020
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