Organization
LAKE MI MOBILE DOCTORS, P.C.
Active
Other names
Mobile Doctors of St. Louis
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TYSYN CONTRERAS (DIRECTOR OF QUALITY ASSURANCE)
(773) 751-7200
Entity
Organization
Contact information
Practice address
10016 OFFICE CENTER AVE, SUITE 100, SAINT LOUIS, MO 63128-1468
(314) 720-0855
(314) 735-4335
Mailing address
3319 N ELSTON AVE, SUITE 200, CHICAGO, IL 60618-5811
(773) 751-7200
(773) 583-4401
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
—
—
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
—
—
213E00000X
Podiatrist
—
—
Other
Enumeration date
10/08/2012
Last updated
10/08/2012
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