MACENTEE KNOX & VARGAS MDS
Managed Care Organizations at Pulaski Rd, Chicago, IL

License number
Illinois 036072512
Category
Managed Care Organizations
Type
Preferred Provider Organization
License number
Illinois 036047977
Category
Managed Care Organizations
Type
Preferred Provider Organization
License number
Illinois 036063080
Category
Managed Care Organizations
Type
Point of Service
Owner
Name: DR. PETER F MACENTEE M.D.
Title: PRESIDENT
Phone: (773) 779-9300
Address
Address
10627 S Pulaski Rd, Chicago, IL 60655
National Provider ID: 1275729303
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

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