| Harmonic Medical Group Of Illinois, S.c. | |
|
1315 W Lawrence Ave Springfield IL 62704-2315 | |
| (314) 368-4224 | |
| Not Available |
| Full Name | Harmonic Medical Group Of Illinois, S.c. |
|---|---|
| Speciality | Family Medicine |
| Location | 1315 W Lawrence Ave, Springfield, Illinois |
| Authorized Official Name and Position | James Gera (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 3143684224 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Harmonic Medical Group Of Illinois, S.c. 119 S Main St Saint Charles MO 63301-2802 Ph: () - | Harmonic Medical Group Of Illinois, S.c. 1315 W Lawrence Ave Springfield IL 62704-2315 Ph: (314) 368-4224 |
| NPI Number | 1295597342 |
|---|---|
| Provider Enumeration Date | 01/24/2024 |
| Last Update Date | 01/24/2024 |
| Certification Date | 01/16/2024 |
| Medicare PECOS PAC ID | 8527409218 |
|---|---|
| Medicare Enrollment ID | O20240513001603 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295597342 | NPI | - | NPPES |
| Provider Name | Alex Mohseni |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1508823246 PECOS PAC ID: 8527076280 Enrollment ID: I20240513001597 |
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