| Abdul Qadir, Md, P.c. | |
|
1177 N Highland Ave Suite 102 Aurora IL 60506-2281 | |
| (630) 301-7366 | |
| (630) 301-7369 |
| Full Name | Abdul Qadir, Md, P.c. |
|---|---|
| Speciality | Internal Medicine |
| Location | 1177 N Highland Ave, Aurora, Illinois |
| Authorized Official Name and Position | Abdul Qadir (PRESIDENT) |
| Authorized Official Contact | 6303017366 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Abdul Qadir, Md, P.c. 1177 N Highland Ave Suite 102 Aurora IL 60506-2281 Ph: (630) 301-7366 | Abdul Qadir, Md, P.c. 1177 N Highland Ave Suite 102 Aurora IL 60506-2281 Ph: (630) 301-7366 |
| NPI Number | 1275715351 |
|---|---|
| Provider Enumeration Date | 11/30/2007 |
| Last Update Date | 06/14/2011 |
| Medicare PECOS PAC ID | 9739162777 |
|---|---|
| Medicare Enrollment ID | O20040610000644 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275715351 | NPI | - | NPPES |
| 036092190 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 036092190 (Illinois) | Primary |
| Provider Name | Abdul Qadir |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891705182 PECOS PAC ID: 6709869753 Enrollment ID: I20040611000076 |
| Provider Name | Nancy Sondgeroth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770950842 PECOS PAC ID: 6608186812 Enrollment ID: I20151029002942 |
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