| Absolute Medical Group, Inc | |
|
15417 Lincoln Ave Harvey IL 60426-3514 | |
| (317) 755-7371 | |
| Not Available |
| Full Name | Absolute Medical Group, Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 15417 Lincoln Ave, Harvey, Illinois |
| Authorized Official Name and Position | Ramone Kullum (OFFICE MANAGER) |
| Authorized Official Contact | 3177557371 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Absolute Medical Group, Inc 1424 Exposition Ave Aurora IL 60506-1048 Ph: () - | Absolute Medical Group, Inc 15417 Lincoln Ave Harvey IL 60426-3514 Ph: (317) 755-7371 |
| NPI Number | 1407433824 |
|---|---|
| Provider Enumeration Date | 03/24/2021 |
| Last Update Date | 03/24/2021 |
| Medicare PECOS PAC ID | 6507273844 |
|---|---|
| Medicare Enrollment ID | O20210401001938 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407433824 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QG0300X | Family Medicine - Geriatric Medicine | (* (Not Available)) | Primary |
| Provider Name | Michelle S Meeks |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992704217 PECOS PAC ID: 1759358476 Enrollment ID: I20040913001018 |
| Provider Name | Talia Nelson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336502681 PECOS PAC ID: 7416246152 Enrollment ID: I20160518002536 |
| Provider Name | Khadra Aljazi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427599265 PECOS PAC ID: 8628340411 Enrollment ID: I20170814001419 |
| Provider Name | Tiraney C Redmond |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538639406 PECOS PAC ID: 8820324270 Enrollment ID: I20190724000338 |
| Provider Name | Rasheda Renee Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588127740 PECOS PAC ID: 6800203605 Enrollment ID: I20210323001244 |
| Provider Name | Omolara Aminat Oshokoya |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164182150 PECOS PAC ID: 3476948357 Enrollment ID: I20220310001897 |
| Provider Name | Karin J Lee-campbell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275274912 PECOS PAC ID: 2769855212 Enrollment ID: I20230302002162 |
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