| Advanced Medical Associates, Sc | |
|
4711 W Golf Rd #806 Skokie IL 60076 | |
| (847) 763-1334 | |
| (847) 763-1737 |
| Full Name | Advanced Medical Associates, Sc |
|---|---|
| Speciality | Radiology |
| Location | 4711 W Golf Rd, Skokie, Illinois |
| Authorized Official Name and Position | Anna Polishchuk (BILLER) |
| Authorized Official Contact | 8477631334 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Medical Associates, Sc 4711 W Golf Rd #806 Skokie IL 60076 Ph: (847) 763-1334 | Advanced Medical Associates, Sc 4711 W Golf Rd #806 Skokie IL 60076 Ph: (847) 763-1334 |
| NPI Number | 1083721716 |
|---|---|
| Provider Enumeration Date | 08/25/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 7113025982 |
|---|---|
| Medicare Enrollment ID | O20070604000160 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083721716 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (Illinois) | Primary |
| 2085U0001X | Radiology - Diagnostic Ultrasound | (Illinois) | Primary |
| Provider Name | Prith M Goomar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255347811 PECOS PAC ID: 9335196930 Enrollment ID: I20070604000151 |
| Provider Name | Olga Vinokur |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1861610552 PECOS PAC ID: 0042311078 Enrollment ID: I20070720000590 |
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