| Advanced Pulmonary Group Llc | |
|
6081 Keller Dr Burr Ridge IL 60527-8124 | |
| (708) 539-6044 | |
| Not Available |
| Full Name | Advanced Pulmonary Group Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 6081 Keller Dr, Burr Ridge, Illinois |
| Authorized Official Name and Position | Mohamed Zakkar (PRESIDENT) |
| Authorized Official Contact | 7085396044 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Pulmonary Group Llc 6081 Keller Dr Burr Ridge IL 60527-8124 Ph: (708) 539-6044 | Advanced Pulmonary Group Llc 6081 Keller Dr Burr Ridge IL 60527-8124 Ph: (708) 539-6044 |
| NPI Number | 1588319735 |
|---|---|
| Provider Enumeration Date | 02/16/2022 |
| Last Update Date | 08/04/2022 |
| Medicare PECOS PAC ID | 4587051248 |
|---|---|
| Medicare Enrollment ID | O20220427001358 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588319735 | NPI | - | NPPES |
| Provider Name | Mohamed Zakkar |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1285646828 PECOS PAC ID: 6507842713 Enrollment ID: I20100315000854 |
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