| Ahf | |
|
2600 S Michigan Ave Ste 416 Chicago IL 60616-3400 | |
| (312) 881-3050 | |
| (312) 881-3051 |
| Full Name | Ahf |
|---|---|
| Speciality | Internal Medicine |
| Location | 2600 S Michigan Ave Ste 416, Chicago, Illinois |
| Authorized Official Name and Position | Lyle Honig Mojica (CFO) |
| Authorized Official Contact | 3238605305 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ahf 6255 W Sunset Blvd Fl 21 Los Angeles CA 90028-7422 Ph: (323) 860-5244 | Ahf 2600 S Michigan Ave Ste 416 Chicago IL 60616-3400 Ph: (312) 881-3050 |
| NPI Number | 1437775038 |
|---|---|
| Provider Enumeration Date | 06/19/2020 |
| Last Update Date | 03/06/2024 |
| Medicare PECOS PAC ID | 2668369109 |
|---|---|
| Medicare Enrollment ID | O20150608002123 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437775038 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | (* (Not Available)) | Primary |
| Provider Name | Daniela Fanto |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861888018 PECOS PAC ID: 4284987082 Enrollment ID: I20201125001083 |
| Provider Name | David Tyson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720548100 PECOS PAC ID: 7113253220 Enrollment ID: I20221115002855 |
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