| Al Awad Medical Center Inc | |
|
9830 Ridgeland Ave Suite 1a Chicago Ridge IL 60415-2667 | |
| (708) 425-0414 | |
| (708) 425-0229 |
| Full Name | Al Awad Medical Center Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 9830 Ridgeland Ave, Chicago Ridge, Illinois |
| Authorized Official Name and Position | Mohammed A Alawad (PHYSICIAN) |
| Authorized Official Contact | 7084250414 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Al Awad Medical Center Inc 9830 Ridgeland Ave Suite 1a Chicago Ridge IL 60415-2667 Ph: (708) 425-0414 | Al Awad Medical Center Inc 9830 Ridgeland Ave Suite 1a Chicago Ridge IL 60415-2667 Ph: (708) 425-0414 |
| NPI Number | 1881921849 |
|---|---|
| Provider Enumeration Date | 11/12/2009 |
| Last Update Date | 11/12/2009 |
| Medicare PECOS PAC ID | 5193868115 |
|---|---|
| Medicare Enrollment ID | O20100129000506 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881921849 | NPI | - | NPPES |
| 036.084938 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 036.084938 (Illinois) | Primary |
| Provider Name | Mohammed A Alawad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952357436 PECOS PAC ID: 7315946183 Enrollment ID: I20100129000498 |
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