Almansur Family Practice Services Ltd | |
7318 Madison St Forest Park IL 60130-3100 | |
(708) 366-1871 | |
Not Available |
Full Name | Almansur Family Practice Services Ltd |
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Speciality | Clinic/Center |
Location | 7318 Madison St, Forest Park, Illinois |
Authorized Official Name and Position | Bahir Mansur (PHYSICIAN) |
Authorized Official Contact | 7083661871 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Almansur Family Practice Services Ltd 209 Middaugh Rd Clarendon Hills IL 60514-1003 Ph: (630) 974-7084 | Almansur Family Practice Services Ltd 7318 Madison St Forest Park IL 60130-3100 Ph: (708) 366-1871 |
NPI Number | 1588960132 |
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Provider Enumeration Date | 01/31/2011 |
Last Update Date | 04/02/2011 |
Medicare PECOS PAC ID | 9739363136 |
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Medicare Enrollment ID | O20110408000598 |
Identifier | Type | State | Issuer |
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1588960132 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QP2300X | Clinic/center - Primary Care | 036065718 (Illinois) | Primary |
Provider Name | Bahir A Mansur |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1487756474 PECOS PAC ID: 7911181326 Enrollment ID: I20110408000691 |
Whitec, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7318 Madison St, Forest Park, IL 60130 Phone: 708-560-1960 |