Avicenna Primary Care Llc | |
1s450 Summit Ave Ste 390 Oakbrook Terrace IL 60181-3976 | |
(630) 229-4633 | |
Not Available |
Full Name | Avicenna Primary Care Llc |
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Speciality | Internal Medicine |
Location | 1s450 Summit Ave Ste 390, Oakbrook Terrace, Illinois |
Authorized Official Name and Position | Yasmin Kagzi (MD) |
Authorized Official Contact | 6302294633 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Avicenna Primary Care Llc 233 Cimarron Rd W Lombard IL 60148-1494 Ph: (630) 229-4633 | Avicenna Primary Care Llc 1s450 Summit Ave Ste 390 Oakbrook Terrace IL 60181-3976 Ph: (630) 229-4633 |
NPI Number | 1588152748 |
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Provider Enumeration Date | 04/24/2018 |
Last Update Date | 04/24/2018 |
Identifier | Type | State | Issuer |
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1588152748 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207R00000X | Internal Medicine | 036.129037 (Illinois) | Primary |
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