Bartlett Health And Wellness Llc | |
300 W Bartlett Ave Bartlett IL 60103-4002 | |
(224) 633-8447 | |
Not Available |
Full Name | Bartlett Health And Wellness Llc |
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Speciality | Family Medicine |
Location | 300 W Bartlett Ave, Bartlett, Illinois |
Authorized Official Name and Position | Nahren Khoshaba (AUTHORIZED OFFICIAL) |
Authorized Official Contact | 2246338447 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Bartlett Health And Wellness Llc 300 W Bartlett Ave Bartlett IL 60103-4002 Ph: (224) 633-8447 | Bartlett Health And Wellness Llc 300 W Bartlett Ave Bartlett IL 60103-4002 Ph: (224) 633-8447 |
NPI Number | 1750154027 |
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Provider Enumeration Date | 10/30/2023 |
Last Update Date | 10/30/2023 |
Medicare PECOS PAC ID | 8022467513 |
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Medicare Enrollment ID | O20231208002651 |
Identifier | Type | State | Issuer |
---|---|---|---|
1750154027 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Megan M Kotlarz |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1750757845 PECOS PAC ID: 9436451796 Enrollment ID: I20171025000118 |
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