| Blissmd Inc | |
|
1802 Irving Park Rd Hanover Park IL 60133-3254 | |
| (630) 289-0440 | |
| (630) 289-0442 |
| Full Name | Blissmd Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1802 Irving Park Rd, Hanover Park, Illinois |
| Authorized Official Name and Position | Anand M Thakkar (AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 6302890440 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Blissmd Inc 1802 Irving Park Rd Hanover Park IL 60133-3254 Ph: (630) 289-0440 | Blissmd Inc 1802 Irving Park Rd Hanover Park IL 60133-3254 Ph: (630) 289-0440 |
| NPI Number | 1447027438 |
|---|---|
| Provider Enumeration Date | 12/08/2023 |
| Last Update Date | 12/08/2023 |
| Medicare PECOS PAC ID | 1456704055 |
|---|---|
| Medicare Enrollment ID | O20240131000878 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447027438 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Anand Mahendrabhai Thakkar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336190040 PECOS PAC ID: 7113972019 Enrollment ID: I20050314000747 |
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