| |
901 Mcclintock Dr Suite 110 Burr Ridge IL 60527-0871 | |
(630) 861-6510 | |
(630) 861-6515 |
Full Name | |
---|---|
Speciality | Family Medicine |
Location | 901 Mcclintock Dr, Burr Ridge, Illinois |
Authorized Official Name and Position | Ruby Mann (DIRECTOR) |
Authorized Official Contact | 6308566844 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
901 Mcclintock Dr Suite 110 Burr Ridge IL 60527-0871 Ph: (630) 861-6510 | 901 Mcclintock Dr Suite 110 Burr Ridge IL 60527-0871 Ph: (630) 861-6510 |
NPI Number | 1194155291 |
---|---|
Provider Enumeration Date | 11/26/2013 |
Last Update Date | 06/13/2017 |
Identifier | Type | State | Issuer |
---|---|---|---|
1194155291 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
K. Anand, Md, Ltd. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4 Clubside Ct, Burr Ridge, IL 60527 Phone: 630-789-1316 Fax: 640-734-8385 | |
Ahmed Shafi P C Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 9101 Devon Ridge Dr, Burr Ridge, IL 60527 Phone: 630-887-0641 Fax: 866-261-3402 | |
Mazen Abdel-hadi, M.d., L.l.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 133 Kraml Dr, Burr Ridge, IL 60527 Phone: 630-390-4678 | |
Vivacious Group Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 8s165 S Vine St, Burr Ridge, IL 60527 Phone: 630-835-7613 |