Care Consultants Of America, Llc | |
3333 Warrenville Rd Ste 200 Lisle IL 60532-1999 | |
(815) 603-7707 | |
Not Available |
Full Name | Care Consultants Of America, Llc |
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Speciality | Internal Medicine |
Location | 3333 Warrenville Rd Ste 200, Lisle, Illinois |
Authorized Official Name and Position | Wa'el Abdo (CEO/PRESIDENT) |
Authorized Official Contact | 8156037707 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Care Consultants Of America, Llc 13400 S Route 59 Ste 116-306 Plainfield IL 60585-5826 Ph: (815) 603-7707 | Care Consultants Of America, Llc 3333 Warrenville Rd Ste 200 Lisle IL 60532-1999 Ph: (815) 603-7707 |
NPI Number | 1013494582 |
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Provider Enumeration Date | 07/26/2018 |
Last Update Date | 12/03/2023 |
Medicare PECOS PAC ID | 2769732395 |
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Medicare Enrollment ID | O20180831001975 |
Identifier | Type | State | Issuer |
---|---|---|---|
1013494582 | NPI | - | NPPES |
036-116241 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
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207R00000X | Internal Medicine | 036-116241 (Illinois) | Primary |
Provider Name | Wael Mazen Abdo |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1740284074 PECOS PAC ID: 8628963394 Enrollment ID: I20070615000462 |
Provider Name | Magdalena Sniadowski |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1902232531 PECOS PAC ID: 4789811894 Enrollment ID: I20131217001473 |
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