| Center For Adult Healthcare Sc | |
|
303 E Army Trail Rd Suite 301 Bloomingdale IL 60108-2169 | |
| (630) 893-0347 | |
| (630) 893-1467 |
| Full Name | Center For Adult Healthcare Sc |
|---|---|
| Speciality | Internal Medicine |
| Location | 303 E Army Trail Rd, Bloomingdale, Illinois |
| Authorized Official Name and Position | Mandeep S Kohli (PRESIDENT) |
| Authorized Official Contact | 6308930347 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Center For Adult Healthcare Sc Po Box 6365 Bloomingdale IL 60108-6365 Ph: (630) 893-0347 | Center For Adult Healthcare Sc 303 E Army Trail Rd Suite 301 Bloomingdale IL 60108-2169 Ph: (630) 893-0347 |
| NPI Number | 1477708204 |
|---|---|
| Provider Enumeration Date | 11/20/2008 |
| Last Update Date | 06/13/2019 |
| Medicare PECOS PAC ID | 2769546555 |
|---|---|
| Medicare Enrollment ID | O20090122000443 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477708204 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (Illinois) | Primary |
| Provider Name | Mandeep S Kohli |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447286497 PECOS PAC ID: 2769384858 Enrollment ID: I20040121000020 |
| Provider Name | Sunil N Matiwala |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174555601 PECOS PAC ID: 0446355457 Enrollment ID: I20070730000016 |
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