Chicago Medical Associates, Inc | |
2222 W Division St Ste 230 Chicago IL 60622-2989 | |
(630) 470-5760 | |
Not Available |
Full Name | Chicago Medical Associates, Inc |
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Speciality | Internal Medicine |
Location | 2222 W Division St Ste 230, Chicago, Illinois |
Authorized Official Name and Position | Ajay Bhatia (PRESIDENT) |
Authorized Official Contact | 6304705760 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Chicago Medical Associates, Inc 2222 W Division St Ste 230 Chicago IL 60622-2989 Ph: (630) 470-5760 | Chicago Medical Associates, Inc 2222 W Division St Ste 230 Chicago IL 60622-2989 Ph: (630) 470-5760 |
NPI Number | 1760965404 |
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Provider Enumeration Date | 09/10/2018 |
Last Update Date | 09/10/2018 |
Medicare PECOS PAC ID | 4880946334 |
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Medicare Enrollment ID | O20181010002411 |
Identifier | Type | State | Issuer |
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1760965404 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Ajay Bhatia |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1568608180 PECOS PAC ID: 9931392925 Enrollment ID: I20101022000448 |
Provider Name | Claressa N Hawkins |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1134766132 PECOS PAC ID: 5991134850 Enrollment ID: I20200330000697 |
Provider Name | May Martin |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1942838578 PECOS PAC ID: 5496162950 Enrollment ID: I20210329002229 |
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