| Community Visiting Physicians Llc | |
|
229 W Grand Ave Ste R Bensenville IL 60106-3365 | |
| (630) 473-7963 | |
| Not Available |
| Full Name | Community Visiting Physicians Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 229 W Grand Ave Ste R, Bensenville, Illinois |
| Authorized Official Name and Position | Luqman Baloch (PRESIDENT) |
| Authorized Official Contact | 6304737963 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Visiting Physicians Llc 229 W Grand Ave Ste R Bensenville IL 60106-3365 Ph: () - | Community Visiting Physicians Llc 229 W Grand Ave Ste R Bensenville IL 60106-3365 Ph: (630) 473-7963 |
| NPI Number | 1497539969 |
|---|---|
| Provider Enumeration Date | 08/24/2023 |
| Last Update Date | 08/24/2023 |
| Medicare PECOS PAC ID | 8426403270 |
|---|---|
| Medicare Enrollment ID | O20231013001150 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497539969 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | Guadalupe S Sitjar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497870315 PECOS PAC ID: 3971797168 Enrollment ID: I20101102000187 |
| Provider Name | Luqman Baloch |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144753062 PECOS PAC ID: 9830466309 Enrollment ID: I20200529000063 |
| Provider Name | Hiren Desai |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912570169 PECOS PAC ID: 0244620359 Enrollment ID: I20211203002389 |
| Provider Name | Cristina Herico Roy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962922062 PECOS PAC ID: 9931581345 Enrollment ID: I20220802001521 |
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