Comprehensive Medical Care Associates Llc | |
1263 S. Highland Avenue Suite 1e Lombard IL 60148-4572 | |
(630) 261-0280 | |
(630) 261-0304 |
Full Name | Comprehensive Medical Care Associates Llc |
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Speciality | General Practice |
Location | 1263 S. Highland Avenue, Lombard, Illinois |
Authorized Official Name and Position | John Greager (OWNER) |
Authorized Official Contact | 6302610280 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Comprehensive Medical Care Associates Llc P.o. Box 528 Hinsdale IL 60522-0528 Ph: (630) 261-0280 | Comprehensive Medical Care Associates Llc 1263 S. Highland Avenue Suite 1e Lombard IL 60148-4572 Ph: (630) 261-0280 |
NPI Number | 1114699667 |
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Provider Enumeration Date | 10/04/2021 |
Last Update Date | 05/18/2023 |
Medicare PECOS PAC ID | 1759762164 |
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Medicare Enrollment ID | O20220718000139 |
Identifier | Type | State | Issuer |
---|---|---|---|
1114699667 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
208600000X | Surgery | (* (Not Available)) | Secondary |
208D00000X | General Practice | (* (Not Available)) | Primary |
Provider Name | Mehdi Bassiratpour |
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Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1356384598 PECOS PAC ID: 1456359157 Enrollment ID: I20061113000178 |
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