| Crimson Ark Medical Services, Inc. | |
|
516 S Fairview Ave Elmhurst IL 60126-3731 | |
| (630) 254-4337 | |
| Not Available |
| Full Name | Crimson Ark Medical Services, Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 516 S Fairview Ave, Elmhurst, Illinois |
| Authorized Official Name and Position | Jitendra Kumar Mohindra (OWNER) |
| Authorized Official Contact | 6307580630 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Crimson Ark Medical Services, Inc. 386 N York Rd Ste 100 Elmhurst IL 60126-2363 Ph: (630) 758-0630 | Crimson Ark Medical Services, Inc. 516 S Fairview Ave Elmhurst IL 60126-3731 Ph: (630) 254-4337 |
| NPI Number | 1831358183 |
|---|---|
| Provider Enumeration Date | 06/03/2008 |
| Last Update Date | 06/03/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831358183 | NPI | - | NPPES |
| 314990 | Other | IL | MEDICARE FOR COOK COUNTY |
| 0001621386 | Other | IL | BCBS |
| 036089371 | Medicaid | IL | |
| 704890 | Other | IL | MEDICARE DUPAGE COUNTY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 036089371 (Illinois) | Primary |
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