Quintessential Care | |
850 S Wabash Ave Ste 210 Chicago IL 60605-3642 | |
(312) 598-3520 | |
(312) 598-3525 |
Full Name | Quintessential Care |
---|---|
Speciality | Internal Medicine |
Location | 850 S Wabash Ave Ste 210, Chicago, Illinois |
Authorized Official Name and Position | David R. Buyer (PHYSICIAN OWNER) |
Authorized Official Contact | 3125983520 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Quintessential Care 322 Greenleaf Ave Wilmette IL 60091-1910 Ph: (312) 942-5100 | Quintessential Care 850 S Wabash Ave Ste 210 Chicago IL 60605-3642 Ph: (312) 598-3520 |
NPI Number | 1962784124 |
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Provider Enumeration Date | 09/14/2011 |
Last Update Date | 12/04/2023 |
Medicare PECOS PAC ID | 6406029818 |
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Medicare Enrollment ID | O20111031000697 |
Identifier | Type | State | Issuer |
---|---|---|---|
1962784124 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | David R Buyer |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1831164888 PECOS PAC ID: 3476532441 Enrollment ID: I20050208001031 |
Provider Name | Brent M Nathan |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1639559719 PECOS PAC ID: 1557651668 Enrollment ID: I20180808000020 |
Provider Name | Naomi Twigg |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1689203838 PECOS PAC ID: 4789002676 Enrollment ID: I20200909001125 |
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