| Doctors Next Door, Inc | |
|
4021 W 63rd St Ste C Chicago IL 60629-4642 | |
| (773) 663-1444 | |
| Not Available |
| Full Name | Doctors Next Door, Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 4021 W 63rd St Ste C, Chicago, Illinois |
| Authorized Official Name and Position | Watik Maghroudi (PRESIDENT) |
| Authorized Official Contact | 7736631444 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Doctors Next Door, Inc 4021 W 63rd St Ste C Chicago IL 60629-4642 Ph: () - | Doctors Next Door, Inc 4021 W 63rd St Ste C Chicago IL 60629-4642 Ph: (773) 663-1444 |
| NPI Number | 1407550023 |
|---|---|
| Provider Enumeration Date | 03/28/2023 |
| Last Update Date | 03/28/2023 |
| Medicare PECOS PAC ID | 4183069701 |
|---|---|
| Medicare Enrollment ID | O20240305001227 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407550023 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Watik Maghroudi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891350633 PECOS PAC ID: 6507109550 Enrollment ID: I20220504001376 |
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