|
| |
|
4647 W 103rd St Suite 2l Oak Lawn IL 60453-4779 | |
| (708) 952-0200 | |
| (708) 952-0220 |
| Full Name | |
|---|---|
| Speciality | Internal Medicine |
| Location | 4647 W 103rd St, Oak Lawn, Illinois |
| Authorized Official Name and Position | Pat Devries (BILLING MANAGER) |
| Authorized Official Contact | 7084605000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
4647 W 103rd St Suite 2l Oak Lawn IL 60453-4779 Ph: (708) 952-0200 | 4647 W 103rd St Suite 2l Oak Lawn IL 60453-4779 Ph: (708) 952-0200 |
| NPI Number | 1942423660 |
|---|---|
| Provider Enumeration Date | 04/11/2007 |
| Last Update Date | 10/14/2008 |
| Medicare PECOS PAC ID | 7214969708 |
|---|---|
| Medicare Enrollment ID | O20050906000733 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942423660 | NPI | - | NPPES |
| 036088880 | Medicaid | IL | |
| 1942423660 | Other | IL | BLUE CROSS |
| CK8079 | Other | IL | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Amjad A Safvi |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1093707457 PECOS PAC ID: 7012809650 Enrollment ID: I20040327000224 |
| Provider Name | Satinder P Dalawari |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750449880 PECOS PAC ID: 3577595073 Enrollment ID: I20050906000907 |
| Provider Name | Zulfiqar H Rizvi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144276361 PECOS PAC ID: 9931285004 Enrollment ID: I20080329000046 |
| Provider Name | Jorge Balandrin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245369685 PECOS PAC ID: 8325219413 Enrollment ID: I20110921000624 |
| Provider Name | Rachana Patel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801359039 PECOS PAC ID: 9436486032 Enrollment ID: I20190805002710 |
| Provider Name | Beata E Reczek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134996606 PECOS PAC ID: 6305283961 Enrollment ID: I20240319002742 |
Maria Vivian L. Sanchez, M.d., S.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 5660 W 95th St, Oak Lawn, IL 60453 Phone: 630-241-1229 Fax: 630-963-9594 | |
Michael E Beck Md Sc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4938 W 95th St, Oak Lawn, IL 60453 Phone: 708-425-4662 Fax: 708-425-4692 | |
Mark S. Reiter, M.d., S.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4400 W 95th St, Suite 405, Oak Lawn, IL 60453 Phone: 708-499-2323 Fax: 708-499-2324 | |
Alliance Post-acute Consultants Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9525 Mayfield Ave, Oak Lawn, IL 60453 Phone: 708-801-0181 | |
Windy City Pain Relief, S.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 5571 W 95th St, Oak Lawn, IL 60453 Phone: 708-972-9695 Fax: 708-401-0194 | |
Vanessa Hagan, Md, Sc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4400 W 95th St, 303, Oak Lawn, IL 60453 Phone: 708-423-1300 Fax: 708-423-6085 |