| Elder Care Physicians Llc | |
|
1s072 Luther Ave Lombard IL 60148-4164 | |
| (872) 888-2444 | |
| Not Available |
| Full Name | Elder Care Physicians Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1s072 Luther Ave, Lombard, Illinois |
| Authorized Official Name and Position | Shahaab Uddin (OWNER) |
| Authorized Official Contact | 8728882444 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Elder Care Physicians Llc 384 E 17th Pl Lombard IL 60148-4926 Ph: (872) 888-2444 | Elder Care Physicians Llc 1s072 Luther Ave Lombard IL 60148-4164 Ph: (872) 888-2444 |
| NPI Number | 1558068700 |
|---|---|
| Provider Enumeration Date | 02/08/2023 |
| Last Update Date | 02/12/2023 |
| Medicare PECOS PAC ID | 6204201254 |
|---|---|
| Medicare Enrollment ID | O20230405002081 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558068700 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Arshea Siddiqui |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184670671 PECOS PAC ID: 0840294567 Enrollment ID: I20060911000447 |
| Provider Name | Amanda Brown-bartlett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235665076 PECOS PAC ID: 4587903646 Enrollment ID: I20190307000771 |
| Provider Name | Bashiru Babawale |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982163085 PECOS PAC ID: 5890028534 Enrollment ID: I20190912001690 |
| Provider Name | Shahaab Uddin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669784872 PECOS PAC ID: 1850526336 Enrollment ID: I20230405002246 |
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