Elite Physicians Medical Group Inc is a medicare enrolled primary clinic (Family Medicine) in Hickory Hills, Illinois. The current practice location for Elite Physicians Medical Group Inc is 9634 S Roberts Rd, Hickory Hills, Illinois. For appointments, you can reach them via phone at
(708) 380-8888. The mailing address for Elite Physicians Medical Group Inc is 9634 S Roberts Rd, Hickory Hills, Illinois and phone number is () -.
Elite Physicians Medical Group Inc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its
NPI number is 1528802956. This medical practice
accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at
(708) 380-8888.
Primary Care Clinic Profile
| Full Name | Elite Physicians Medical Group Inc |
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| Speciality | Family Medicine |
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| Location | 9634 S Roberts Rd, Hickory Hills, Illinois |
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| Authorized Official Name and Position | Abdelkhaliq Qasem (OWNER) |
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| Authorized Official Contact | 7083808008 |
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| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
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Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Elite Physicians Medical Group Inc
9634 S Roberts Rd
Hickory Hills
IL 60457-2238
Ph: () - | Elite Physicians Medical Group Inc
9634 S Roberts Rd
Hickory Hills
IL 60457-2238
Ph: (708) 380-8888 |
NPI Details:
| NPI Number | 1528802956 |
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| Provider Enumeration Date | 06/20/2024 |
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| Last Update Date | 02/06/2025 |
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Medicare PECOS Information:
| Medicare PECOS PAC ID | 4688106537 |
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| Medicare Enrollment ID | O20241016002208 |
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Medical Identifiers
Medical identifiers for Elite Physicians Medical Group Inc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1528802956 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Secondary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Elite Physicians Medical Group Inc acts as a billing entity for following providers:
| Provider Name | Abdelkhaliq Isam Qasem |
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| Provider Type | Practitioner - Internal Medicine |
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| Provider Identifiers | NPI Number: 1639707532
PECOS PAC ID: 6204270085
Enrollment ID: I20240220003296 |
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