| Elk Grove Internists, P.c. | |
|
810 Biesterfield Rd Suite G4 Elk Grove Vlg IL 60007-7312 | |
| (847) 981-8856 | |
| Not Available |
| Full Name | Elk Grove Internists, P.c. |
|---|---|
| Speciality | Internal Medicine |
| Location | 810 Biesterfield Rd, Elk Grove Vlg, Illinois |
| Authorized Official Name and Position | Mark Weisberg (OWNER) |
| Authorized Official Contact | 8479818856 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Elk Grove Internists, P.c. 810 Biesterfield Rd Suite G4 Elk Grove Vlg IL 60007-7312 Ph: () - | Elk Grove Internists, P.c. 810 Biesterfield Rd Suite G4 Elk Grove Vlg IL 60007-7312 Ph: (847) 981-8856 |
| NPI Number | 1659307874 |
|---|---|
| Provider Enumeration Date | 06/23/2006 |
| Last Update Date | 01/09/2008 |
| Medicare PECOS PAC ID | 8527957026 |
|---|---|
| Medicare Enrollment ID | O20040312000728 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659307874 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Premalatha Nandkumar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366471898 PECOS PAC ID: 7315836822 Enrollment ID: I20040318000330 |
| Provider Name | Mark F Weisberg |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972531168 PECOS PAC ID: 4688563190 Enrollment ID: I20040318000386 |
Family Medical Clinic, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 800 Biesterfield Rd, Suite 535, Elk Grove Vlg, IL 60007 Phone: 847-439-6803 Fax: 847-439-8057 |