Excellent Medical Associates, P.c. | |
14489 John Humphrey Dr Suite 1-na Orland Park IL 60462-2637 | |
(708) 364-1205 | |
Not Available |
Full Name | Excellent Medical Associates, P.c. |
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Speciality | General Practice |
Location | 14489 John Humphrey Dr, Orland Park, Illinois |
Authorized Official Name and Position | Andres J Gallegos (ATTORNEY) |
Authorized Official Contact | 3124560381 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Excellent Medical Associates, P.c. 14489 John Humphrey Dr Suite 1-na Orland Park IL 60462-2637 Ph: (708) 364-1205 | Excellent Medical Associates, P.c. 14489 John Humphrey Dr Suite 1-na Orland Park IL 60462-2637 Ph: (708) 364-1205 |
NPI Number | 1215223623 |
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Provider Enumeration Date | 06/23/2011 |
Last Update Date | 06/23/2011 |
Medicare PECOS PAC ID | 1355506817 |
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Medicare Enrollment ID | O20120706000494 |
Identifier | Type | State | Issuer |
---|---|---|---|
1215223623 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | (* (Not Available)) | Primary |
Provider Name | Elaine R Ferguson |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1447399290 PECOS PAC ID: 9638072473 Enrollment ID: I20040129000762 |
Provider Name | Michelle Alexandre |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1477604791 PECOS PAC ID: 0143115576 Enrollment ID: I20040216000973 |
Provider Name | Olajumoke Adubifa |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1598832875 PECOS PAC ID: 2961399621 Enrollment ID: I20040228000140 |
Provider Name | William H Mollohan |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1720006919 PECOS PAC ID: 7618878463 Enrollment ID: I20040512001121 |
Provider Name | Homer M Diadula |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1134105232 PECOS PAC ID: 4385605096 Enrollment ID: I20041025001029 |
Provider Name | Josephine Noella Mccaskill |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1437168374 PECOS PAC ID: 8729020151 Enrollment ID: I20050525001313 |
Provider Name | Mohammad A Toor |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1841289691 PECOS PAC ID: 2264426212 Enrollment ID: I20050628000341 |
Provider Name | Murad Abdel-qader |
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Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1598700320 PECOS PAC ID: 9638076326 Enrollment ID: I20051123000371 |
Provider Name | Sundar Sivaprakasam |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1720063530 PECOS PAC ID: 4587673132 Enrollment ID: I20060412000107 |
Provider Name | Maria T Perez |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1285811166 PECOS PAC ID: 3375550874 Enrollment ID: I20081125000501 |
Provider Name | Clarence P Abella |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1962513523 PECOS PAC ID: 1355491747 Enrollment ID: I20090605000040 |
Provider Name | Janet Y Forbes |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1295838779 PECOS PAC ID: 7911051941 Enrollment ID: I20090811000051 |
Provider Name | Tabasum Amir |
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Provider Type | Practitioner - Preventive Medicine |
Provider Identifiers | NPI Number: 1891883641 PECOS PAC ID: 8527183052 Enrollment ID: I20100921000327 |
Provider Name | Lisa E Hosea |
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Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1871560060 PECOS PAC ID: 6507800414 Enrollment ID: I20110322001030 |
Provider Name | Javier A Moreno |
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Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1437486537 PECOS PAC ID: 8820276702 Enrollment ID: I20110623000323 |
Provider Name | Edgar A Borda |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1891782447 PECOS PAC ID: 7517130685 Enrollment ID: I20111105000097 |
Provider Name | Annell S Tucker |
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Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1669784971 PECOS PAC ID: 5991942781 Enrollment ID: I20130515000491 |
Provider Name | James Dunne |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1417944281 PECOS PAC ID: 4688692569 Enrollment ID: I20140412000111 |
Provider Name | Yousef Al-shraideh |
---|---|
Provider Type | Practitioner - Urology |
Provider Identifiers | NPI Number: 1184989915 PECOS PAC ID: 8325296874 Enrollment ID: I20150219002433 |
Provider Name | Arshi Basit |
---|---|
Provider Type | Practitioner - Endocrinology |
Provider Identifiers | NPI Number: 1720343908 PECOS PAC ID: 6002110376 Enrollment ID: I20180614001522 |
Provider Name | Jamira White |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1093275380 PECOS PAC ID: 9931441482 Enrollment ID: I20190502000682 |
Provider Name | Alethea C Taylor |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1518501824 PECOS PAC ID: 8224458971 Enrollment ID: I20201019000597 |
Provider Name | Gagandeep Sandhu |
---|---|
Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1255986055 PECOS PAC ID: 6204213861 Enrollment ID: I20230620000851 |
Provider Name | Syed Najeemuddin |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1376110932 PECOS PAC ID: 1456746742 Enrollment ID: I20240102001462 |
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