| Gemini Healthcare Llc | |
|
5836 Lincoln Ave Ste 200 Morton Grove IL 60053-3326 | |
| (773) 300-9833 | |
| Not Available |
| Full Name | Gemini Healthcare Llc |
|---|---|
| Speciality | General Practice |
| Location | 5836 Lincoln Ave Ste 200, Morton Grove, Illinois |
| Authorized Official Name and Position | Abdul Mohsi (DIRECTOR) |
| Authorized Official Contact | 7733009833 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gemini Healthcare Llc 5836 Lincoln Ave Ste 200 Morton Grove IL 60053-3326 Ph: () - | Gemini Healthcare Llc 5836 Lincoln Ave Ste 200 Morton Grove IL 60053-3326 Ph: (773) 300-9833 |
| NPI Number | 1366294811 |
|---|---|
| Provider Enumeration Date | 04/05/2024 |
| Last Update Date | 04/05/2024 |
| Medicare PECOS PAC ID | 4385187202 |
|---|---|
| Medicare Enrollment ID | O20240620001864 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366294811 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Ehtesham J Ghani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316988397 PECOS PAC ID: 4880650514 Enrollment ID: I20041208000808 |
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