| Great Health Medical Afil, P.c. | |
|
2501 Chatham Rd Ste R Springfield IL 62704-4188 | |
| (212) 201-1252 | |
| Not Available |
| Full Name | Great Health Medical Afil, P.c. |
|---|---|
| Speciality | Family Medicine |
| Location | 2501 Chatham Rd Ste R, Springfield, Illinois |
| Authorized Official Name and Position | Ahron Feldman (OWNER) |
| Authorized Official Contact | 2122011252 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Great Health Medical Afil, P.c. 407 Willoughby Ave Brooklyn NY 11205-4590 Ph: () - | Great Health Medical Afil, P.c. 2501 Chatham Rd Ste R Springfield IL 62704-4188 Ph: (212) 201-1252 |
| NPI Number | 1629847314 |
|---|---|
| Provider Enumeration Date | 12/22/2023 |
| Last Update Date | 12/22/2023 |
| Medicare PECOS PAC ID | 5395197677 |
|---|---|
| Medicare Enrollment ID | O20240123001514 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629847314 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Aharon Feldman |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1235584962 PECOS PAC ID: 8921379249 Enrollment ID: I20240123001628 |
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