| H2home Med Sc | |
|
3643 W Belmont Ave Chicago IL 60618-5327 | |
| (630) 605-2170 | |
| Not Available |
| Full Name | H2home Med Sc |
|---|---|
| Speciality | Family Medicine |
| Location | 3643 W Belmont Ave, Chicago, Illinois |
| Authorized Official Name and Position | Alex Htun (PRESIDENT) |
| Authorized Official Contact | 6306052170 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| H2home Med Sc 7331 N Lincoln Ave Ste 15 Lincolnwood IL 60712-1766 Ph: (847) 983-8356 | H2home Med Sc 3643 W Belmont Ave Chicago IL 60618-5327 Ph: (630) 605-2170 |
| NPI Number | 1063096097 |
|---|---|
| Provider Enumeration Date | 05/06/2021 |
| Last Update Date | 05/06/2021 |
| Medicare PECOS PAC ID | 0143620542 |
|---|---|
| Medicare Enrollment ID | O20210607000768 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063096097 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Alex Htun |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1326546201 PECOS PAC ID: 8527484633 Enrollment ID: I20201009001286 |
| Provider Name | Daniel Gondi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639679350 PECOS PAC ID: 4587084595 Enrollment ID: I20201022001901 |
| Provider Name | Rashmi Prakash |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699273771 PECOS PAC ID: 6204232507 Enrollment ID: I20210913001676 |
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