| Halcyon Medical Group Llc | |
|
6241 Main St Downers Grove IL 60516-1909 | |
| (312) 394-0571 | |
| Not Available |
| Full Name | Halcyon Medical Group Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 6241 Main St, Downers Grove, Illinois |
| Authorized Official Name and Position | Emaad Basith (OWNER) |
| Authorized Official Contact | 3123940571 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Halcyon Medical Group Llc Po Box 561 Oregon IL 61061-0561 Ph: (312) 394-0571 | Halcyon Medical Group Llc 6241 Main St Downers Grove IL 60516-1909 Ph: (312) 394-0571 |
| NPI Number | 1073243911 |
|---|---|
| Provider Enumeration Date | 06/14/2022 |
| Last Update Date | 08/23/2022 |
| Medicare PECOS PAC ID | 1658750203 |
|---|---|
| Medicare Enrollment ID | O20220628001659 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073243911 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Paige A Kelly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770720005 PECOS PAC ID: 7810053618 Enrollment ID: I20190122002631 |
| Provider Name | Emaad Basith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689025108 PECOS PAC ID: 7618269341 Enrollment ID: I20200427001630 |
| Provider Name | Waqas Ahmad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316300247 PECOS PAC ID: 8426341322 Enrollment ID: I20200519000468 |
Pinnacle Woundcare, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1431 Opus Place, Suit # 110, Downers Grove, IL 60515 Phone: 224-315-8593 | |
Illinois Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2655 Warrenville Rd Ste 500, Downers Grove, IL 60515 Phone: 657-400-5180 | |
Inpatient Consultants Of Illinois, P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1333 Butterfield Rd Ste 130, Downers Grove, IL 60515 Phone: 630-371-0133 Fax: 630-371-0138 | |
Gastroenterology Services, Ltd Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3825 Highland Ave, Suite 203, Downers Grove, IL 60515 Phone: 630-969-1167 Fax: 630-969-1297 | |
Ipc Healthcare Services Of Illinois, Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1333 Butterfield Rd, Suite 130, Downers Grove, IL 60515 Phone: 630-371-0133 Fax: 630-371-0138 | |
Avd Medical Sc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3825 Highland Ave Ste 3d, Downers Grove, IL 60515 Phone: 630-964-7006 Fax: 630-964-7082 |