| Hamdard Health Alliance | |
|
1240 Busse Rd Bensenville IL 60106-1034 | |
| (224) 414-1390 | |
| (224) 414-1290 |
| Full Name | Hamdard Health Alliance |
|---|---|
| Speciality | Clinic/Center |
| Location | 1240 Busse Rd, Bensenville, Illinois |
| Authorized Official Name and Position | Shawn Bailey (FINANCE ADMINISTRATION MANAGER) |
| Authorized Official Contact | 6308351430 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hamdard Health Alliance 228 E Lake St Addison IL 60101-2889 Ph: (630) 835-1430 | Hamdard Health Alliance 1240 Busse Rd Bensenville IL 60106-1034 Ph: (224) 414-1390 |
| NPI Number | 1700470580 |
|---|---|
| Provider Enumeration Date | 02/23/2021 |
| Last Update Date | 12/26/2023 |
| Medicare PECOS PAC ID | 4880680289 |
|---|---|
| Medicare Enrollment ID | O20211028000069 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700470580 | NPI | - | NPPES |
| 781988 | Other | IL | PART A |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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