| Hampshire Clinic Inc | |
|
153 S State St Hampshire IL 60140-7010 | |
| (847) 683-3661 | |
| Not Available |
| Full Name | Hampshire Clinic Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 153 S State St, Hampshire, Illinois |
| Authorized Official Name and Position | Farzana S Hosain (OWNER) |
| Authorized Official Contact | 6309956635 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hampshire Clinic Inc 153 S State St Hampshire IL 60140-7010 Ph: (847) 683-3661 | Hampshire Clinic Inc 153 S State St Hampshire IL 60140-7010 Ph: (847) 683-3661 |
| NPI Number | 1740396225 |
|---|---|
| Provider Enumeration Date | 08/21/2006 |
| Last Update Date | 06/13/2024 |
| Medicare PECOS PAC ID | 7214116003 |
|---|---|
| Medicare Enrollment ID | O20110126000103 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740396225 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Farzana S Hosain |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114031382 PECOS PAC ID: 2961401872 Enrollment ID: I20061204000121 |
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Hampshire Internal Medicine Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 153 S State St, Hampshire, IL 60140 Phone: 847-683-3661 |