| Higi Professionals Of Delaware Professional Corporation | |
|
100 S Wacker Dr Ste 1600 Chicago IL 60606-4082 | |
| (530) 220-7677 | |
| Not Available |
| Full Name | Higi Professionals Of Delaware Professional Corporation |
|---|---|
| Speciality | Internal Medicine |
| Location | 100 S Wacker Dr Ste 1600, Chicago, Illinois |
| Authorized Official Name and Position | Jaron Ross (PRESIDENT AND CEO) |
| Authorized Official Contact | 5302207677 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Higi Professionals Of Delaware Professional Corporation 100 S Wacker Dr Ste 1600 Chicago IL 60606-4082 Ph: () - | Higi Professionals Of Delaware Professional Corporation 100 S Wacker Dr Ste 1600 Chicago IL 60606-4082 Ph: (530) 220-7677 |
| NPI Number | 1174212062 |
|---|---|
| Provider Enumeration Date | 05/05/2023 |
| Last Update Date | 05/05/2023 |
| Medicare PECOS PAC ID | 2062870124 |
|---|---|
| Medicare Enrollment ID | O20230621002936 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174212062 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Jaron D Ross |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1316146129 PECOS PAC ID: 8426116476 Enrollment ID: I20081021000377 |
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