| Hssi Mco Spv Llc | |
|
1851 Silver Cross Blvd Ste 110 New Lenox IL 60451 | |
| (815) 300-3060 | |
| Not Available |
| Full Name | Hssi Mco Spv Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1851 Silver Cross Blvd, New Lenox, Illinois |
| Authorized Official Name and Position | Amy Owens (DIRECTOR , FINANCE) |
| Authorized Official Contact | 8153007106 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hssi Mco Spv Llc 1900 Silver Cross Blvd New Lenox IL 60451-9509 Ph: () - | Hssi Mco Spv Llc 1851 Silver Cross Blvd Ste 110 New Lenox IL 60451 Ph: (815) 300-3060 |
| NPI Number | 1154912202 |
|---|---|
| Provider Enumeration Date | 02/01/2021 |
| Last Update Date | 02/01/2021 |
| Medicare PECOS PAC ID | 0840608964 |
|---|---|
| Medicare Enrollment ID | O20210409000352 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154912202 | NPI | - | NPPES |
| Provider Name | Farooq Hussain |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942509369 PECOS PAC ID: 2466775580 Enrollment ID: I20141222001895 |
| Provider Name | Khalil Snowber |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225487481 PECOS PAC ID: 8123308277 Enrollment ID: I20190724003685 |
| Provider Name | Omar R Akhtar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386099133 PECOS PAC ID: 4880989078 Enrollment ID: I20190807002168 |
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