| Iari Incorporated | |
|
14618 Lincoln Ave Harvey IL 60426-1610 | |
| (708) 339-7000 | |
| (708) 339-7000 |
| Full Name | Iari Incorporated |
|---|---|
| Speciality | Internal Medicine |
| Location | 14618 Lincoln Ave, Harvey, Illinois |
| Authorized Official Name and Position | Ijaz Ahmed (PRESIDENT) |
| Authorized Official Contact | 6307796711 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Iari Incorporated 14618 Lincoln Ave Harvey IL 60426-1610 Ph: (708) 339-7000 | Iari Incorporated 14618 Lincoln Ave Harvey IL 60426-1610 Ph: (708) 339-7000 |
| NPI Number | 1033495288 |
|---|---|
| Provider Enumeration Date | 11/01/2011 |
| Last Update Date | 02/02/2022 |
| Medicare PECOS PAC ID | 9931373446 |
|---|---|
| Medicare Enrollment ID | O20111118000474 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033495288 | NPI | - | NPPES |
| 1033495288 | Other | IL | PPO/HMO |
| 1033495288 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Syed M Ala |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235233792 PECOS PAC ID: 7214836469 Enrollment ID: I20040107000216 |
| Provider Name | Ijaz Ahmad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861538712 PECOS PAC ID: 4082645544 Enrollment ID: I20050824000478 |
| Provider Name | Ernestine M Koehn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467710046 PECOS PAC ID: 9335302363 Enrollment ID: I20120531000313 |
| Provider Name | Rosalind V Seals |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164880498 PECOS PAC ID: 5698072346 Enrollment ID: I20160324001010 |
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