| Illinois Primary & Immediate Care Inc | |
|
2298 County Line Rd Ste B Algonquin IL 60102-2561 | |
| (815) 455-1344 | |
| Not Available |
| Full Name | Illinois Primary & Immediate Care Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 2298 County Line Rd Ste B, Algonquin, Illinois |
| Authorized Official Name and Position | Sumaira Jabeen (PRESIDENT) |
| Authorized Official Contact | 6303368193 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Illinois Primary & Immediate Care Inc Po Box 425 Bloomingdale IL 60108-0425 Ph: (815) 455-1344 | Illinois Primary & Immediate Care Inc 2298 County Line Rd Ste B Algonquin IL 60102-2561 Ph: (815) 455-1344 |
| NPI Number | 1356905194 |
|---|---|
| Provider Enumeration Date | 04/26/2019 |
| Last Update Date | 03/08/2023 |
| Medicare PECOS PAC ID | 4183950389 |
|---|---|
| Medicare Enrollment ID | O20190725002372 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356905194 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Sumaira Jabeen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700106028 PECOS PAC ID: 5597994038 Enrollment ID: I20140204000827 |
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