| Impact Physician Group, Illinois Llc | |
|
115 E South St Ste F Plano IL 60545-1595 | |
| (630) 552-7166 | |
| Not Available |
| Full Name | Impact Physician Group, Illinois Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 115 E South St Ste F, Plano, Illinois |
| Authorized Official Name and Position | Paul Miller (CEO) |
| Authorized Official Contact | 6789675599 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Impact Physician Group, Illinois Llc 21 Eastbrook Bnd Ste 218 Peachtree City GA 30269-1546 Ph: (678) 967-5599 | Impact Physician Group, Illinois Llc 115 E South St Ste F Plano IL 60545-1595 Ph: (630) 552-7166 |
| NPI Number | 1467920124 |
|---|---|
| Provider Enumeration Date | 11/10/2018 |
| Last Update Date | 12/19/2022 |
| Medicare PECOS PAC ID | 3870838428 |
|---|---|
| Medicare Enrollment ID | O20181231000524 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467920124 | NPI | - | NPPES |
| Provider Name | Ravinderpal Nandra |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639358427 PECOS PAC ID: 7911052162 Enrollment ID: I20090911000340 |
| Provider Name | Syed Asif Hussain |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588818777 PECOS PAC ID: 0042406290 Enrollment ID: I20121009000704 |
| Provider Name | Sai Prashanth Babu Palepu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558673152 PECOS PAC ID: 3072757616 Enrollment ID: I20130920000142 |
| Provider Name | Kamran Hussaini |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1215347125 PECOS PAC ID: 5597067918 Enrollment ID: I20170515000418 |
| Provider Name | Kahee Mohammed |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1215382189 PECOS PAC ID: 9234427386 Enrollment ID: I20210420000389 |
| Provider Name | Muhammad R Dalal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598179517 PECOS PAC ID: 6608179155 Enrollment ID: I20211111002308 |
| Provider Name | Junaid Munshi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629411129 PECOS PAC ID: 1254657216 Enrollment ID: I20221208002975 |
| Provider Name | Sherrywin Saner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114630886 PECOS PAC ID: 7315302882 Enrollment ID: I20230505001141 |
Valley West Medical Center, S.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1200 W South St, Plano, IL 60545 Phone: 630-552-7601 Fax: 630-552-9215 | |
Healthy Beginnings Pediatrics, S.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1200 W Us Highway 34, Plano, IL 60545 Phone: 630-599-7533 Fax: 630-599-7534 | |
Nandra Family Practice, Ltd. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 115 E South St, Unit F, Plano, IL 60545 Phone: 630-552-7166 Fax: 630-552-7168 | |
Prime Healthcare Services Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1200 W South St, Plano, IL 60545 Phone: 630-552-8826 Fax: 630-552-0236 |