| Imperial Management Inc | |
|
689 N Cass Ave Westmont IL 60559-1338 | |
| (773) 507-7162 | |
| Not Available |
| Full Name | Imperial Management Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 689 N Cass Ave, Westmont, Illinois |
| Authorized Official Name and Position | Mahboob A Abbas (PRACTICE MANAGER) |
| Authorized Official Contact | 7735077162 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Imperial Management Inc 689 N Cass Ave Westmont IL 60559-1338 Ph: (773) 507-7162 | Imperial Management Inc 689 N Cass Ave Westmont IL 60559-1338 Ph: (773) 507-7162 |
| NPI Number | 1992566350 |
|---|---|
| Provider Enumeration Date | 01/22/2024 |
| Last Update Date | 01/22/2024 |
| Medicare PECOS PAC ID | 8527505064 |
|---|---|
| Medicare Enrollment ID | O20240801004519 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992566350 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Arletta Alma De Vries |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912350463 PECOS PAC ID: 4183964620 Enrollment ID: I20190320002687 |
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