| Innovation Health Sc | |
|
3631 Ari Ln Glenview IL 60026-1181 | |
| (847) 287-3981 | |
| Not Available |
| Full Name | Innovation Health Sc |
|---|---|
| Speciality | Internal Medicine |
| Location | 3631 Ari Ln, Glenview, Illinois |
| Authorized Official Name and Position | Rajesh Jindal (PRESIDENT) |
| Authorized Official Contact | 8472873981 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Innovation Health Sc 3631 Ari Ln Glenview IL 60026-1181 Ph: () - | Innovation Health Sc 3631 Ari Ln Glenview IL 60026-1181 Ph: (847) 287-3981 |
| NPI Number | 1144742412 |
|---|---|
| Provider Enumeration Date | 07/08/2017 |
| Last Update Date | 07/08/2017 |
| Medicare PECOS PAC ID | 9830459692 |
|---|---|
| Medicare Enrollment ID | O20180216000557 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144742412 | NPI | - | NPPES |
| 036119302 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 036119302 (Illinois) | Primary |
| Provider Name | Rajesh Jindal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184818791 PECOS PAC ID: 9436217809 Enrollment ID: I20081029000511 |
| Provider Name | Kimberly Ramirez-tasigchana |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992089742 PECOS PAC ID: 0143493965 Enrollment ID: I20111024000055 |
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