| Internal Medicine & Family Practice, S.c. | |
|
1719 Glenwood Ave Joliet IL 60435-5835 | |
| (815) 741-3532 | |
| (815) 741-3736 |
| Full Name | Internal Medicine & Family Practice, S.c. |
|---|---|
| Speciality | Internal Medicine |
| Location | 1719 Glenwood Ave, Joliet, Illinois |
| Authorized Official Name and Position | Shahid Masood (PRESIDENT) |
| Authorized Official Contact | 8157413532 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Internal Medicine & Family Practice, S.c. 1719 Glenwood Ave Joliet IL 60435-5835 Ph: (815) 741-3532 | Internal Medicine & Family Practice, S.c. 1719 Glenwood Ave Joliet IL 60435-5835 Ph: (815) 741-3532 |
| NPI Number | 1396825956 |
|---|---|
| Provider Enumeration Date | 10/17/2006 |
| Last Update Date | 03/16/2010 |
| Medicare PECOS PAC ID | 6002867959 |
|---|---|
| Medicare Enrollment ID | O20050208000590 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396825956 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Wael Mctabi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144269093 PECOS PAC ID: 6103929302 Enrollment ID: I20070308000247 |
| Provider Name | Samiullah M Choudry |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275715484 PECOS PAC ID: 4880766526 Enrollment ID: I20080711000516 |
| Provider Name | Ahmed Hussain |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407936974 PECOS PAC ID: 3577732544 Enrollment ID: I20110808000784 |
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