| Ismael Medical Association | |
|
1049 E Wilson St Ste 170 Batavia IL 60510-2478 | |
| (224) 703-9277 | |
| (888) 851-9193 |
| Full Name | Ismael Medical Association |
|---|---|
| Speciality | Internal Medicine |
| Location | 1049 E Wilson St Ste 170, Batavia, Illinois |
| Authorized Official Name and Position | Manzoor A Qazi (OWNER) |
| Authorized Official Contact | 2247039277 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ismael Medical Association 1049 E Wilson St Ste 170 Batavia IL 60510-2478 Ph: (224) 703-9277 | Ismael Medical Association 1049 E Wilson St Ste 170 Batavia IL 60510-2478 Ph: (224) 703-9277 |
| NPI Number | 1326287962 |
|---|---|
| Provider Enumeration Date | 02/05/2009 |
| Last Update Date | 09/01/2023 |
| Medicare PECOS PAC ID | 1052460052 |
|---|---|
| Medicare Enrollment ID | O20090521000624 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326287962 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 036117423 (Illinois) | Primary |
| Provider Name | Manzoor A Qazi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770789596 PECOS PAC ID: 9335233204 Enrollment ID: I20070922000173 |
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