| Issan Health Care Group Ltd | |
|
815 N Larkin Ave Ste 100 Joliet IL 60435-3449 | |
| (815) 744-7400 | |
| (157) 447-4358 |
| Full Name | Issan Health Care Group Ltd |
|---|---|
| Speciality | Internal Medicine |
| Location | 815 N Larkin Ave Ste 100, Joliet, Illinois |
| Authorized Official Name and Position | Nazeer Shaik (PRESIDENT) |
| Authorized Official Contact | 7084587170 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Issan Health Care Group Ltd 815 N Larkin Ave Ste 100 Joliet IL 60435-3449 Ph: (815) 744-7400 | Issan Health Care Group Ltd 815 N Larkin Ave Ste 100 Joliet IL 60435-3449 Ph: (815) 744-7400 |
| NPI Number | 1770516957 |
|---|---|
| Provider Enumeration Date | 07/09/2006 |
| Last Update Date | 12/10/2018 |
| Medicare PECOS PAC ID | 1658352653 |
|---|---|
| Medicare Enrollment ID | O20040526000565 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770516957 | NPI | - | NPPES |
| 01606583 | Other | IL | BLUE CROSS BLUE SHIELD |
| DG5049 | Other | IL | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 213E00000X | Podiatrist | (* (Not Available)) | Secondary |
| 225100000X | Physical Therapist | (* (Not Available)) | Secondary |
| Provider Name | Nazeer U Shaik |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295813996 PECOS PAC ID: 4486635497 Enrollment ID: I20041004000032 |
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