| Iyengar Geriatric Hospitalist Sc | |
|
2674 N Halsted St Chicago IL 60614-2361 | |
| (773) 697-3729 | |
| Not Available |
| Full Name | Iyengar Geriatric Hospitalist Sc |
|---|---|
| Speciality | Internal Medicine |
| Location | 2674 N Halsted St, Chicago, Illinois |
| Authorized Official Name and Position | Rajesh Iyengar (OWNER) |
| Authorized Official Contact | 7736973729 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Iyengar Geriatric Hospitalist Sc 720 S Wells St Apt 2512 Chicago IL 60607-4796 Ph: (773) 697-3729 | Iyengar Geriatric Hospitalist Sc 2674 N Halsted St Chicago IL 60614-2361 Ph: (773) 697-3729 |
| NPI Number | 1447845144 |
|---|---|
| Provider Enumeration Date | 03/04/2021 |
| Last Update Date | 03/04/2021 |
| Medicare PECOS PAC ID | 2668880238 |
|---|---|
| Medicare Enrollment ID | O20210420001678 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447845144 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0300X | Internal Medicine - Geriatric Medicine | (* (Not Available)) | Primary |
| Provider Name | Rajesh T Iyengar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821023714 PECOS PAC ID: 3274591821 Enrollment ID: I20041229000208 |
| Provider Name | Capri M Reese |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841640711 PECOS PAC ID: 8426336264 Enrollment ID: I20161028000648 |
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