| Jas Brar M.d., S.c. | |
|
701 Winthrop Ave Glendale Heights IL 60139-1405 | |
| (630) 545-4935 | |
| (630) 592-2239 |
| Full Name | Jas Brar M.d., S.c. |
|---|---|
| Speciality | Internal Medicine |
| Location | 701 Winthrop Ave, Glendale Heights, Illinois |
| Authorized Official Name and Position | Jasdip Singh Brar (PHYSICIAN) |
| Authorized Official Contact | 6305454935 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jas Brar M.d., S.c. 201 Astoria Ct Barrington IL 60010-5177 Ph: (630) 545-4935 | Jas Brar M.d., S.c. 701 Winthrop Ave Glendale Heights IL 60139-1405 Ph: (630) 545-4935 |
| NPI Number | 1356669923 |
|---|---|
| Provider Enumeration Date | 05/06/2010 |
| Last Update Date | 10/26/2019 |
| Medicare PECOS PAC ID | 1456484633 |
|---|---|
| Medicare Enrollment ID | O20100809001077 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356669923 | NPI | - | NPPES |
| 036120864 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 036.120864 (Illinois) | Primary |
| Provider Name | Jasdip S Brar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386820058 PECOS PAC ID: 5991864316 Enrollment ID: I20081030000103 |
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