Jme Medical Services | |
11s513 Rachael Ct Burr Ridge IL 60527-6899 | |
(800) 230-2050 | |
Not Available |
Full Name | Jme Medical Services |
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Speciality | Internal Medicine |
Location | 11s513 Rachael Ct, Burr Ridge, Illinois |
Authorized Official Name and Position | John Ibrahim (OWNER) |
Authorized Official Contact | 3312141843 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Jme Medical Services 11s513 Rachael Ct Burr Ridge IL 60527-6899 Ph: (800) 230-2050 | Jme Medical Services 11s513 Rachael Ct Burr Ridge IL 60527-6899 Ph: (800) 230-2050 |
NPI Number | 1568036879 |
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Provider Enumeration Date | 05/20/2021 |
Last Update Date | 07/16/2021 |
Medicare PECOS PAC ID | 4789089590 |
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Medicare Enrollment ID | O20210817002417 |
Identifier | Type | State | Issuer |
---|---|---|---|
1568036879 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | John Fikry Mityas Ibrahim |
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Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1134675218 PECOS PAC ID: 2264761055 Enrollment ID: I20190903003080 |
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