| Kantar Medical Consultants Sc | |
|
1051 Essington Rd Ste 290 Joliet IL 60435-2842 | |
| (815) 773-7827 | |
| (815) 254-8442 |
| Full Name | Kantar Medical Consultants Sc |
|---|---|
| Speciality | Family Medicine |
| Location | 1051 Essington Rd Ste 290, Joliet, Illinois |
| Authorized Official Name and Position | Mouhannad Kantar (OWNER) |
| Authorized Official Contact | 7023086892 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kantar Medical Consultants Sc 1051 Essington Rd Ste 290 Joliet IL 60435-2842 Ph: (815) 773-7827 | Kantar Medical Consultants Sc 1051 Essington Rd Ste 290 Joliet IL 60435-2842 Ph: (815) 773-7827 |
| NPI Number | 1518459759 |
|---|---|
| Provider Enumeration Date | 06/04/2018 |
| Last Update Date | 02/15/2022 |
| Medicare PECOS PAC ID | 1153677067 |
|---|---|
| Medicare Enrollment ID | O20180709000664 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518459759 | NPI | - | NPPES |
| Provider Name | Mouhannad Kantar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710127576 PECOS PAC ID: 8123175395 Enrollment ID: I20120504000509 |
| Provider Name | Erin N Richardson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396297370 PECOS PAC ID: 0941589998 Enrollment ID: I20161114002365 |
| Provider Name | Karen J Fagan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114463502 PECOS PAC ID: 5698042489 Enrollment ID: I20170526001513 |
| Provider Name | Tamara Baird |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114417391 PECOS PAC ID: 9133475635 Enrollment ID: I20180712002064 |
| Provider Name | Nikhil Vij |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912495391 PECOS PAC ID: 4486901782 Enrollment ID: I20180718000852 |
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