Maple Health Primary Care Pllc | |
800 E Woodfield Rd Ste 103 Schaumburg IL 60173-4718 | |
(224) 717-5182 | |
(224) 517-3192 |
Full Name | Maple Health Primary Care Pllc |
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Speciality | Family Medicine |
Location | 800 E Woodfield Rd Ste 103, Schaumburg, Illinois |
Authorized Official Name and Position | Ishvari S Panarker (OWNER) |
Authorized Official Contact | 2245175182 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Maple Health Primary Care Pllc 800 E Woodfield Rd Ste 103 Schaumburg IL 60173-4718 Ph: (224) 517-5182 | Maple Health Primary Care Pllc 800 E Woodfield Rd Ste 103 Schaumburg IL 60173-4718 Ph: (224) 717-5182 |
NPI Number | 1376234112 |
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Provider Enumeration Date | 05/15/2023 |
Last Update Date | 06/09/2024 |
Medicare PECOS PAC ID | 7517325194 |
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Medicare Enrollment ID | O20230614003062 |
Identifier | Type | State | Issuer |
---|---|---|---|
1376234112 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Lauren B Katz Pham |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1174789820 PECOS PAC ID: 7911192661 Enrollment ID: I20101108001424 |
Provider Name | Ishvari S Panarker |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1629208129 PECOS PAC ID: 6204080260 Enrollment ID: I20130129000467 |
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