Marcon Medical Partners Inc | |
1140 N Mclean Blvd Unit C Elgin IL 60123-1782 | |
(224) 558-5493 | |
Not Available |
Full Name | Marcon Medical Partners Inc |
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Speciality | Internal Medicine |
Location | 1140 N Mclean Blvd, Elgin, Illinois |
Authorized Official Name and Position | Sajjad Murtaza (PHYSICIAN) |
Authorized Official Contact | 8479718991 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Marcon Medical Partners Inc 1140 N Mclean Blvd Unit C Elgin IL 60123-1782 Ph: (224) 558-5493 | Marcon Medical Partners Inc 1140 N Mclean Blvd Unit C Elgin IL 60123-1782 Ph: (224) 558-5493 |
NPI Number | 1114358017 |
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Provider Enumeration Date | 12/03/2013 |
Last Update Date | 12/22/2013 |
Medicare PECOS PAC ID | 0143443028 |
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Medicare Enrollment ID | O20140521002254 |
Identifier | Type | State | Issuer |
---|---|---|---|
1114358017 | NPI | - | NPPES |
036117058 | Other | IL | ILLINOIS LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 036117058 (Illinois) | Primary |
363AM0700X | Physician Assistant - Medical | 085002516 (Illinois) | Secondary |
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