| Martin J. Szanto, M.d., S.c. | |
|
6374 N Lincoln Ave Suite 201 Chicago IL 60659-1275 | |
| (773) 539-4145 | |
| (773) 539-1207 |
| Full Name | Martin J. Szanto, M.d., S.c. |
|---|---|
| Speciality | Internal Medicine |
| Location | 6374 N Lincoln Ave, Chicago, Illinois |
| Authorized Official Name and Position | Kimberly Miller (DIRECTOR OF RCM) |
| Authorized Official Contact | 2483317908 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Martin J. Szanto, M.d., S.c. 6374 N Lincoln Ave Suite 201 Chicago IL 60659-1275 Ph: (773) 539-4145 | Martin J. Szanto, M.d., S.c. 6374 N Lincoln Ave Suite 201 Chicago IL 60659-1275 Ph: (773) 539-4145 |
| NPI Number | 1750560009 |
|---|---|
| Provider Enumeration Date | 11/02/2007 |
| Last Update Date | 12/13/2023 |
| Medicare PECOS PAC ID | 1951499938 |
|---|---|
| Medicare Enrollment ID | O20071109000171 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750560009 | NPI | - | NPPES |
| 466180 | Other | IL | MEDICARE PROVIDER |
| 0021608067 | Other | IL | BLUE CROSS PROVIDER |
| 111910408 | Other | IL | RAILROAD MEDICARE |
| K46072 | Other | IL | MEDICARE PTAN |
| 036039841 | Medicaid | IL | |
| 1629059902 | Other | IL | INDIVIDUAL NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 036039841 (Illinois) | Primary |
| Provider Name | Martin J Szanto |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629059902 PECOS PAC ID: 8921195223 Enrollment ID: I20071102000556 |
| Provider Name | Saad Mohsin |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1043754310 PECOS PAC ID: 8426339656 Enrollment ID: I20190402001842 |
| Provider Name | Emaad Basith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689025108 PECOS PAC ID: 7618269341 Enrollment ID: I20200427001630 |
| Provider Name | Waqas Ahmad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316300247 PECOS PAC ID: 8426341322 Enrollment ID: I20200519000468 |
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