| Mb Medical Pllc | |
|
229 W Grand Ave Suite Suite S Bensenville IL 60106-6010 | |
| (630) 235-6868 | |
| (630) 235-6868 |
| Full Name | Mb Medical Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 229 W Grand Ave Suite, Bensenville, Illinois |
| Authorized Official Name and Position | Krish Venoo (OWNER) |
| Authorized Official Contact | 6302356868 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mb Medical Pllc 229 W Grand Ave Ste S Bensenville IL 60106-3365 Ph: (630) 235-6868 | Mb Medical Pllc 229 W Grand Ave Suite Suite S Bensenville IL 60106-6010 Ph: (630) 235-6868 |
| NPI Number | 1093317414 |
|---|---|
| Provider Enumeration Date | 11/10/2020 |
| Last Update Date | 09/09/2021 |
| Medicare PECOS PAC ID | 8628475761 |
|---|---|
| Medicare Enrollment ID | O20210916001332 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093317414 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Krish G Venoo |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1487829834 PECOS PAC ID: 1153227194 Enrollment ID: I20031210000335 |
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