| Mdoc Pc | |
|
1250 S Grove Ave Suite 200 Barrington IL 60010-5091 | |
| (847) 381-5171 | |
| (847) 382-1787 |
| Full Name | Mdoc Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1250 S Grove Ave, Barrington, Illinois |
| Authorized Official Name and Position | Ahtesham Hyder (OWNER) |
| Authorized Official Contact | 8473815171 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mdoc Pc 1250 S Grove Ave Suite 200 Barrington IL 60010-5091 Ph: (847) 381-5171 | Mdoc Pc 1250 S Grove Ave Suite 200 Barrington IL 60010-5091 Ph: (847) 381-5171 |
| NPI Number | 1043613581 |
|---|---|
| Provider Enumeration Date | 09/29/2014 |
| Last Update Date | 09/29/2014 |
| Medicare PECOS PAC ID | 9436371879 |
|---|---|
| Medicare Enrollment ID | O20141119001089 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043613581 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Ahtesham Hyder |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1740207505 PECOS PAC ID: 3577543925 Enrollment ID: I20051025000657 |
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