| |
17732 Oak Park Ave Ste E-f Tinley Park IL 60477-3934 | |
(708) 404-2463 | |
(708) 755-7851 |
Full Name | |
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Speciality | Internal Medicine |
Location | 17732 Oak Park Ave Ste E-f, Tinley Park, Illinois |
Authorized Official Name and Position | Rakesh Chugh (MD) |
Authorized Official Contact | 7084042463 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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17732 Oak Park Ave Ste E-f Tinley Park IL 60477-3934 Ph: (708) 404-2463 | 17732 Oak Park Ave Ste E-f Tinley Park IL 60477-3934 Ph: (708) 404-2463 |
NPI Number | 1821237199 |
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Provider Enumeration Date | 02/11/2009 |
Last Update Date | 06/21/2024 |
Medicare PECOS PAC ID | 9335270776 |
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Medicare Enrollment ID | O20100630000748 |
Identifier | Type | State | Issuer |
---|---|---|---|
1821237199 | NPI | - | NPPES |
036085688 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Rakesh Chugh |
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Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1952455362 PECOS PAC ID: 7315078755 Enrollment ID: I20100628001024 |
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