Medplus Medical Center Sc | |
17850 Kedzie Ave Suite 2200 Hazel Crest IL 60429-2058 | |
(708) 799-9500 | |
(708) 799-9555 |
Full Name | Medplus Medical Center Sc |
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Speciality | Internal Medicine |
Location | 17850 Kedzie Ave, Hazel Crest, Illinois |
Authorized Official Name and Position | Rita Pamela Saldanha (MEDICAL DIRECTOR) |
Authorized Official Contact | 7089873795 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Medplus Medical Center Sc 9680 Golf Rd Fl2 Des Plaines IL 60016-1522 Ph: (708) 987-3795 | Medplus Medical Center Sc 17850 Kedzie Ave Suite 2200 Hazel Crest IL 60429-2058 Ph: (708) 799-9500 |
NPI Number | 1497004139 |
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Provider Enumeration Date | 09/07/2012 |
Last Update Date | 09/09/2014 |
Medicare PECOS PAC ID | 7315266038 |
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Medicare Enrollment ID | O20150430002464 |
Identifier | Type | State | Issuer |
---|---|---|---|
1497004139 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
207R00000X | Internal Medicine | 036095144 (Illinois) | Primary |
Provider Name | Rita P Saldanha |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1073560512 PECOS PAC ID: 3870491954 Enrollment ID: I20040121001078 |
Provider Name | Akber A Khan |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1851302939 PECOS PAC ID: 2365491404 Enrollment ID: I20050117000068 |
Provider Name | Srinivas Prasad R Jolepalem |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1568531564 PECOS PAC ID: 6507967510 Enrollment ID: I20070720000464 |
Provider Name | Ambereen Ghani |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1548468127 PECOS PAC ID: 3577657402 Enrollment ID: I20070921000624 |
Provider Name | Tahir A Abbasi |
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Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
Provider Identifiers | NPI Number: 1255495701 PECOS PAC ID: 0446215495 Enrollment ID: I20080701000569 |
Provider Name | Sarina G Jeswani |
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Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1912347329 PECOS PAC ID: 5294020863 Enrollment ID: I20160822000672 |
Provider Name | Nisha Thomas |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1700216504 PECOS PAC ID: 8123316007 Enrollment ID: I20161010000040 |
Healthy Living Concepts Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 11 Carrington Ct, Hazel Crest, IL 60429 Phone: 773-610-0595 | |
Varsha Bhan Md Sc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 17850 Kedzie Ave, Suite 1700, Hazel Crest, IL 60429 Phone: 708-669-1630 Fax: 708-799-2261 | |
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Aunt Martha's Youth Service Center, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 17850 Kedzie Ave, Suite 3200, Hazel Crest, IL 60429 Phone: 708-335-5201 | |
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