Metro Medical Group, Llc | |
3228 W 95th St Evergreen Park IL 60805-2314 | |
(708) 422-6415 | |
(708) 422-6534 |
Full Name | Metro Medical Group, Llc |
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Speciality | Internal Medicine |
Location | 3228 W 95th St, Evergreen Park, Illinois |
Authorized Official Name and Position | Syed A. Moeed (OWNER) |
Authorized Official Contact | 7084226415 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Metro Medical Group, Llc 3228 W 95th St Evergreen Park IL 60805-2314 Ph: (708) 422-6415 | Metro Medical Group, Llc 3228 W 95th St Evergreen Park IL 60805-2314 Ph: (708) 422-6415 |
NPI Number | 1538260088 |
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Provider Enumeration Date | 09/26/2006 |
Last Update Date | 12/07/2021 |
Medicare PECOS PAC ID | 1355341249 |
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Medicare Enrollment ID | O20061227000033 |
Identifier | Type | State | Issuer |
---|---|---|---|
1538260088 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 036088811 (Illinois) | Primary |
Provider Name | Syed A Moeed |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1255371498 PECOS PAC ID: 3870532583 Enrollment ID: I20050502000473 |
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