| Midwest Internal Medicine Clinic Inc | |
|
1555 Barrington Rd Suite 210 Bldg One Hoffman Estates IL 60169-1019 | |
| (847) 885-3500 | |
| (847) 686-0070 |
| Full Name | Midwest Internal Medicine Clinic Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1555 Barrington Rd, Hoffman Estates, Illinois |
| Authorized Official Name and Position | Yelena Shanchuk (OWNER) |
| Authorized Official Contact | 8478853500 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Midwest Internal Medicine Clinic Inc 1555 Barrington Rd Suite 210 Bldg One Hoffman Estates IL 60169-1019 Ph: (847) 885-3500 | Midwest Internal Medicine Clinic Inc 1555 Barrington Rd Suite 210 Bldg One Hoffman Estates IL 60169-1019 Ph: (847) 885-3500 |
| NPI Number | 1598074163 |
|---|---|
| Provider Enumeration Date | 09/30/2010 |
| Last Update Date | 06/21/2019 |
| Medicare PECOS PAC ID | 1355522061 |
|---|---|
| Medicare Enrollment ID | O20110228000642 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598074163 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Yelena Shanchuk |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083812465 PECOS PAC ID: 1456451681 Enrollment ID: I20070717000265 |
| Provider Name | Erica Eileen Callard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831520949 PECOS PAC ID: 6608004569 Enrollment ID: I20140123000016 |
| Provider Name | Amanda Jean Powell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225676992 PECOS PAC ID: 5890135263 Enrollment ID: I20240502000589 |
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