| Midwest Medical Associates Llc | |
|
1440 W North Ave Ste 305 Melrose Park IL 60160-1426 | |
| (708) 338-1000 | |
| Not Available |
| Full Name | Midwest Medical Associates Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1440 W North Ave Ste 305, Melrose Park, Illinois |
| Authorized Official Name and Position | Hema Azad (PRESIDENT) |
| Authorized Official Contact | 7083381000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Midwest Medical Associates Llc 1440 W North Ave Ste 305 Melrose Park IL 60160-1426 Ph: (708) 338-1000 | Midwest Medical Associates Llc 1440 W North Ave Ste 305 Melrose Park IL 60160-1426 Ph: (708) 338-1000 |
| NPI Number | 1225548696 |
|---|---|
| Provider Enumeration Date | 10/11/2017 |
| Last Update Date | 10/25/2019 |
| Medicare PECOS PAC ID | 2769748482 |
|---|---|
| Medicare Enrollment ID | O20171120001892 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225548696 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Hema Azad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669523825 PECOS PAC ID: 7719088228 Enrollment ID: I20070727000807 |
| Provider Name | Claressa N Hawkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134766132 PECOS PAC ID: 5991134850 Enrollment ID: I20200330000697 |
| Provider Name | May Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942838578 PECOS PAC ID: 5496162950 Enrollment ID: I20210329002229 |
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