Midwest Primary Care And Geriatrics Llc | |
1440 Maple Ave Ste 4a Lisle IL 60532-4135 | |
(708) 420-3169 | |
Not Available |
Full Name | Midwest Primary Care And Geriatrics Llc |
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Speciality | Family Medicine |
Location | 1440 Maple Ave Ste 4a, Lisle, Illinois |
Authorized Official Name and Position | Nausheen Ahmed (OWNER) |
Authorized Official Contact | 7084203169 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Midwest Primary Care And Geriatrics Llc 1440 Maple Ave Ste 4a Lisle IL 60532-4135 Ph: (708) 420-3169 | Midwest Primary Care And Geriatrics Llc 1440 Maple Ave Ste 4a Lisle IL 60532-4135 Ph: (708) 420-3169 |
NPI Number | 1356074264 |
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Provider Enumeration Date | 07/07/2022 |
Last Update Date | 09/11/2023 |
Medicare PECOS PAC ID | 5294106829 |
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Medicare Enrollment ID | O20230118003075 |
Identifier | Type | State | Issuer |
---|---|---|---|
1356074264 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
Provider Name | Nausheen Ahmed |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1235322215 PECOS PAC ID: 5991861312 Enrollment ID: I20141224000668 |
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