| Mps Kohli Md Sc | |
|
950 N York Rd Suite 205 Hinsdale IL 60521 | |
| (630) 590-5751 | |
| (630) 590-5753 |
| Full Name | Mps Kohli Md Sc |
|---|---|
| Speciality | Internal Medicine |
| Location | 950 N York Rd, Hinsdale, Illinois |
| Authorized Official Name and Position | Maninder S Kohli (PRESIDENT) |
| Authorized Official Contact | 6305905751 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mps Kohli Md Sc 950 N York Rd Ste 205 Hinsdale IL 60521-8609 Ph: (630) 590-5751 | Mps Kohli Md Sc 950 N York Rd Suite 205 Hinsdale IL 60521 Ph: (630) 590-5751 |
| NPI Number | 1215176557 |
|---|---|
| Provider Enumeration Date | 02/10/2009 |
| Last Update Date | 08/22/2018 |
| Medicare PECOS PAC ID | 5496802282 |
|---|---|
| Medicare Enrollment ID | O20090414000265 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215176557 | NPI | - | NPPES |
| 036092528 | Medicaid | IL | |
| 2234079 | Other | IL | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 036092528 (Illinois) | Primary |
| Provider Name | Maninder Kohli |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851390348 PECOS PAC ID: 9436111648 Enrollment ID: I20041101000031 |
| Provider Name | Natalie Salvino |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093181067 PECOS PAC ID: 1254640568 Enrollment ID: I20151027000737 |
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