| Nadeem Ansari, M.d.,s.c. | |
|
401 N Wall St Ste. 102 Kankakee IL 60901-2934 | |
| (815) 937-4404 | |
| (815) 937-4516 |
| Full Name | Nadeem Ansari, M.d.,s.c. |
|---|---|
| Speciality | Internal Medicine |
| Location | 401 N Wall St, Kankakee, Illinois |
| Authorized Official Name and Position | Nadeem Ansari (PRESIDENT) |
| Authorized Official Contact | 8159374404 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nadeem Ansari, M.d.,s.c. 401 N Wall St Ste. 102 Kankakee IL 60901-2934 Ph: (815) 937-4404 | Nadeem Ansari, M.d.,s.c. 401 N Wall St Ste. 102 Kankakee IL 60901-2934 Ph: (815) 937-4404 |
| NPI Number | 1730448770 |
|---|---|
| Provider Enumeration Date | 05/11/2012 |
| Last Update Date | 05/11/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730448770 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 036071794 (Illinois) | Primary |
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