| Neighborhood Family Healthcare Sc | |
|
2740 W Foster Ave Suite 410 Chicago IL 60625-3500 | |
| (773) 907-0978 | |
| (773) 907-0982 |
| Full Name | Neighborhood Family Healthcare Sc |
|---|---|
| Speciality | Family Medicine |
| Location | 2740 W Foster Ave, Chicago, Illinois |
| Authorized Official Name and Position | Nanajan Yakoub (PRESIDENT) |
| Authorized Official Contact | 7739070978 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Neighborhood Family Healthcare Sc 777 Oakmont Ln Suite 1600 Westmont IL 60559-5511 Ph: (630) 789-2550 | Neighborhood Family Healthcare Sc 2740 W Foster Ave Suite 410 Chicago IL 60625-3500 Ph: (773) 907-0978 |
| NPI Number | 1053485078 |
|---|---|
| Provider Enumeration Date | 11/20/2006 |
| Last Update Date | 01/29/2008 |
| Medicare PECOS PAC ID | 1658339692 |
|---|---|
| Medicare Enrollment ID | O20041222000469 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053485078 | NPI | - | NPPES |
| 01632852 | Other | IL | BCBS PROVIDER ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Nanajan Yakoub |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356337380 PECOS PAC ID: 3173581113 Enrollment ID: I20041222000495 |
| Provider Name | Alan D Johnson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1083605034 PECOS PAC ID: 5496787632 Enrollment ID: I20050909000251 |
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