| Northwest Adult Medicine S.c. | |
|
2010 S Arlington Heights Rd Suite 100 Arlington Heights IL 60005-4134 | |
| (847) 640-0444 | |
| (847) 640-9803 |
| Full Name | Northwest Adult Medicine S.c. |
|---|---|
| Speciality | Internal Medicine |
| Location | 2010 S Arlington Heights Rd, Arlington Heights, Illinois |
| Authorized Official Name and Position | Judith Marie Knipple (PRESIDENT OWNER) |
| Authorized Official Contact | 8476400444 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Northwest Adult Medicine S.c. Po Box 700 Mount Prospect IL 60056-0700 Ph: (847) 640-0444 | Northwest Adult Medicine S.c. 2010 S Arlington Heights Rd Suite 100 Arlington Heights IL 60005-4134 Ph: (847) 640-0444 |
| NPI Number | 1508062282 |
|---|---|
| Provider Enumeration Date | 06/21/2007 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 0446245971 |
|---|---|
| Medicare Enrollment ID | O20040415000641 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508062282 | NPI | - | NPPES |
| 0001627833 | Other | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (Illinois) | Primary |
| Provider Name | Judith M Knipple |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265426381 PECOS PAC ID: 5092709204 Enrollment ID: I20040412000743 |
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