| Northwest Family Clinic Inc. | |
|
770 E Northwest Hwy Mount Prospect IL 60056-3464 | |
| (847) 454-1001 | |
| (847) 454-1002 |
| Full Name | Northwest Family Clinic Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 770 E Northwest Hwy, Mount Prospect, Illinois |
| Authorized Official Name and Position | Virendra M Patel (PRESIDENT) |
| Authorized Official Contact | 8474541001 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northwest Family Clinic Inc. 770 E Northwest Hwy Mount Prospect IL 60056-3464 Ph: (847) 454-1001 | Northwest Family Clinic Inc. 770 E Northwest Hwy Mount Prospect IL 60056-3464 Ph: (847) 454-1001 |
| NPI Number | 1003931387 |
|---|---|
| Provider Enumeration Date | 03/19/2007 |
| Last Update Date | 08/08/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003931387 | NPI | - | NPPES |
| 01628154 | Other | IL | BLUE CROSS BLUE SHIELD OF IL |
| 036056559 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 036-056559 (Illinois) | Primary |
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