| Northwest Family Medicine Inc | |
|
1614 West Central Ave Suite 202 Arlington Heights IL 60005-1534 | |
| (847) 253-7777 | |
| (847) 590-1006 |
| Full Name | Northwest Family Medicine Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 1614 West Central Ave, Arlington Heights, Illinois |
| Authorized Official Name and Position | Caroline J Choi (PRESIDENT) |
| Authorized Official Contact | 8472537777 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Northwest Family Medicine Inc Po Box 5202 Vernon Hills IL 60061-5202 Ph: (847) 253-7777 | Northwest Family Medicine Inc 1614 West Central Ave Suite 202 Arlington Heights IL 60005-1534 Ph: (847) 253-7777 |
| NPI Number | 1356657860 |
|---|---|
| Provider Enumeration Date | 08/20/2010 |
| Last Update Date | 02/24/2012 |
| Medicare PECOS PAC ID | 2961684907 |
|---|---|
| Medicare Enrollment ID | O20110311000185 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356657860 | NPI | - | NPPES |
| 1601913 | Other | IL | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 036110561 (Illinois) | Primary |
| Provider Name | Caroline J Choi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063462646 PECOS PAC ID: 4587649835 Enrollment ID: I20040621001418 |
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