| Northwest Internal Medicine Group Llc | |
|
455 S Roselle Road Suite #226 Schaumburg IL 60193 | |
| (847) 352-4649 | |
| (847) 352-4673 |
| Full Name | Northwest Internal Medicine Group Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 455 S Roselle Road Suite #226, Schaumburg, Illinois |
| Authorized Official Name and Position | Valerie G Mcferren (OFFICE MANAGER) |
| Authorized Official Contact | 8473524649 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Northwest Internal Medicine Group Llc 455 S Roselle Road Suite #226 Schaumburg IL 60193 Ph: (847) 352-4649 | Northwest Internal Medicine Group Llc 455 S Roselle Road Suite #226 Schaumburg IL 60193 Ph: (847) 352-4649 |
| NPI Number | 1649397258 |
|---|---|
| Provider Enumeration Date | 03/26/2007 |
| Last Update Date | 07/10/2009 |
| Medicare PECOS PAC ID | 3678625050 |
|---|---|
| Medicare Enrollment ID | O20090715000704 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649397258 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Todd M Leverentz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699708149 PECOS PAC ID: 2668524042 Enrollment ID: I20090715000719 |
| Provider Name | Janusz P Srodulski |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467478701 PECOS PAC ID: 4486706876 Enrollment ID: I20090715000728 |
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