| Northwest Medical Care Sc | |
|
473 W Army Trail Rd Suite 101 Bloomingdale IL 60108-2674 | |
| (630) 894-8018 | |
| (630) 894-9493 |
| Full Name | Northwest Medical Care Sc |
|---|---|
| Speciality | Internal Medicine |
| Location | 473 W Army Trail Rd, Bloomingdale, Illinois |
| Authorized Official Name and Position | Sanjay P Patel (PRESIDENT) |
| Authorized Official Contact | 6308948018 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Northwest Medical Care Sc 473 W Army Trail Rd Suite 101 Bloomingdale IL 60108-2674 Ph: (630) 894-8018 | Northwest Medical Care Sc 473 W Army Trail Rd Suite 101 Bloomingdale IL 60108-2674 Ph: (630) 894-8018 |
| NPI Number | 1447277447 |
|---|---|
| Provider Enumeration Date | 07/16/2006 |
| Last Update Date | 01/29/2013 |
| Medicare PECOS PAC ID | 4486847498 |
|---|---|
| Medicare Enrollment ID | O20101022000750 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447277447 | NPI | - | NPPES |
| 02229935 | Other | IL | BLUE CROSS & BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 036098432 (Illinois) | Primary |
| Provider Name | Sanjay Pravin Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235178831 PECOS PAC ID: 4284645318 Enrollment ID: I20101022000806 |
| Provider Name | Urvashi Sitapara |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205372083 PECOS PAC ID: 5991062853 Enrollment ID: I20171130001864 |
| Provider Name | Purvi Gabhawala |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104589209 PECOS PAC ID: 5991178576 Enrollment ID: I20230301001724 |
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