Nwi Medical Group Inc | |
4054 W North Ave Unit 1 Chicago IL 60639-5223 | |
(219) 427-0700 | |
Not Available |
Full Name | Nwi Medical Group Inc |
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Speciality | Family Medicine |
Location | 4054 W North Ave, Chicago, Illinois |
Authorized Official Name and Position | Faizuddin Shareef (PRESIDENT) |
Authorized Official Contact | 2194270700 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Nwi Medical Group Inc 4054 W North Ave Unit 1 Chicago IL 60639-5223 Ph: () - | Nwi Medical Group Inc 4054 W North Ave Unit 1 Chicago IL 60639-5223 Ph: (219) 427-0700 |
NPI Number | 1386054104 |
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Provider Enumeration Date | 05/01/2014 |
Last Update Date | 05/01/2014 |
Identifier | Type | State | Issuer |
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1386054104 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | 036121541 (Illinois) | Primary |
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