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4555 Oakton St Skokie IL 60076-3178 | |
| (847) 982-9988 | |
| (847) 982-9789 |
| Full Name | |
|---|---|
| Speciality | Internal Medicine |
| Location | 4555 Oakton St, Skokie, Illinois |
| Authorized Official Name and Position | Vadim Edelstein (MD) |
| Authorized Official Contact | 8479829988 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
4555 Oakton St Skokie IL 60076-3178 Ph: (847) 982-9988 | 4555 Oakton St Skokie IL 60076-3178 Ph: (847) 982-9988 |
| NPI Number | 1912951617 |
|---|---|
| Provider Enumeration Date | 05/19/2006 |
| Last Update Date | 07/21/2022 |
| Medicare PECOS PAC ID | 5092615278 |
|---|---|
| Medicare Enrollment ID | O20040113000228 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912951617 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (Illinois) | Primary |
| Provider Name | Boris Markovich Sheynin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952359440 PECOS PAC ID: 4183524093 Enrollment ID: I20040108001038 |
| Provider Name | Vadim Edelstein |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760431076 PECOS PAC ID: 2961302088 Enrollment ID: I20040120000551 |
| Provider Name | Jeffrey J Rager |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1538137831 PECOS PAC ID: 9436134996 Enrollment ID: I20040628000081 |
| Provider Name | Tania M Mikaitis Rossi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104873140 PECOS PAC ID: 4981638400 Enrollment ID: I20050923000787 |
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Associated Internal Medicine Physicians S C Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 9700 Kenton Ave, Suite 302, Skokie, IL 60076 Phone: 847-433-3737 Fax: 847-674-2096 | |
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