| Omni Primary Care And Aesthetic Medicine Sc | |
|
6501 N Lincoln Ave Lincolnwood IL 60712-3925 | |
| (847) 242-1001 | |
| (847) 739-7219 |
| Full Name | Omni Primary Care And Aesthetic Medicine Sc |
|---|---|
| Speciality | Family Medicine |
| Location | 6501 N Lincoln Ave, Lincolnwood, Illinois |
| Authorized Official Name and Position | Juwaria Osmani Siddiqui (DOCTOR) |
| Authorized Official Contact | 8472421001 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Omni Primary Care And Aesthetic Medicine Sc 6501 N Lincoln Ave Lincolnwood IL 60712-3925 Ph: (847) 242-1001 | Omni Primary Care And Aesthetic Medicine Sc 6501 N Lincoln Ave Lincolnwood IL 60712-3925 Ph: (847) 242-1001 |
| NPI Number | 1699025239 |
|---|---|
| Provider Enumeration Date | 09/11/2012 |
| Last Update Date | 11/07/2024 |
| Medicare PECOS PAC ID | 0547693509 |
|---|---|
| Medicare Enrollment ID | O20191204002420 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699025239 | NPI | - | NPPES |
| 036122637 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QA0000X | Family Medicine - Adolescent Medicine | 036122637 (Illinois) | Primary |
| 208000000X | Pediatrics | (* (Not Available)) | Secondary |
| Provider Name | Ishrat A Osman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992711808 PECOS PAC ID: 1951371699 Enrollment ID: I20040729000459 |
| Provider Name | Juwaria O Siddiqui |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003063264 PECOS PAC ID: 8224178462 Enrollment ID: I20091218000072 |
Yogesh B Parikh Md Sc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7111 N Hamlin, Lincolnwood, IL 60712 Phone: 847-673-5469 Fax: 847-673-5469 | |
Celia Lipinski, S.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7126 N Lincoln Ave, Lincolnwood, IL 60712 Phone: 847-583-9189 Fax: 847-583-9196 | |
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Onsite Health Specialty Physicians, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 7301 N Lincoln Ave Ste 180, Lincolnwood, IL 60712 Phone: 847-810-9095 | |
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