| Osh-nj Physicians Group Pc | |
|
30 W Monroe St Ste 1200 Chicago IL 60603-2420 | |
| (312) 733-9730 | |
| (773) 866-8014 |
| Full Name | Osh-nj Physicians Group Pc |
|---|---|
| Speciality | Clinic/Center |
| Location | 30 W Monroe St Ste 1200, Chicago, Illinois |
| Authorized Official Name and Position | David Fairchild (CMO) |
| Authorized Official Contact | 6172765349 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Osh-nj Physicians Group Pc Po Box 740021 Atlanta GA 30374-0021 Ph: (773) 352-1515 | Osh-nj Physicians Group Pc 30 W Monroe St Ste 1200 Chicago IL 60603-2420 Ph: (312) 733-9730 |
| NPI Number | 1366944217 |
|---|---|
| Provider Enumeration Date | 03/07/2018 |
| Last Update Date | 07/02/2024 |
| Medicare PECOS PAC ID | 3678005345 |
|---|---|
| Medicare Enrollment ID | O20241018002401 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366944217 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Neveen Elkholy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346245560 PECOS PAC ID: 4789645193 Enrollment ID: I20041020000025 |
| Provider Name | Mariama Hubbard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518946763 PECOS PAC ID: 8628033156 Enrollment ID: I20041124000210 |
| Provider Name | Sidhartha Harshad Mehta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487969895 PECOS PAC ID: 3173700226 Enrollment ID: I20110527000191 |
| Provider Name | Cheryl Ziemba |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275798357 PECOS PAC ID: 0345259669 Enrollment ID: I20110913000309 |
| Provider Name | Guilaine Michaud-mesidor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235661570 PECOS PAC ID: 8224370168 Enrollment ID: I20190425001010 |
| Provider Name | Daiana Guerrero |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174108070 PECOS PAC ID: 6002215324 Enrollment ID: I20210518002823 |
| Provider Name | Aarti Agarwal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447269956 PECOS PAC ID: 2466556303 Enrollment ID: I20241018002616 |
| Provider Name | Yvonne Ablorh-odjidja |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568405504 PECOS PAC ID: 6901902519 Enrollment ID: I20241126003175 |
| Provider Name | Quanza Mooring |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770281016 PECOS PAC ID: 8224402920 Enrollment ID: I20241206001527 |
| Provider Name | Mira Desai |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538559190 PECOS PAC ID: 6800104787 Enrollment ID: I20241208000086 |
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