| Palos Medical Center Pllc | |
|
10384 S Harlem Ave Palos Hills IL 60465 | |
| (732) 335-6515 | |
| Not Available |
| Full Name | Palos Medical Center Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 10384 S Harlem Ave, Palos Hills, Illinois |
| Authorized Official Name and Position | Wail Asfour (OWNER) |
| Authorized Official Contact | 7323356515 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Palos Medical Center Pllc 106 Forest Edge Dr Palos Park IL 60464-1948 Ph: (732) 335-6515 | Palos Medical Center Pllc 10384 S Harlem Ave Palos Hills IL 60465 Ph: (732) 335-6515 |
| NPI Number | 1518741792 |
|---|---|
| Provider Enumeration Date | 08/21/2023 |
| Last Update Date | 12/15/2023 |
| Medicare PECOS PAC ID | 0244682110 |
|---|---|
| Medicare Enrollment ID | O20240116002787 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518741792 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Wail Asfour |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1720038680 PECOS PAC ID: 7618943598 Enrollment ID: I20240108004456 |
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