Pilsen Medical Clinic & Associates, Llc | |
4415 W Harrison St Suite 247 Hillside IL 60162 | |
(312) 738-3355 | |
Not Available |
Full Name | Pilsen Medical Clinic & Associates, Llc |
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Speciality | Family Medicine |
Location | 4415 W Harrison St, Hillside, Illinois |
Authorized Official Name and Position | Piushkumar Patel (CEO) |
Authorized Official Contact | 3127383355 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Pilsen Medical Clinic & Associates, Llc 4415 W Harrison St Suite 247 Hillside IL 60162 Ph: (312) 738-3355 | Pilsen Medical Clinic & Associates, Llc 4415 W Harrison St Suite 247 Hillside IL 60162 Ph: (312) 738-3355 |
NPI Number | 1790039725 |
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Provider Enumeration Date | 10/29/2012 |
Last Update Date | 05/22/2024 |
Medicare PECOS PAC ID | 5294972501 |
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Medicare Enrollment ID | O20130506000027 |
Identifier | Type | State | Issuer |
---|---|---|---|
1790039725 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Piushkumar J Patel |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1447254255 PECOS PAC ID: 3971697012 Enrollment ID: I20071109000528 |
Provider Name | James M Caruso |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1275524449 PECOS PAC ID: 1153406921 Enrollment ID: I20080304000870 |
Provider Name | Kareem Raheem |
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Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1356443337 PECOS PAC ID: 3173675675 Enrollment ID: I20090714000628 |
Provider Name | Jongwon Yoo |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1205254323 PECOS PAC ID: 0749400562 Enrollment ID: I20140930000580 |
Provider Name | Sarah Lazarski |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1699142711 PECOS PAC ID: 4981911393 Enrollment ID: I20150917001712 |
Provider Name | Alexandra Mendez |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1447794144 PECOS PAC ID: 7517238041 Enrollment ID: I20170802001408 |
Provider Name | Paige A Kelly |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1770720005 PECOS PAC ID: 7810053618 Enrollment ID: I20190122002631 |
Provider Name | Nadia S Handspike |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1194289413 PECOS PAC ID: 7618216425 Enrollment ID: I20190221002489 |
Provider Name | Aundrea Gooden |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1689061855 PECOS PAC ID: 8022349265 Enrollment ID: I20191018001894 |
Provider Name | Sylvia Coleman |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1205471083 PECOS PAC ID: 4082047311 Enrollment ID: I20191127001179 |
Provider Name | Katarzyna Ofiara |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1366987539 PECOS PAC ID: 0446688923 Enrollment ID: I20200316001744 |
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