| Pioneer Medical Group Ltd | |
|
148 S Bolingbrook Dr Bolingbrook IL 60440-2852 | |
| (630) 914-5373 | |
| (630) 556-1873 |
| Full Name | Pioneer Medical Group Ltd |
|---|---|
| Speciality | Clinic/Center |
| Location | 148 S Bolingbrook Dr, Bolingbrook, Illinois |
| Authorized Official Name and Position | Ayman Jabr (MEDICAL DIRECTOR) |
| Authorized Official Contact | 6309145373 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pioneer Medical Group Ltd 148 S Bolingbrook Dr Bolingbrook IL 60440-2852 Ph: (630) 914-5373 | Pioneer Medical Group Ltd 148 S Bolingbrook Dr Bolingbrook IL 60440-2852 Ph: (630) 914-5373 |
| NPI Number | 1871193698 |
|---|---|
| Provider Enumeration Date | 10/30/2020 |
| Last Update Date | 02/17/2021 |
| Medicare PECOS PAC ID | 7214345396 |
|---|---|
| Medicare Enrollment ID | O20210412000331 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871193698 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 261QU0200X | Clinic/center - Urgent Care | (* (Not Available)) | Primary |
| Provider Name | Ayman M Jabr |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669582417 PECOS PAC ID: 4789575861 Enrollment ID: I20040320000553 |
| Provider Name | Raymond P Weiss |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528005634 PECOS PAC ID: 5597933945 Enrollment ID: I20110729000503 |
| Provider Name | Nayeli Liberato |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720646367 PECOS PAC ID: 8729315270 Enrollment ID: I20190807001491 |
| Provider Name | Crystal N Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316573835 PECOS PAC ID: 6103257860 Enrollment ID: I20200513000329 |
| Provider Name | Lindsay E Crawford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033889761 PECOS PAC ID: 4385037209 Enrollment ID: I20220216002576 |
| Provider Name | Michelle Trevino |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447960604 PECOS PAC ID: 9638535784 Enrollment ID: I20230516003429 |
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