Precision Immediate Care And Medical Center, Llc | |
3520 W North Ave Stone Park IL 60165-1042 | |
(708) 356-6341 | |
Not Available |
Full Name | Precision Immediate Care And Medical Center, Llc |
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Speciality | Clinic/Center |
Location | 3520 W North Ave, Stone Park, Illinois |
Authorized Official Name and Position | Kalid Adab (PARTNER) |
Authorized Official Contact | 7083566341 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Precision Immediate Care And Medical Center, Llc 3520 W North Ave Stone Park IL 60165-1042 Ph: () - | Precision Immediate Care And Medical Center, Llc 3520 W North Ave Stone Park IL 60165-1042 Ph: (708) 356-6341 |
NPI Number | 1689299257 |
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Provider Enumeration Date | 06/10/2020 |
Last Update Date | 12/07/2023 |
Medicare PECOS PAC ID | 5991120198 |
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Medicare Enrollment ID | O20200805001647 |
Identifier | Type | State | Issuer |
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1689299257 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
Provider Name | Kalid Adab |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1346473345 PECOS PAC ID: 7517114390 Enrollment ID: I20131031001059 |
Provider Name | Samir Naser Shahen |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1558773663 PECOS PAC ID: 4880992775 Enrollment ID: I20170706001575 |
Provider Name | Trupti Patel |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1245824473 PECOS PAC ID: 4880094788 Enrollment ID: I20210615001450 |
Provider Name | Grace Catalina Cabanillas |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1578227872 PECOS PAC ID: 6800251901 Enrollment ID: I20230425000589 |
Provider Name | Jibi Isaac Jacob |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1851046247 PECOS PAC ID: 5890150528 Enrollment ID: I20230502000186 |