Primary Care For You Ltd. | |
3330 W 177th St Ste 3h Hazel Crest IL 60429-2186 | |
(708) 922-1866 | |
(708) 922-3803 |
Full Name | Primary Care For You Ltd. |
---|---|
Speciality | Internal Medicine |
Location | 3330 W 177th St Ste 3h, Hazel Crest, Illinois |
Authorized Official Name and Position | Nader M Beshay (PHYSICIAN) |
Authorized Official Contact | 7089221866 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Primary Care For You Ltd. 3330 W 177th St Ste 3h Hazel Crest IL 60429-2186 Ph: (708) 922-1866 | Primary Care For You Ltd. 3330 W 177th St Ste 3h Hazel Crest IL 60429-2186 Ph: (708) 922-1866 |
NPI Number | 1477818961 |
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Provider Enumeration Date | 07/10/2012 |
Last Update Date | 06/21/2023 |
Medicare PECOS PAC ID | 2860615887 |
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Medicare Enrollment ID | O20140520002272 |
Identifier | Type | State | Issuer |
---|---|---|---|
1477818961 | NPI | - | NPPES |
14D1041814 | Other | IL | CLIA WAIVER |
036084972 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 036084972 (Illinois) | Primary |
Provider Name | Nader M Beshay |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1780673897 PECOS PAC ID: 9830148170 Enrollment ID: I20050114000190 |
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