Prism Holistic Care Ltd | |
825 E Schaumburg Rd Schaumburg IL 60194-3654 | |
(800) 325-1812 | |
(773) 920-3322 |
Full Name | Prism Holistic Care Ltd |
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Speciality | Internal Medicine |
Location | 825 E Schaumburg Rd, Schaumburg, Illinois |
Authorized Official Name and Position | Mehbub Kapadia (DIRECTOR) |
Authorized Official Contact | 7733919184 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Prism Holistic Care Ltd 6505 N Longmeadow Ave Lincolnwood IL 60712-3205 Ph: (773) 391-9184 | Prism Holistic Care Ltd 825 E Schaumburg Rd Schaumburg IL 60194-3654 Ph: (800) 325-1812 |
NPI Number | 1326663022 |
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Provider Enumeration Date | 06/09/2020 |
Last Update Date | 01/25/2022 |
Medicare PECOS PAC ID | 9931510708 |
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Medicare Enrollment ID | O20201130001546 |
Identifier | Type | State | Issuer |
---|---|---|---|
1326663022 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Mehbub S Kapadia |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1558584391 PECOS PAC ID: 4587715453 Enrollment ID: I20090706000636 |
Provider Name | Nik Nik P Achanzar |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1528503620 PECOS PAC ID: 3274818257 Enrollment ID: I20170315000967 |
Provider Name | Jenna M Rawski |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1669761441 PECOS PAC ID: 5991014755 Enrollment ID: I20170720002441 |
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