| Rny Medicare Ltd | |
|
4640 N Marine Dr Chicago IL 60640-5719 | |
| (773) 218-5355 | |
| Not Available |
| Full Name | Rny Medicare Ltd |
|---|---|
| Speciality | Internal Medicine |
| Location | 4640 N Marine Dr, Chicago, Illinois |
| Authorized Official Name and Position | Ahmed Raziuddin (OWNER) |
| Authorized Official Contact | 7732185355 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rny Medicare Ltd 4328 Ivy Ln Glenview IL 60026-1087 Ph: (773) 218-5355 | Rny Medicare Ltd 4640 N Marine Dr Chicago IL 60640-5719 Ph: (773) 218-5355 |
| NPI Number | 1538473640 |
|---|---|
| Provider Enumeration Date | 07/30/2010 |
| Last Update Date | 05/23/2024 |
| Medicare PECOS PAC ID | 7416972872 |
|---|---|
| Medicare Enrollment ID | O20051014000089 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538473640 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (Illinois) | Primary |
| Provider Name | Ahmed Raziuddin |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1578513602 PECOS PAC ID: 2163492984 Enrollment ID: I20040729000271 |
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