Sameh Nabelsi Md Sc | |
19624 Governors Hwy Suite 9 Flossmoor IL 60422-2077 | |
(708) 647-9800 | |
Not Available |
Full Name | Sameh Nabelsi Md Sc |
---|---|
Speciality | Internal Medicine |
Location | 19624 Governors Hwy, Flossmoor, Illinois |
Authorized Official Name and Position | Sameh Nabelsi (PRESIDENT) |
Authorized Official Contact | 6307766329 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Sameh Nabelsi Md Sc Department 5941 Carol Stream IL 60122-5942 Ph: () - | Sameh Nabelsi Md Sc 19624 Governors Hwy Suite 9 Flossmoor IL 60422-2077 Ph: (708) 647-9800 |
NPI Number | 1558698035 |
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Provider Enumeration Date | 11/04/2009 |
Last Update Date | 12/29/2020 |
Medicare PECOS PAC ID | 1153464649 |
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Medicare Enrollment ID | O20100205000402 |
Identifier | Type | State | Issuer |
---|---|---|---|
1558698035 | NPI | - | NPPES |
DP9046 | Other | IL | RAILROAD MEDICARE |
1600746 | Other | IL | BCBS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 036122835 (Illinois) | Primary |
Provider Name | Sameh Nabelsi |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1518923515 PECOS PAC ID: 1951464387 Enrollment ID: I20090612000313 |
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