| Shabiha Zaidi M.d.s.c. | |
|
105 Bridle Path Ln Fox River Grove IL 60021-1241 | |
| (773) 615-9406 | |
| Not Available |
| Full Name | Shabiha Zaidi M.d.s.c. |
|---|---|
| Speciality | Internal Medicine |
| Location | 105 Bridle Path Ln, Fox River Grove, Illinois |
| Authorized Official Name and Position | Shabiha Zaidi (PRESIDENT) |
| Authorized Official Contact | 7736159406 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Shabiha Zaidi M.d.s.c. 105 Bridle Path Ln Fox River Grove IL 60021-1241 Ph: (773) 615-9406 | Shabiha Zaidi M.d.s.c. 105 Bridle Path Ln Fox River Grove IL 60021-1241 Ph: (773) 615-9406 |
| NPI Number | 1356632566 |
|---|---|
| Provider Enumeration Date | 04/21/2011 |
| Last Update Date | 04/21/2011 |
| Medicare PECOS PAC ID | 0749468213 |
|---|---|
| Medicare Enrollment ID | O20110705000179 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356632566 | NPI | - | NPPES |
| 036125856 | Other | IL | LICENSE NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 036125856 (Illinois) | Primary |
| Provider Name | Shabiha Zaidi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235335571 PECOS PAC ID: 8628102472 Enrollment ID: I20100816000101 |
| Provider Name | Mazhar Zaidi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093729501 PECOS PAC ID: 6406852664 Enrollment ID: I20171101003353 |
| Provider Name | Chelsey Lesniak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518434463 PECOS PAC ID: 1759626161 Enrollment ID: I20181212003361 |
| Provider Name | Corrin Miranda |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306370838 PECOS PAC ID: 5698039162 Enrollment ID: I20190619000484 |
Bruce M Bell M D S C Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 910 Il Route 22, Fox River Grove, IL 60021 Phone: 847-462-1700 Fax: 847-462-1792 | |
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Internal Medicine Associates Sc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 912 Northwest Hwy, Suite 107, Fox River Grove, IL 60021 Phone: 847-462-5100 Fax: 847-462-5101 | |
Michael Reilly M.d. Holistic & Family Practice Medicine Ltd Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 912 Northwest Hwy, Suite 104, Fox River Grove, IL 60021 Phone: 847-516-4400 Fax: 847-516-4404 | |
Personalized Family Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 912 Northwest Hwy, Suite 106, Fox River Grove, IL 60021 Phone: 847-462-8050 Fax: 847-462-8055 | |
Robert Schwartzenberg Md Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 912 Northwest Hwy, Ste. 206, Fox River Grove, IL 60021 Phone: 847-516-8187 Fax: 847-516-8235 |