Simple Primary Care Llc | |
2340 S Highland Ave Ste 270 Lombard IL 60148-5396 | |
(630) 755-5881 | |
Not Available |
Full Name | Simple Primary Care Llc |
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Speciality | Nurse Practitioner |
Location | 2340 S Highland Ave Ste 270, Lombard, Illinois |
Authorized Official Name and Position | Uzma Shamsi (OWNER) |
Authorized Official Contact | 6307760856 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Simple Primary Care Llc 2340 S Highland Ave Ste 270 Lombard IL 60148-5396 Ph: (630) 755-5881 | Simple Primary Care Llc 2340 S Highland Ave Ste 270 Lombard IL 60148-5396 Ph: (630) 755-5881 |
NPI Number | 1609595966 |
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Provider Enumeration Date | 08/22/2022 |
Last Update Date | 08/22/2022 |
Medicare PECOS PAC ID | 6002283934 |
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Medicare Enrollment ID | O20221107002646 |
Identifier | Type | State | Issuer |
---|---|---|---|
1609595966 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Secondary |
363LF0000X | Nurse Practitioner - Family | (* (Not Available)) | Primary |
Provider Name | Uzma T Shamsi |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1003334418 PECOS PAC ID: 1254690456 Enrollment ID: I20180116001631 |
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