Skokie Family Clinic P.c. | |
4726 Oakton St Skokie IL 60076-3000 | |
(847) 674-0455 | |
(847) 674-0466 |
Full Name | Skokie Family Clinic P.c. |
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Speciality | Clinic/Center |
Location | 4726 Oakton St, Skokie, Illinois |
Authorized Official Name and Position | Dima Hanna (PHYSICIAN) |
Authorized Official Contact | 8477786572 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Skokie Family Clinic P.c. 4726 Oakton St Skokie IL 60076-3000 Ph: (847) 674-0455 | Skokie Family Clinic P.c. 4726 Oakton St Skokie IL 60076-3000 Ph: (847) 674-0455 |
NPI Number | 1114250875 |
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Provider Enumeration Date | 09/14/2009 |
Last Update Date | 09/14/2009 |
Medicare PECOS PAC ID | 4688711021 |
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Medicare Enrollment ID | O20091016000507 |
Identifier | Type | State | Issuer |
---|---|---|---|
1114250875 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261Q00000X | Clinic/center | 036119286 (Illinois) | Primary |
Provider Name | Dima Ramzy Hanna |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1710041892 PECOS PAC ID: 1951497452 Enrollment ID: I20071015000212 |
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Medpro Visiting Physicians, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7518 Tripp Ave, Skokie, IL 60076 Phone: 773-727-2751 Fax: 630-226-5390 | |
Associated Internal Medicine Physicians S C Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 9700 Kenton Ave, Suite 302, Skokie, IL 60076 Phone: 847-433-3737 Fax: 847-674-2096 | |
Valued Health Service Corporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7514 Saint Louis Ave, Skokie, IL 60076 Phone: 847-329-2020 Fax: 866-272-8433 | |
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