| Telemed Concepts | |
|
12717 Grande Poplar Cir Plainfield IL 60585-2814 | |
| (224) 402-3091 | |
| Not Available |
| Full Name | Telemed Concepts |
|---|---|
| Speciality | Family Medicine |
| Location | 12717 Grande Poplar Cir, Plainfield, Illinois |
| Authorized Official Name and Position | Mansoor Sulemanjee (OWNER) |
| Authorized Official Contact | 2244023091 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Telemed Concepts 12717 Grande Poplar Cir Plainfield IL 60585-2814 Ph: (224) 402-3091 | Telemed Concepts 12717 Grande Poplar Cir Plainfield IL 60585-2814 Ph: (224) 402-3091 |
| NPI Number | 1366105645 |
|---|---|
| Provider Enumeration Date | 10/14/2021 |
| Last Update Date | 03/07/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366105645 | NPI | - | NPPES |
| S455-5597-8212 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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