| Thinfast Md Llc | |
|
135 E Algonquin Rd Ste A2 Arlington Heights IL 60005-5321 | |
| (224) 777-8067 | |
| (224) 236-4900 |
| Full Name | Thinfast Md Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 135 E Algonquin Rd Ste A2, Arlington Heights, Illinois |
| Authorized Official Name and Position | Jameel Ahamed (MANAGER) |
| Authorized Official Contact | 2247778067 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Thinfast Md Llc 135 E Algonquin Rd Suite A2 Arlington Heights IL 60005-5321 Ph: (224) 777-8067 | Thinfast Md Llc 135 E Algonquin Rd Ste A2 Arlington Heights IL 60005-5321 Ph: (224) 777-8067 |
| NPI Number | 1518223692 |
|---|---|
| Provider Enumeration Date | 04/03/2012 |
| Last Update Date | 09/12/2019 |
| Medicare PECOS PAC ID | 9436499175 |
|---|---|
| Medicare Enrollment ID | O20190318000150 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518223692 | NPI | - | NPPES |
| 036-126253 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QB0002X | Family Medicine - Obesity Medicine | 209007392 (Illinois) | Primary |
| Provider Name | Simrun K Gill |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740468800 PECOS PAC ID: 2769566942 Enrollment ID: I20130328000473 |
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