| Thomas G. Salvi, Md, Llc | |
|
1106 N Main St Algonquin IL 60102-3482 | |
| (815) 353-2601 | |
| Not Available |
| Full Name | Thomas G. Salvi, Md, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1106 N Main St, Algonquin, Illinois |
| Authorized Official Name and Position | Thomas G. Salvi (PHYSICIAN OWNER) |
| Authorized Official Contact | 2243330928 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Thomas G. Salvi, Md, Llc 1106 N Main St Algonquin IL 60102-3482 Ph: (224) 333-0928 | Thomas G. Salvi, Md, Llc 1106 N Main St Algonquin IL 60102-3482 Ph: (815) 353-2601 |
| NPI Number | 1275031130 |
|---|---|
| Provider Enumeration Date | 01/25/2018 |
| Last Update Date | 01/31/2018 |
| Medicare PECOS PAC ID | 6103186382 |
|---|---|
| Medicare Enrollment ID | O20180208000157 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275031130 | NPI | - | NPPES |
| 036085984 | Medicaid | IL | |
| 336.048074 | Other | IL | CONTROLLED SUBSTANCE LICENSE NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 036085984 (Illinois) | Primary |
| Provider Name | Thomas G Salvi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902899461 PECOS PAC ID: 9830095249 Enrollment ID: I20060111000765 |
| Provider Name | Michelle T Gahgan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497373286 PECOS PAC ID: 8921407990 Enrollment ID: I20210524002101 |
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