| Universal Medical & Rehabilitation Center, S.c. | |
|
2828 W Devon Ave Chicago IL 60659-1502 | |
| (773) 761-9774 | |
| (773) 761-9878 |
| Full Name | Universal Medical & Rehabilitation Center, S.c. |
|---|---|
| Speciality | Internal Medicine |
| Location | 2828 W Devon Ave, Chicago, Illinois |
| Authorized Official Name and Position | Fatima M Mohiuddin (PRESIDENT) |
| Authorized Official Contact | 18473907122 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Universal Medical & Rehabilitation Center, S.c. 9120 W Golf Rd Niles IL 60714-5806 Ph: (847) 390-7122 | Universal Medical & Rehabilitation Center, S.c. 2828 W Devon Ave Chicago IL 60659-1502 Ph: (773) 761-9774 |
| NPI Number | 1124202031 |
|---|---|
| Provider Enumeration Date | 12/27/2007 |
| Last Update Date | 12/27/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124202031 | NPI | - | NPPES |
| 036079439 | Medicaid | IL | |
| 036092848 | Medicaid | IL | |
| 0404246 | Other | IL | UNITEDHEALTHCARE |
| 21621391 | Other | IL | BLUE CROSS/BLUE SHIELD |
| 335989271001 | Medicaid | IL | |
| 4140282 | Other | IL | AETNA |
| 250733 | Other | IL | HARMONY |
| 1156492 | Other | IL | FIRST HEALTH |
| 030004494 | Other | IL | RAILROAD MEDICARE |
| 328026621001 | Medicaid | IL | |
| 110239089 | Other | IL | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 208100000X | Physical Medicine & Rehabilitation | (* (Not Available)) | Secondary |
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