| Uziel Shefa Medical Sc | |
|
5454 Fargo Ave Ste 107 Skokie IL 60077-3210 | |
| (310) 933-5688 | |
| (310) 616-5188 |
| Full Name | Uziel Shefa Medical Sc |
|---|---|
| Speciality | General Practice |
| Location | 5454 Fargo Ave Ste 107, Skokie, Illinois |
| Authorized Official Name and Position | Zaza U Atanelov (OWNER) |
| Authorized Official Contact | 3109335688 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Uziel Shefa Medical Sc 8200 Wilshire Blvd Beverly Hills CA 90211-2328 Ph: (310) 933-5688 | Uziel Shefa Medical Sc 5454 Fargo Ave Ste 107 Skokie IL 60077-3210 Ph: (310) 933-5688 |
| NPI Number | 1518716919 |
|---|---|
| Provider Enumeration Date | 05/16/2024 |
| Last Update Date | 05/16/2024 |
| Medicare PECOS PAC ID | 4082158118 |
|---|---|
| Medicare Enrollment ID | O20240701001943 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518716919 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Shawn L Love |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538175369 PECOS PAC ID: 8426076837 Enrollment ID: I20070314000423 |
| Provider Name | Christine Nacar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922642495 PECOS PAC ID: 9830507391 Enrollment ID: I20210421002139 |
| Provider Name | Akeem Olasunkanmi Kareem |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124566427 PECOS PAC ID: 6901172550 Enrollment ID: I20230522002294 |
| Provider Name | Luiza M Sielski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548987126 PECOS PAC ID: 1052779022 Enrollment ID: I20230623000224 |
| Provider Name | Zaza U Atanelov |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1487188116 PECOS PAC ID: 7810327855 Enrollment ID: I20240712003633 |
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