Visiting Physicians Home Care S.c. | |
3030 Chicago Rd Steger IL 60475-1055 | |
(708) 300-6692 | |
Not Available |
Full Name | Visiting Physicians Home Care S.c. |
---|---|
Speciality | Internal Medicine |
Location | 3030 Chicago Rd, Steger, Illinois |
Authorized Official Name and Position | Khaja Asadullah (OWNER) |
Authorized Official Contact | 7083006692 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Visiting Physicians Home Care S.c. 3030 Chicago Rd Steger IL 60475-1055 Ph: (708) 300-6692 | Visiting Physicians Home Care S.c. 3030 Chicago Rd Steger IL 60475-1055 Ph: (708) 300-6692 |
NPI Number | 1811496979 |
---|---|
Provider Enumeration Date | 02/05/2018 |
Last Update Date | 02/05/2018 |
Medicare PECOS PAC ID | 1658749627 |
---|---|
Medicare Enrollment ID | O20221122002677 |
Identifier | Type | State | Issuer |
---|---|---|---|
1811496979 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RG0300X | Internal Medicine - Geriatric Medicine | (* (Not Available)) | Primary |
Provider Name | Khaja Asadullah |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1578515409 PECOS PAC ID: 6103874615 Enrollment ID: I20050111000431 |
Gastroenterology Association Of Olympia Fields Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3030 Chicago Rd, Steger, IL 60475 Phone: 708-756-3037 Fax: 708-756-3065 | |
Shyamal Bose,m.d.,s.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3030 Chicago Rd, Steger, IL 60475 Phone: 708-756-3037 Fax: 708-756-3065 |