West Chicago Immediate Care And Medical Center | |
206 S Neltnor Blvd West Chicago IL 60185-2847 | |
(773) 658-0311 | |
Not Available |
Full Name | West Chicago Immediate Care And Medical Center |
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Speciality | Family Medicine |
Location | 206 S Neltnor Blvd, West Chicago, Illinois |
Authorized Official Name and Position | Kalid Adab (OWNER) |
Authorized Official Contact | 7736580311 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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West Chicago Immediate Care And Medical Center Po Box 578220 Chicago IL 60657-7303 Ph: (773) 935-4700 | West Chicago Immediate Care And Medical Center 206 S Neltnor Blvd West Chicago IL 60185-2847 Ph: (773) 658-0311 |
NPI Number | 1841945706 |
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Provider Enumeration Date | 02/18/2022 |
Last Update Date | 02/18/2022 |
Medicare PECOS PAC ID | 3870989478 |
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Medicare Enrollment ID | O20220407001856 |
Identifier | Type | State | Issuer |
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1841945706 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Kalid Adab |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1346473345 PECOS PAC ID: 7517114390 Enrollment ID: I20131031001059 |
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