| West Suburban Infectious Disease Specialists Sc | |
|
1111 Superior St Ste 409 Melrose Park IL 60160-4159 | |
| (708) 410-2880 | |
| (708) 410-2884 |
| Full Name | West Suburban Infectious Disease Specialists Sc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1111 Superior St Ste 409, Melrose Park, Illinois |
| Authorized Official Name and Position | Nausica D'alfonso- Laghi (OWNER) |
| Authorized Official Contact | 6302674255 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| West Suburban Infectious Disease Specialists Sc 1111 Superior St Ste 409 Melrose Park IL 60160-4159 Ph: (708) 410-2880 | West Suburban Infectious Disease Specialists Sc 1111 Superior St Ste 409 Melrose Park IL 60160-4159 Ph: (708) 410-2880 |
| NPI Number | 1073608162 |
|---|---|
| Provider Enumeration Date | 10/04/2006 |
| Last Update Date | 10/31/2024 |
| Medicare PECOS PAC ID | 4880622869 |
|---|---|
| Medicare Enrollment ID | O20050801000410 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073608162 | NPI | - | NPPES |
| 01632409 | Other | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | 042617977 (Illinois) | Primary |
| Provider Name | Nausica D Alfonso-laghi |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1831268432 PECOS PAC ID: 1355379348 Enrollment ID: I20050801000477 |
| Provider Name | Iram Enayet |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1366511966 PECOS PAC ID: 2769497858 Enrollment ID: I20060210000243 |
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