| Westbrook Wellness Internal Medicine, Sc | |
|
2205 Enterprise Dr Ste 520 Westchester IL 60154-5820 | |
| (630) 697-4000 | |
| Not Available |
| Full Name | Westbrook Wellness Internal Medicine, Sc |
|---|---|
| Speciality | Internal Medicine |
| Location | 2205 Enterprise Dr Ste 520, Westchester, Illinois |
| Authorized Official Name and Position | Asha Thomas (OWNER/PHYSICIAN) |
| Authorized Official Contact | 6306974000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Westbrook Wellness Internal Medicine, Sc 2205 Enterprise Dr Ste 520 Westchester IL 60154-5820 Ph: (630) 697-4000 | Westbrook Wellness Internal Medicine, Sc 2205 Enterprise Dr Ste 520 Westchester IL 60154-5820 Ph: (630) 697-4000 |
| NPI Number | 1982063343 |
|---|---|
| Provider Enumeration Date | 02/14/2016 |
| Last Update Date | 02/14/2016 |
| Medicare PECOS PAC ID | 9335403708 |
|---|---|
| Medicare Enrollment ID | O20180511000153 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982063343 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 036089204 (Illinois) | Primary |
| Provider Name | Asha Thomas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124171459 PECOS PAC ID: 9436253770 Enrollment ID: I20070327000386 |
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