| Westlake Urgent Care Nfp | |
|
1419 W Lake St Melrose Park IL 60160-3930 | |
| (708) 690-1911 | |
| (630) 884-8839 |
| Full Name | Westlake Urgent Care Nfp |
|---|---|
| Speciality | Clinic/Center |
| Location | 1419 W Lake St, Melrose Park, Illinois |
| Authorized Official Name and Position | Nabil Saleh (MEDICAL DIRECTOR) |
| Authorized Official Contact | 7086901911 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Westlake Urgent Care Nfp 1419 W Lake St Melrose Park IL 60160-3930 Ph: (708) 690-1911 | Westlake Urgent Care Nfp 1419 W Lake St Melrose Park IL 60160-3930 Ph: (708) 690-1911 |
| NPI Number | 1295376721 |
|---|---|
| Provider Enumeration Date | 10/07/2019 |
| Last Update Date | 09/30/2020 |
| Medicare PECOS PAC ID | 8527492792 |
|---|---|
| Medicare Enrollment ID | O20191220000967 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295376721 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Secondary |
| 261QU0200X | Clinic/center - Urgent Care | (* (Not Available)) | Primary |
| Provider Name | Mohammad Vaseemuddin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952453995 PECOS PAC ID: 4789625542 Enrollment ID: I20050523000107 |
| Provider Name | Nabil Saleh |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1043205222 PECOS PAC ID: 6103232640 Enrollment ID: I20210309001514 |
| Provider Name | Nina R Defrias |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851961916 PECOS PAC ID: 2769870039 Enrollment ID: I20211020000139 |
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