| A & D Medical Center Sc | |
|
64 N Alfred Ave Suite B Elgin IL 60123-5284 | |
| (847) 742-0165 | |
| (847) 742-0190 |
| Full Name | A & D Medical Center Sc |
|---|---|
| Speciality | Internal Medicine |
| Location | 64 N Alfred Ave, Elgin, Illinois |
| Authorized Official Name and Position | Jawed Ehsan (OWNER) |
| Authorized Official Contact | 8477420165 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| A & D Medical Center Sc 64 N Alfred Ave Suite B Elgin IL 60123-5284 Ph: (847) 742-0165 | A & D Medical Center Sc 64 N Alfred Ave Suite B Elgin IL 60123-5284 Ph: (847) 742-0165 |
| NPI Number | 1316037120 |
|---|---|
| Provider Enumeration Date | 10/13/2006 |
| Last Update Date | 04/15/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316037120 | NPI | - | NPPES |
| P00090413 | Other | RAILROAD | |
| 209598 | Other | MEDICARE ID | |
| 04532181 | Other | IL | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (Illinois) | Secondary |
| 207R00000X | Internal Medicine | (Illinois) | Primary |
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The Elgin Clinic Ltd Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1530 N Randall Rd, Suite 200, Elgin, IL 60123 Phone: 847-697-6464 Fax: 847-697-6478 | |
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