| Almansur Family Practice Services Ltd | |
|
7318 Madison St Forest Park IL 60130-3100 | |
| (708) 366-1871 | |
| Not Available |
| Full Name | Almansur Family Practice Services Ltd |
|---|---|
| Speciality | Clinic/Center |
| Location | 7318 Madison St, Forest Park, Illinois |
| Authorized Official Name and Position | Bahir Mansur (PHYSICIAN) |
| Authorized Official Contact | 7083661871 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Almansur Family Practice Services Ltd 209 Middaugh Rd Clarendon Hills IL 60514-1003 Ph: (630) 974-7084 | Almansur Family Practice Services Ltd 7318 Madison St Forest Park IL 60130-3100 Ph: (708) 366-1871 |
| NPI Number | 1588960132 |
|---|---|
| Provider Enumeration Date | 01/31/2011 |
| Last Update Date | 04/02/2011 |
| Medicare PECOS PAC ID | 9739363136 |
|---|---|
| Medicare Enrollment ID | O20110408000598 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588960132 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 036065718 (Illinois) | Primary |
| Provider Name | Bahir A Mansur |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487756474 PECOS PAC ID: 7911181326 Enrollment ID: I20110408000691 |
Whitec, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7318 Madison St, Forest Park, IL 60130 Phone: 708-560-1960 |