| American Physician Group Inc | |
|
9150 Crawford Ave Ste 205 Skokie IL 60076-1770 | |
| (847) 585-3340 | |
| (847) 585-3341 |
| Full Name | American Physician Group Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 9150 Crawford Ave Ste 205, Skokie, Illinois |
| Authorized Official Name and Position | Farzanuddin Syed (PRESIDENT) |
| Authorized Official Contact | 9515734016 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| American Physician Group Inc 9150 Crawford Ave Ste 205 Skokie IL 60076-1770 Ph: (847) 585-3340 | American Physician Group Inc 9150 Crawford Ave Ste 205 Skokie IL 60076-1770 Ph: (847) 585-3340 |
| NPI Number | 1033955927 |
|---|---|
| Provider Enumeration Date | 07/01/2024 |
| Last Update Date | 01/05/2026 |
| Certification Date | 01/05/2026 |
| Medicare PECOS PAC ID | 0648701714 |
|---|---|
| Medicare Enrollment ID | O20240930002931 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033955927 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Secondary |
| 208D00000X | General Practice | () | Secondary |
| 261QM1300X | Clinic/center - Multi-specialty | () | Primary |
| Provider Name | Bernadette Maria Mandes Wildemore |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1487863858 PECOS PAC ID: 4183934961 Enrollment ID: I20260407003506 |
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