| Avicenna Primary Care LLC | |
|
1s450 Summit Ave Ste 390 Oakbrook Terrace IL 60181-3976 | |
| (630) 229-4633 | |
| Not Available |
| Full Name | Avicenna Primary Care LLC |
|---|---|
| Speciality | Internal Medicine |
| Location | 1s450 Summit Ave Ste 390, Oakbrook Terrace, Illinois |
| Authorized Official Name and Position | Yasmin Kagzi (MD) |
| Authorized Official Contact | 6302294633 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Avicenna Primary Care LLC 233 Cimarron Rd W Lombard IL 60148-1494 Ph: (630) 229-4633 | Avicenna Primary Care LLC 1s450 Summit Ave Ste 390 Oakbrook Terrace IL 60181-3976 Ph: (630) 229-4633 |
| NPI Number | 1588152748 |
|---|---|
| Provider Enumeration Date | 04/24/2018 |
| Last Update Date | 04/24/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588152748 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 036.129037 (Illinois) | Primary |
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