| Avid Care LLC | |
|
17465 Kedzie Ave Hazel Crest IL 60429-1632 | |
| (708) 953-9527 | |
| (708) 786-0066 |
| Full Name | Avid Care LLC |
|---|---|
| Speciality | Family Medicine |
| Location | 17465 Kedzie Ave, Hazel Crest, Illinois |
| Authorized Official Name and Position | Anam Butt (OWNER) |
| Authorized Official Contact | 7088877329 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Avid Care LLC 17465 Kedzie Ave Hazel Crest IL 60429-1632 Ph: (708) 953-9527 | Avid Care LLC 17465 Kedzie Ave Hazel Crest IL 60429-1632 Ph: (708) 953-9527 |
| NPI Number | 1063237311 |
|---|---|
| Provider Enumeration Date | 11/21/2024 |
| Last Update Date | 05/22/2026 |
| Certification Date | 05/22/2026 |
| Medicare PECOS PAC ID | 4981185097 |
|---|---|
| Medicare Enrollment ID | O20260226002582 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063237311 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QG0300X | Family Medicine - Geriatric Medicine | () | Primary |
| Provider Name | John a Flick |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770782351 PECOS PAC ID: 9133314719 Enrollment ID: I20101109000442 |
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