| Aziz Family Medical Center, Inc | |
|
622 N Addison Rd Villa Park IL 60181-1419 | |
| (630) 279-9600 | |
| (630) 279-9602 |
| Full Name | Aziz Family Medical Center, Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 622 N Addison Rd, Villa Park, Illinois |
| Authorized Official Name and Position | Mohammed Samiruddin (OWNER - PHYSICIAN) |
| Authorized Official Contact | 6302799600 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Aziz Family Medical Center, Inc Po Box 1897 Lombard IL 60148-8897 Ph: (630) 279-9600 | Aziz Family Medical Center, Inc 622 N Addison Rd Villa Park IL 60181-1419 Ph: (630) 279-9600 |
| NPI Number | 1952549586 |
|---|---|
| Provider Enumeration Date | 02/04/2009 |
| Last Update Date | 12/03/2012 |
| Medicare PECOS PAC ID | 7012074107 |
|---|---|
| Medicare Enrollment ID | O20090317000116 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952549586 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Soha Sattar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033327143 PECOS PAC ID: 2365538840 Enrollment ID: I20071013000104 |
| Provider Name | Mohammed Samiruddin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144432188 PECOS PAC ID: 2668539750 Enrollment ID: I20090317000109 |
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Aziz Medical Associates Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 622 N Addison Rd, Villa Park, IL 60181 Phone: 630-279-9600 Fax: 630-279-9602 | |
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