| Chicago Midwest Geriatrics Physicians Inc | |
|
2s633 Briarcliff Ct Lombard IL 60148-5207 | |
| (630) 981-7250 | |
| Not Available |
| Full Name | Chicago Midwest Geriatrics Physicians Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 2s633 Briarcliff Ct, Lombard, Illinois |
| Authorized Official Name and Position | Arshea Siddiqui (PRESIDENT) |
| Authorized Official Contact | 6309817250 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Chicago Midwest Geriatrics Physicians Inc 2s633 Briarcliff Ct Lombard IL 60148-5207 Ph: (630) 981-7250 | Chicago Midwest Geriatrics Physicians Inc 2s633 Briarcliff Ct Lombard IL 60148-5207 Ph: (630) 981-7250 |
| NPI Number | 1104273440 |
|---|---|
| Provider Enumeration Date | 05/17/2016 |
| Last Update Date | 06/22/2016 |
| Medicare PECOS PAC ID | 9234420365 |
|---|---|
| Medicare Enrollment ID | O20160705000738 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104273440 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0300X | Internal Medicine - Geriatric Medicine | 036107661 (Illinois) | Primary |
| Provider Name | Alvia Sabahat |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699707851 PECOS PAC ID: 2365480860 Enrollment ID: I20050425000175 |
| Provider Name | Arshea Siddiqui |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184670671 PECOS PAC ID: 0840294567 Enrollment ID: I20060911000447 |
| Provider Name | Ireen Evangelista |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447704135 PECOS PAC ID: 2163791674 Enrollment ID: I20170627000138 |
| Provider Name | Catherine Arend |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538600820 PECOS PAC ID: 1759651755 Enrollment ID: I20170725000892 |
| Provider Name | Amanda Brown-bartlett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235665076 PECOS PAC ID: 4587903646 Enrollment ID: I20190307000771 |
| Provider Name | Melissa White |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962035089 PECOS PAC ID: 0547699845 Enrollment ID: I20200408001825 |
| Provider Name | Hiren Desai |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912570169 PECOS PAC ID: 0244620359 Enrollment ID: I20211203002389 |
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