| M. M. Ahsan S.c. | |
|
1640 Willow Circle Dr Crest Hill IL 60435-0959 | |
| (815) 741-2525 | |
| (815) 741-2522 |
| Full Name | M. M. Ahsan S.c. |
|---|---|
| Speciality | Family Medicine - Geriatric Medicine |
| Location | 1640 Willow Circle Dr, Crest Hill, Illinois |
| Authorized Official Name and Position | Azeem Ahsan (PHYSICIAN/ OWNER) |
| Authorized Official Contact | 8157412525 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| M. M. Ahsan S.c. 1640 Willow Circle Dr Crest Hill IL 60435-0959 Ph: (815) 741-2525 | M. M. Ahsan S.c. 1640 Willow Circle Dr Crest Hill IL 60435-0959 Ph: (815) 741-2525 |
| NPI Number | 1891810677 |
|---|---|
| Provider Enumeration Date | 03/20/2007 |
| Last Update Date | 01/08/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891810677 | NPI | - | NPPES |
| 036087646 1 | Medicaid | IL | |
| 036069572 1 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QG0300X | Family Medicine - Geriatric Medicine | (Illinois) | Primary |
Dr Ahsan And Assoc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1640 Willow Circle Dr, Crest Hill, IL 60403 Phone: 815-741-2525 Fax: 815-741-2522 | |
Ibsen Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 16003 Executive Dr, Crest Hill, IL 60403 Phone: 815-744-2344 | |
Premiumhealthcare Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 16003 Executive Dr, Crest Hill, IL 60403 Phone: 815-838-9544 | |
Mariusz Rogalski, Md, Sc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 16001 Executive Dr, Crest Hill, IL 60403 Phone: 630-418-5050 | |
Rafael Perez-guerra Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 16003 Executive Dr, Crest Hill, IL 60403 Phone: 815-838-9544 Fax: 815-838-9580 | |
Alvi Medical Services Sc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2208 Weber Rd, Unit A, Crest Hill, IL 60403 Phone: 815-725-1118 Fax: 815-725-1198 | |
Ibsen, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 16003 Executive Dr, Crest Hill, IL 60403 Phone: 815-838-9544 Fax: 815-838-9580 |