| Elt4 NC, P.C. | |
|
444 N Michigan Ave Ste 3400 Chicago IL 60611-3980 | |
| (919) 627-5805 | |
| Not Available |
| Full Name | Elt4 NC, P.C. |
|---|---|
| Speciality | Internal Medicine |
| Location | 444 N Michigan Ave Ste 3400, Chicago, Illinois |
| Authorized Official Name and Position | Bimal Shah (DIRECTOR) |
| Authorized Official Contact | 9196275805 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Elt4 NC, P.C. 444 N Michigan Ave Ste 3400 Chicago IL 60611-3980 Ph: (919) 627-5805 | Elt4 NC, P.C. 444 N Michigan Ave Ste 3400 Chicago IL 60611-3980 Ph: (919) 627-5805 |
| NPI Number | 1659995355 |
|---|---|
| Provider Enumeration Date | 05/29/2020 |
| Last Update Date | 05/29/2020 |
| Certification Date | 05/29/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659995355 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | () | Primary |
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