| Exclusive Physicians - Illinois PLLC | |
|
3000 N Cicero Ave Chicago IL 60641-5106 | |
| (248) 336-4000 | |
| Not Available |
| Full Name | Exclusive Physicians - Illinois PLLC |
|---|---|
| Speciality | Family Medicine |
| Location | 3000 N Cicero Ave, Chicago, Illinois |
| Authorized Official Name and Position | Nillian Shaouni (RCM) |
| Authorized Official Contact | 2483364000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Exclusive Physicians - Illinois PLLC 18000 W 9 Mile Rd Ste 200 Southfield MI 48075-4020 | Exclusive Physicians - Illinois PLLC 3000 N Cicero Ave Chicago IL 60641-5106 Ph: (248) 336-4000 |
| NPI Number | 1346055365 |
|---|---|
| Provider Enumeration Date | 02/07/2025 |
| Last Update Date | 05/29/2026 |
| Certification Date | 05/29/2026 |
| Medicare PECOS PAC ID | 5496256067 |
|---|---|
| Medicare Enrollment ID | O20250827001965 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346055365 | NPI | - | NPPES |
| Provider Name | Heriberto Martinez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336115294 PECOS PAC ID: 3577546175 Enrollment ID: I20040616001069 |
| Provider Name | Jack C Leong |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1174506513 PECOS PAC ID: 2062416381 Enrollment ID: I20090401000309 |
| Provider Name | Patricia Jazmin Martinez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427687524 PECOS PAC ID: 7810328689 Enrollment ID: I20200511002491 |
| Provider Name | Mikita Arora |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336765486 PECOS PAC ID: 4587089644 Enrollment ID: I20251117002315 |
| Provider Name | Luis Eduardo Cruz |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1477324754 PECOS PAC ID: 8426528373 Enrollment ID: I20260601002988 |
| Provider Name | Ted Naman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730156050 PECOS PAC ID: 9638117062 Enrollment ID: I20260602000474 |
| Provider Name | Greg Naman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265493498 PECOS PAC ID: 3173561503 Enrollment ID: I20260602001847 |
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