| Faminamed Healthcare Providers Sc | |
|
5021 Carol St 1f Skokie IL 60077-2202 | |
| (312) 590-8742 | |
| Not Available |
| Full Name | Faminamed Healthcare Providers Sc |
|---|---|
| Speciality | Family Medicine |
| Location | 5021 Carol St, Skokie, Illinois |
| Authorized Official Name and Position | Farooq Ahmed (PRESIDENT) |
| Authorized Official Contact | 3125908742 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Faminamed Healthcare Providers Sc 5021 Carol St 1f Skokie IL 60077-2202 Ph: (312) 590-8742 | Faminamed Healthcare Providers Sc 5021 Carol St 1f Skokie IL 60077-2202 Ph: (312) 590-8742 |
| NPI Number | 1831337401 |
|---|---|
| Provider Enumeration Date | 02/04/2009 |
| Last Update Date | 02/28/2009 |
| Medicare PECOS PAC ID | 7911064050 |
|---|---|
| Medicare Enrollment ID | O20090317000563 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831337401 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QG0300X | Family Medicine - Geriatric Medicine | 036-118695 (Illinois) | Primary |
| Provider Name | Farooq M Ahmed |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275553240 PECOS PAC ID: 7719089127 Enrollment ID: I20071103000117 |
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