| Hansamssp LLC | |
|
5250 Old Orchard Rd Ste 300 Skokie IL 60077-4462 | |
| (312) 933-5719 | |
| (888) 664-1191 |
| Full Name | Hansamssp LLC |
|---|---|
| Speciality | Internal Medicine |
| Location | 5250 Old Orchard Rd Ste 300, Skokie, Illinois |
| Authorized Official Name and Position | Chirag Patel (MANAGER) |
| Authorized Official Contact | 3129335719 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hansamssp LLC 5250 Old Orchard Rd Ste 300 Skokie IL 60077-4462 Ph: (312) 933-5719 | Hansamssp LLC 5250 Old Orchard Rd Ste 300 Skokie IL 60077-4462 Ph: (312) 933-5719 |
| NPI Number | 1013700541 |
|---|---|
| Provider Enumeration Date | 05/27/2025 |
| Last Update Date | 09/04/2025 |
| Certification Date | 09/04/2025 |
| Medicare PECOS PAC ID | 6406237551 |
|---|---|
| Medicare Enrollment ID | O20250917002612 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013700541 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | () | Primary |
| Provider Name | Julie Stone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316313109 PECOS PAC ID: 3173832797 Enrollment ID: I20151022001132 |
| Provider Name | Amanda Kennedy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063937696 PECOS PAC ID: 4688905623 Enrollment ID: I20191007000596 |
| Provider Name | Karthik V Nune |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376993626 PECOS PAC ID: 9739411448 Enrollment ID: I20211208000698 |
| Provider Name | Chirag Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205981750 PECOS PAC ID: 5092880666 Enrollment ID: I20220829002069 |
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