| Heal Well Primary Care PC | |
|
6067 N Northwest Hwy Chicago IL 60631 | |
| (210) 742-6555 | |
| (224) 623-0079 |
| Full Name | Heal Well Primary Care PC |
|---|---|
| Speciality | Internal Medicine |
| Location | 6067 N Northwest Hwy, Chicago, Illinois |
| Authorized Official Name and Position | Derinbhai Patel (CEO) |
| Authorized Official Contact | 2107426555 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Heal Well Primary Care PC 12410 Toepperwein Rd Live Oak TX 78233-3230 Ph: (210) 742-6555 | Heal Well Primary Care PC 6067 N Northwest Hwy Chicago IL 60631 Ph: (210) 742-6555 |
| NPI Number | 1003518473 |
|---|---|
| Provider Enumeration Date | 03/20/2023 |
| Last Update Date | 03/20/2023 |
| Certification Date | 03/17/2023 |
| Medicare PECOS PAC ID | 9931565306 |
|---|---|
| Medicare Enrollment ID | O20230510002262 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003518473 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | () | Primary |
| Provider Name | Joanna N Godlewska |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922561794 PECOS PAC ID: 6507268422 Enrollment ID: I20210714001320 |
| Provider Name | Derinbhai Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306165014 PECOS PAC ID: 1052552700 Enrollment ID: I20230510002409 |
| Provider Name | Myah Elizabeth Anderson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1497433320 PECOS PAC ID: 7911360599 Enrollment ID: I20230830000358 |
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