| Internal Medicine and Family Physicians, SC | |
|
1051 Essington Rd Suite 290 Joliet IL 60435-2801 | |
| (815) 773-0099 | |
| (815) 773-0088 |
| Full Name | Internal Medicine and Family Physicians, SC |
|---|---|
| Speciality | Internal Medicine |
| Location | 1051 Essington Rd, Joliet, Illinois |
| Authorized Official Name and Position | Samiullah M Choudry (PRESIDENT) |
| Authorized Official Contact | 8157730099 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Internal Medicine and Family Physicians, SC 1051 Essington Road Suite 290 Joliet IL 60435-2842 Ph: (815) 773-0099 | Internal Medicine and Family Physicians, SC 1051 Essington Rd Suite 290 Joliet IL 60435-2801 Ph: (815) 773-0099 |
| NPI Number | 1730281536 |
|---|---|
| Provider Enumeration Date | 09/02/2006 |
| Last Update Date | 06/14/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730281536 | NPI | - | NPPES |
| 0009932044 | Other | IL | BCBS |
| 036105476 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 036-105476 (Illinois) | Primary |
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