| Lyari Hhc Llc | |
|
8427 Austin Ave Morton Grove IL 60053-3213 | |
| (224) 623-5411 | |
| Not Available |
| Full Name | Lyari Hhc Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 8427 Austin Ave, Morton Grove, Illinois |
| Authorized Official Name and Position | Ahmed Memon (MEDICAL DIRECTOR) |
| Authorized Official Contact | 2246235411 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lyari Hhc Llc 8427 Austin Ave Morton Grove IL 60053-3213 Ph: (224) 623-5411 | Lyari Hhc Llc 8427 Austin Ave Morton Grove IL 60053-3213 Ph: (224) 623-5411 |
| NPI Number | 1417769332 |
|---|---|
| Provider Enumeration Date | 01/27/2025 |
| Last Update Date | 01/27/2025 |
| Medicare PECOS PAC ID | 3375063951 |
|---|---|
| Medicare Enrollment ID | O20250226001658 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417769332 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | Ahmed M Memon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033693742 PECOS PAC ID: 2961740832 Enrollment ID: I20190219002452 |
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