| Maasal Medical Center Inc | |
|
3462 W Lawrence Ave Chicago IL 60625-5117 | |
| (773) 654-1077 | |
| (773) 942-6847 |
| Full Name | Maasal Medical Center Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 3462 W Lawrence Ave, Chicago, Illinois |
| Authorized Official Name and Position | Maasal Mohammed Shaher (PRESIDENT) |
| Authorized Official Contact | 7736541077 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Maasal Medical Center Inc 3462 W Lawrence Ave Chicago IL 60625-5117 Ph: (773) 654-1077 | Maasal Medical Center Inc 3462 W Lawrence Ave Chicago IL 60625-5117 Ph: (773) 654-1077 |
| NPI Number | 1235522525 |
|---|---|
| Provider Enumeration Date | 03/10/2015 |
| Last Update Date | 03/10/2015 |
| Medicare PECOS PAC ID | 9931429768 |
|---|---|
| Medicare Enrollment ID | O20150519002009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235522525 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 036126749 (Illinois) | Primary |
| Provider Name | Maasal M Shaher |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801042999 PECOS PAC ID: 5092986604 Enrollment ID: I20110914000754 |
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