| Mdrx Medical PC | |
|
17732 Oak Park Ave Ste E-f Tinley Park IL 60477-3934 | |
| (708) 404-2463 | |
| (708) 755-7851 |
| Full Name | Mdrx Medical PC |
|---|---|
| Speciality | Internal Medicine |
| Location | 17732 Oak Park Ave Ste E-f, Tinley Park, Illinois |
| Authorized Official Name and Position | Rakesh Chugh (MD) |
| Authorized Official Contact | 7084042463 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mdrx Medical PC 17732 Oak Park Ave Ste E-f Tinley Park IL 60477-3934 Ph: (708) 404-2463 | Mdrx Medical PC 17732 Oak Park Ave Ste E-f Tinley Park IL 60477-3934 Ph: (708) 404-2463 |
| NPI Number | 1821237199 |
|---|---|
| Provider Enumeration Date | 02/11/2009 |
| Last Update Date | 06/21/2024 |
| Certification Date | 06/21/2024 |
| Medicare PECOS PAC ID | 9335270776 |
|---|---|
| Medicare Enrollment ID | O20100630000748 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821237199 | NPI | - | NPPES |
| 036085688 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | () | Primary |
| Provider Name | Rakesh Chugh |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1952455362 PECOS PAC ID: 7315078755 Enrollment ID: I20100628001024 |
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