| Mgm Medical Associates, Ltd. Sc | |
|
2425 W 22nd St Suite: 211 Oak Brook IL 60523-1245 | |
| (630) 368-3909 | |
| (630) 368-3958 |
| Full Name | Mgm Medical Associates, Ltd. Sc |
|---|---|
| Speciality | Internal Medicine |
| Location | 2425 W 22nd St, Oak Brook, Illinois |
| Authorized Official Name and Position | Meera George Madappallil (PRESIDENT) |
| Authorized Official Contact | 8474144460 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mgm Medical Associates, Ltd. Sc 8345 W Maynard Rd Niles IL 60714-1058 Ph: (847) 983-4215 | Mgm Medical Associates, Ltd. Sc 2425 W 22nd St Suite: 211 Oak Brook IL 60523-1245 Ph: (630) 368-3909 |
| NPI Number | 1982703856 |
|---|---|
| Provider Enumeration Date | 09/21/2006 |
| Last Update Date | 04/22/2015 |
| Medicare PECOS PAC ID | 6800865452 |
|---|---|
| Medicare Enrollment ID | O20040929001243 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982703856 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 036104910 (Illinois) | Primary |
| Provider Name | Meera G Madappallil |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699721142 PECOS PAC ID: 6204738305 Enrollment ID: I20040121000077 |
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