| Midwest Kidney Connect Ltd | |
|
2209 Lindsay Rd Springfield IL 62704-3244 | |
| (216) 357-9443 | |
| Not Available |
| Full Name | Midwest Kidney Connect Ltd |
|---|---|
| Speciality | Internal Medicine |
| Location | 2209 Lindsay Rd, Springfield, Illinois |
| Authorized Official Name and Position | Pankaj Goyal (OWNER) |
| Authorized Official Contact | 2163579443 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Midwest Kidney Connect Ltd 2209 Lindsay Rd Springfield IL 62704-3244 Ph: (216) 357-9443 | Midwest Kidney Connect Ltd 2209 Lindsay Rd Springfield IL 62704-3244 Ph: (216) 357-9443 |
| NPI Number | 1346121340 |
|---|---|
| Provider Enumeration Date | 09/08/2025 |
| Last Update Date | 09/08/2025 |
| Certification Date | 09/08/2025 |
| Medicare PECOS PAC ID | 0941706477 |
|---|---|
| Medicare Enrollment ID | O20251002003091 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346121340 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | () | Primary |
| Provider Name | Pankaj Goyal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144549718 PECOS PAC ID: 7810175338 Enrollment ID: I20220521000160 |
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