| Midwest Primary Care, S.c. | |
|
2850 W 95th St Suite 106 Evergreen Park IL 60805-2735 | |
| (708) 425-9399 | |
| (708) 425-9306 |
| Full Name | Midwest Primary Care, S.c. |
|---|---|
| Speciality | Internal Medicine |
| Location | 2850 W 95th St, Evergreen Park, Illinois |
| Authorized Official Name and Position | Michael F Thomas (PRESIDENT) |
| Authorized Official Contact | 7084259399 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Midwest Primary Care, S.c. 2850 W 95th St Suite 106 Evergreen Park IL 60805-2735 Ph: (708) 425-9399 | Midwest Primary Care, S.c. 2850 W 95th St Suite 106 Evergreen Park IL 60805-2735 Ph: (708) 425-9399 |
| NPI Number | 1700989936 |
|---|---|
| Provider Enumeration Date | 09/06/2006 |
| Last Update Date | 03/01/2010 |
| Medicare PECOS PAC ID | 9931125614 |
|---|---|
| Medicare Enrollment ID | O20051021000376 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700989936 | NPI | - | NPPES |
| 01619476 | Other | IL | BCBS OF IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Syed Z Mohsin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568474674 PECOS PAC ID: 3274580253 Enrollment ID: I20050401000192 |
| Provider Name | Earl Hamilton Rudolph |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487851481 PECOS PAC ID: 2466641618 Enrollment ID: I20150113002515 |
| Provider Name | Lori Short |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336523760 PECOS PAC ID: 2961706783 Enrollment ID: I20160215001334 |
| Provider Name | Jennifer M Courts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073013629 PECOS PAC ID: 8426485475 Enrollment ID: I20200304000001 |
Stanley A Polit Md, Sc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2850 W 95th St, Suite 11, Evergreen Park, IL 60805 Phone: 708-424-9044 Fax: 708-424-1799 | |
P C Goodwin Medical Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9401 S Pulaski Rd, Suite 101, Evergreen Park, IL 60805 Phone: 708-424-2475 Fax: 708-424-2494 | |
Experience Health, S.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2850 W 95th St Ste 301, Evergreen Park, IL 60805 Phone: 630-952-1412 Fax: 630-952-1447 | |
Rajneesh Salwan Md Sc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2850 W 95th St, 304, Evergreen Park, IL 60805 Phone: 708-636-2770 Fax: 708-423-9234 | |
Hugh Med Group Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2850 W 95th St, Suite #304, Evergreen Park, IL 60805 Phone: 708-425-0200 Fax: 708-425-0208 | |
Stellar Health Experts, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9730 S Western Ave Ste 234, Evergreen Park, IL 60805 Phone: 708-703-8287 | |
Maya Medical Centers Sc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3830 W 95th St, Evergreen Park, IL 60805 Phone: 708-422-1363 Fax: 708-422-1256 |