| Midwest Primary Care, S.C. | |
|
2955 W 95th St Evergreen Park IL 60805-2409 | |
| (708) 425-9399 | |
| (708) 425-9306 |
| Full Name | Midwest Primary Care, S.C. |
|---|---|
| Speciality | Internal Medicine |
| Location | 2955 W 95th St, Evergreen Park, Illinois |
| Authorized Official Name and Position | Syed Z Mohsin (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. 2955 W 95th St Evergreen Park IL 60805-2409 Ph: (708) 425-9399 | Midwest Primary Care, S.C. 2955 W 95th St Evergreen Park IL 60805-2409 Ph: (708) 425-9399 |
| NPI Number | 1700989936 |
|---|---|
| Provider Enumeration Date | 09/06/2006 |
| Last Update Date | 05/28/2024 |
| Certification Date | 05/28/2024 |
| 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 | () | 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 |
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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 |
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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 |