| Nab Md Sc | |
|
400 W Lake St Suite 111a Roselle IL 60172 | |
| (630) 893-8300 | |
| (630) 893-8324 |
| Full Name | Nab Md Sc |
|---|---|
| Speciality | Internal Medicine - Geriatric Medicine |
| Location | 400 W Lake St, Roselle, Illinois |
| Authorized Official Name and Position | Nelson Arthur Blanco (PRESIDENT) |
| Authorized Official Contact | 6308938300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nab Md Sc 400 W Lake St Suite 111a Roselle IL 60172 Ph: (630) 893-8300 | Nab Md Sc 400 W Lake St Suite 111a Roselle IL 60172 Ph: (630) 893-8300 |
| NPI Number | 1174590624 |
|---|---|
| Provider Enumeration Date | 03/03/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174590624 | NPI | - | NPPES |
| 210043 | Other | WPS GROUP # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 207RG0300X | Internal Medicine - Geriatric Medicine | (* (Not Available)) | Primary |
Advanced Health Solutions Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 468 Lake St, Roselle, IL 60172 Phone: 847-466-5009 Fax: 847-466-5407 |