| North Ave Immediate Care | |
|
350 W North Ave Addison IL 60101-4911 | |
| (773) 744-7864 | |
| Not Available |
| Full Name | North Ave Immediate Care |
|---|---|
| Speciality | Family Medicine |
| Location | 350 W North Ave, Addison, Illinois |
| Authorized Official Name and Position | Mirza Baig (PRESIDENT) |
| Authorized Official Contact | 7737447864 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| North Ave Immediate Care 350 W North Ave Addison IL 60101-4911 Ph: (773) 744-7864 | North Ave Immediate Care 350 W North Ave Addison IL 60101-4911 Ph: (773) 744-7864 |
| NPI Number | 1982306742 |
|---|---|
| Provider Enumeration Date | 03/17/2023 |
| Last Update Date | 04/12/2023 |
| Certification Date | 04/12/2023 |
| Medicare PECOS PAC ID | 8729435052 |
|---|---|
| Medicare Enrollment ID | O20231108002476 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982306742 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
| Provider Name | Mirza a Baig |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679868707 PECOS PAC ID: 9335376409 Enrollment ID: I20131217000319 |
| Provider Name | Ana K Gilman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093331837 PECOS PAC ID: 3173919503 Enrollment ID: I20220411002012 |
| Provider Name | Raia Dexter |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1770442659 PECOS PAC ID: 4789167859 Enrollment ID: I20260317001815 |
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