| Northwestern Medical Associates,s.c. | |
|
5446 Kirk St Morton Grove IL 60053-3611 | |
| (312) 201-0536 | |
| (312) 201-0538 |
| Full Name | Northwestern Medical Associates,s.c. |
|---|---|
| Speciality | Internal Medicine |
| Location | 5446 Kirk St, Morton Grove, Illinois |
| Authorized Official Name and Position | Roop R Gupta (PRESIDENT) |
| Authorized Official Contact | 3122010536 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Northwestern Medical Associates,s.c. 5446 Kirk St Morton Grove IL 60053-3611 Ph: (312) 201-0536 | Northwestern Medical Associates,s.c. 5446 Kirk St Morton Grove IL 60053-3611 Ph: (312) 201-0536 |
| NPI Number | 1205091238 |
|---|---|
| Provider Enumeration Date | 07/18/2008 |
| Last Update Date | 07/18/2008 |
| Medicare PECOS PAC ID | 2961546619 |
|---|---|
| Medicare Enrollment ID | O20100218000157 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205091238 | NPI | - | NPPES |
| 3160263476 | Other | IL | BCBSIL |
| 03606924501 | Medicaid | IL | |
| 1184600991 | Other | IL | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | 036069245 (Illinois) | Primary |
| Provider Name | Roop R Gupta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184600991 PECOS PAC ID: 4789665936 Enrollment ID: I20040525001131 |
Akg Medical Service Corporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8344 Concord Dr, Morton Grove, IL 60053 Phone: 773-281-8855 Fax: 773-281-5867 | |
Northwest Morton Grove Sc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6841 Dempster St, Morton Grove, IL 60053 Phone: 224-233-0299 Fax: 224-233-0288 | |
Concourse Medical Associates, Ltd Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5410 Warren St, Morton Grove, IL 60053 Phone: 847-583-0939 Fax: 847-583-0945 | |
D And A Family Care Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 7919 Golf Rd, Morton Grove, IL 60053 Phone: 224-203-5574 Fax: 224-204-2391 | |
Concentra Urgent Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8125 River Drive, Suite 102, Morton Grove, IL 60053 Phone: 847-470-1720 Fax: 847-470-1723 | |
Dima Hanna Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6605 Maple St, Morton Grove, IL 60053 Phone: 847-778-6572 |