| Personal Physicians West | |
|
235 Remington Blvd Suite E Bolingbrook IL 60440-5826 | |
| (630) 771-1201 | |
| (630) 771-1203 |
| Full Name | Personal Physicians West |
|---|---|
| Speciality | Internal Medicine |
| Location | 235 Remington Blvd, Bolingbrook, Illinois |
| Authorized Official Name and Position | Erin Mcclement (PRACTICE MANAGER) |
| Authorized Official Contact | 7086522040 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Personal Physicians West 5909 W 35th St Cicero IL 60804-4163 Ph: (708) 652-2040 | Personal Physicians West 235 Remington Blvd Suite E Bolingbrook IL 60440-5826 Ph: (630) 771-1201 |
| NPI Number | 1205082443 |
|---|---|
| Provider Enumeration Date | 08/07/2008 |
| Last Update Date | 03/05/2010 |
| Medicare PECOS PAC ID | 9234169244 |
|---|---|
| Medicare Enrollment ID | O20050819000117 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205082443 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 036098420 (Illinois) | Primary |
| Provider Name | Manish Desai |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1881699080 PECOS PAC ID: 1355350612 Enrollment ID: I20060413000498 |
| Provider Name | Shishir Jain |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811085822 PECOS PAC ID: 9335158690 Enrollment ID: I20060413000515 |
| Provider Name | Sheeja Jain |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285722207 PECOS PAC ID: 6103835343 Enrollment ID: I20060417000160 |
| Provider Name | Mukundini B Mehta |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1154303584 PECOS PAC ID: 9931396355 Enrollment ID: I20101211000050 |
| Provider Name | Norma C Kimmig |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477994523 PECOS PAC ID: 7517235963 Enrollment ID: I20170608000556 |
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Presence Healthcare Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1000 Remington Blvd Ste 100, Bolingbrook, IL 60440 Phone: 630-914-2468 | |
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