| Precision Immediate Care And Medical Center, Llc | |
|
3520 W North Ave Stone Park IL 60165-1042 | |
| (708) 356-6341 | |
| Not Available |
| Full Name | Precision Immediate Care And Medical Center, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 3520 W North Ave, Stone Park, Illinois |
| Authorized Official Name and Position | Kalid Adab (PARTNER) |
| Authorized Official Contact | 7083566341 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Precision Immediate Care And Medical Center, Llc 3520 W North Ave Stone Park IL 60165-1042 Ph: () - | Precision Immediate Care And Medical Center, Llc 3520 W North Ave Stone Park IL 60165-1042 Ph: (708) 356-6341 |
| NPI Number | 1689299257 |
|---|---|
| Provider Enumeration Date | 06/10/2020 |
| Last Update Date | 12/07/2023 |
| Medicare PECOS PAC ID | 5991120198 |
|---|---|
| Medicare Enrollment ID | O20200805001647 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689299257 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | Kalid Adab |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346473345 PECOS PAC ID: 7517114390 Enrollment ID: I20131031001059 |
| Provider Name | Samir Naser Shahen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558773663 PECOS PAC ID: 4880992775 Enrollment ID: I20170706001575 |
| Provider Name | Trupti Patel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245824473 PECOS PAC ID: 4880094788 Enrollment ID: I20210615001450 |
| Provider Name | Grace Catalina Cabanillas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578227872 PECOS PAC ID: 6800251901 Enrollment ID: I20230425000589 |