| Primary Care Services | |
|
2500 S Highland Ave Suite 230 Lombard IL 60148-5363 | |
| (630) 429-9000 | |
| (630) 429-9060 |
| Full Name | Primary Care Services |
|---|---|
| Speciality | Internal Medicine |
| Location | 2500 S Highland Ave, Lombard, Illinois |
| Authorized Official Name and Position | Iram Aleem Ahmed (PHYSICIAN) |
| Authorized Official Contact | 6304299000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Primary Care Services 2500 S Highland Ave Suite #: 230 Lombard IL 60148-5363 Ph: (630) 429-9000 | Primary Care Services 2500 S Highland Ave Suite 230 Lombard IL 60148-5363 Ph: (630) 429-9000 |
| NPI Number | 1235461765 |
|---|---|
| Provider Enumeration Date | 02/09/2010 |
| Last Update Date | 03/01/2016 |
| Medicare PECOS PAC ID | 3870623101 |
|---|---|
| Medicare Enrollment ID | O20100614000473 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235461765 | NPI | - | NPPES |
| 036117593 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 036117593 (Illinois) | Primary |
| Provider Name | Tahir Mahmood |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598849895 PECOS PAC ID: 1658475546 Enrollment ID: I20070403000076 |
| Provider Name | Iram Aleem Ahmed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639383631 PECOS PAC ID: 6507940962 Enrollment ID: I20080222000508 |
| Provider Name | Wasay A Humayun |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1013154327 PECOS PAC ID: 5193996528 Enrollment ID: I20161223000142 |
| Provider Name | Hiralben Gandhi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710423710 PECOS PAC ID: 1658654579 Enrollment ID: I20170220000498 |
| Provider Name | Giedre Pritchard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932751963 PECOS PAC ID: 1850627761 Enrollment ID: I20190731000679 |
| Provider Name | Tejal Patel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306479449 PECOS PAC ID: 0749600773 Enrollment ID: I20201013002866 |
| Provider Name | Sarangi R. Patel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801401088 PECOS PAC ID: 6204244825 Enrollment ID: I20210421000360 |
| Provider Name | Hiral Hiren Patel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619553856 PECOS PAC ID: 4789083999 Enrollment ID: I20210520000724 |
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