| Sahara Pediatrics Services Inc | |
|
2054 W Devon Ave Chicago IL 60659-2128 | |
| (773) 973-2400 | |
| (773) 973-2480 |
| Full Name | Sahara Pediatrics Services Inc |
|---|---|
| Speciality | Pediatrics |
| Location | 2054 W Devon Ave, Chicago, Illinois |
| Authorized Official Name and Position | Waheeda Iqbal (PRESIDENT) |
| Authorized Official Contact | 7739732400 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sahara Pediatrics Services Inc 2054 W Devon Ave Chicago IL 60659-2128 Ph: (773) 973-2400 | Sahara Pediatrics Services Inc 2054 W Devon Ave Chicago IL 60659-2128 Ph: (773) 973-2400 |
| NPI Number | 1336279025 |
|---|---|
| Provider Enumeration Date | 03/06/2007 |
| Last Update Date | 08/22/2024 |
| Medicare PECOS PAC ID | 3779710736 |
|---|---|
| Medicare Enrollment ID | O20131218001625 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336279025 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| 208000000X | Pediatrics | 036074014 (Illinois) | Primary |
| Provider Name | Waheeda Iqbal |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1093822298 PECOS PAC ID: 1850528811 Enrollment ID: I20131219000322 |
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