| Sameh Nabelsi MD SC | |
|
19624 Governors Hwy Suite 9 Flossmoor IL 60422-2077 | |
| (708) 647-9800 | |
| Not Available |
| Full Name | Sameh Nabelsi MD SC |
|---|---|
| Speciality | Internal Medicine |
| Location | 19624 Governors Hwy, Flossmoor, Illinois |
| Authorized Official Name and Position | Sameh Nabelsi (PRESIDENT) |
| Authorized Official Contact | 6307766329 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sameh Nabelsi MD SC Department 5941 Carol Stream IL 60122-5942 | Sameh Nabelsi MD SC 19624 Governors Hwy Suite 9 Flossmoor IL 60422-2077 Ph: (708) 647-9800 |
| NPI Number | 1558698035 |
|---|---|
| Provider Enumeration Date | 11/04/2009 |
| Last Update Date | 12/29/2020 |
| Certification Date | 12/29/2020 |
| Medicare PECOS PAC ID | 1153464649 |
|---|---|
| Medicare Enrollment ID | O20100205000402 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558698035 | NPI | - | NPPES |
| DP9046 | Other | IL | RAILROAD MEDICARE |
| 1600746 | Other | IL | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 036122835 (Illinois) | Primary |
| Provider Name | Sameh Nabelsi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518923515 PECOS PAC ID: 1951464387 Enrollment ID: I20090612000313 |
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