| Southside Primary Care Group Sc | |
|
7531 S Stony Island Ave Suite 164 Chicago IL 60649-3954 | |
| (773) 947-2831 | |
| Not Available |
| Full Name | Southside Primary Care Group Sc |
|---|---|
| Speciality | Internal Medicine |
| Location | 7531 S Stony Island Ave, Chicago, Illinois |
| Authorized Official Name and Position | Syed Najeeb (M.D.) |
| Authorized Official Contact | 7739472831 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Southside Primary Care Group Sc 1720 S Michigan Ave Apt 2909 Chicago IL 60616-4861 Ph: (773) 947-2831 | Southside Primary Care Group Sc 7531 S Stony Island Ave Suite 164 Chicago IL 60649-3954 Ph: (773) 947-2831 |
| NPI Number | 1417403072 |
|---|---|
| Provider Enumeration Date | 09/01/2016 |
| Last Update Date | 02/07/2024 |
| Medicare PECOS PAC ID | 4587952650 |
|---|---|
| Medicare Enrollment ID | O20161006000067 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417403072 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 036111469 (Illinois) | Secondary |
| 207R00000X | Internal Medicine | 036111469 (Illinois) | Primary |
| Provider Name | Syed Najeeb |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134275928 PECOS PAC ID: 6305884339 Enrollment ID: I20050420001036 |
| Provider Name | Anthony Oyetola |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922472968 PECOS PAC ID: 3678861481 Enrollment ID: I20161011002234 |
| Provider Name | Biaisha Y Washington |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437687464 PECOS PAC ID: 3476986985 Enrollment ID: I20191213000505 |
| Provider Name | Marquita Denise Porche |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326723578 PECOS PAC ID: 3274994215 Enrollment ID: I20230807002514 |
| Provider Name | Cynthia Mitchell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467230904 PECOS PAC ID: 7618328071 Enrollment ID: I20240110001349 |
Pilsen Pediatrics Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1952 W Cermak Rd, Chicago, IL 60608 Phone: 773-254-6611 Fax: 773-254-8590 | |
A Kavaliunas Md Sc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5540 S Pulaski Rd, Chicago, IL 60629 Phone: 773-585-2802 | |
Doc Cam Medical Center Sc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2315 E 93rd St Ste 337, Chicago, IL 60617 Phone: 773-731-2700 Fax: 773-373-1868 | |
Excellent Eye Care Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5352 N Milwaukee Ave, Chicago, IL 60630 Phone: 773-777-7444 Fax: 773-775-4030 | |
Pediatric General Care & Research Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4527 N Pulaski Rd, Chicago, IL 60630 Phone: 773-267-7060 Fax: 773-267-4752 | |
Urban Family Health Center Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10830 S Halsted St, Chicago, IL 60628 Phone: 773-264-1400 Fax: 773-264-1401 | |
Inner-city Muslim Action Network Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2744 W 63rd St, Chicago, IL 60629 Phone: 773-434-4626 Fax: 773-776-3623 |