| Ss Medical Services Professional Corporation | |
|
4121 Fairview Ave Ste L2 Downers Grove IL 60515-2275 | |
| (630) 968-1700 | |
| (630) 968-7103 |
| Full Name | Ss Medical Services Professional Corporation |
|---|---|
| Speciality | Family Medicine |
| Location | 4121 Fairview Ave Ste L2, Downers Grove, Illinois |
| Authorized Official Name and Position | Sitara B Sharif (PHYSICIAN) |
| Authorized Official Contact | 6309681700 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ss Medical Services Professional Corporation 4121 Fairview Ave Ste L2 Downers Grove IL 60515-2275 Ph: (630) 968-1700 | Ss Medical Services Professional Corporation 4121 Fairview Ave Ste L2 Downers Grove IL 60515-2275 Ph: (630) 968-1700 |
| NPI Number | 1831238120 |
|---|---|
| Provider Enumeration Date | 02/05/2007 |
| Last Update Date | 11/21/2007 |
| Medicare PECOS PAC ID | 8921097122 |
|---|---|
| Medicare Enrollment ID | O20040512000081 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831238120 | NPI | - | NPPES |
| 02228283 | Other | IL | BCBS OF IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (Illinois) | Primary |
| Provider Name | Sitara B Sharif |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477590735 PECOS PAC ID: 0042103376 Enrollment ID: I20040202001179 |
| Provider Name | Ahmed U Sharif |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780034926 PECOS PAC ID: 3173816550 Enrollment ID: I20191030000349 |
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