| Ssd Medical Group Inc | |
|
12151 Regency Pkwy Ste 12165 Huntley IL 60142-7644 | |
| (847) 230-9808 | |
| (847) 984-1915 |
| Full Name | Ssd Medical Group Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 12151 Regency Pkwy Ste 12165, Huntley, Illinois |
| Authorized Official Name and Position | Shazia Daudi (PRESIDENT) |
| Authorized Official Contact | 8472309808 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ssd Medical Group Inc 12151 Regency Pkwy Ste 12165 Huntley IL 60142-7644 Ph: (847) 230-9808 | Ssd Medical Group Inc 12151 Regency Pkwy Ste 12165 Huntley IL 60142-7644 Ph: (847) 230-9808 |
| NPI Number | 1932635083 |
|---|---|
| Provider Enumeration Date | 05/11/2017 |
| Last Update Date | 02/17/2026 |
| Medicare PECOS PAC ID | 9032487244 |
|---|---|
| Medicare Enrollment ID | O20170612002768 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932635083 | NPI | - | NPPES |
| 036111912 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 302F00000X | Exclusive Provider Organization | 336072732 (Illinois) | Secondary |
| Provider Name | Shazia Shahzad Daudi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235137928 PECOS PAC ID: 0749259083 Enrollment ID: I20041001001006 |
| Provider Name | Adeola Oladipo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942698980 PECOS PAC ID: 5395061998 Enrollment ID: I20150225001773 |
| Provider Name | Sangita C Patel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043810211 PECOS PAC ID: 0244647675 Enrollment ID: I20210330002635 |
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