| Suhail Health Care Inc | |
|
3330 W 177th St Hazel Crest IL 60429-2184 | |
| (630) 699-1553 | |
| Not Available |
| Full Name | Suhail Health Care Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 3330 W 177th St, Hazel Crest, Illinois |
| Authorized Official Name and Position | Moiz A Suhail (PRESIDENT) |
| Authorized Official Contact | 6306991553 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Suhail Health Care Inc 2309 Green Valley Rd Darien IL 60561-4369 Ph: (630) 699-1553 | Suhail Health Care Inc 3330 W 177th St Hazel Crest IL 60429-2184 Ph: (630) 699-1553 |
| NPI Number | 1700554599 |
|---|---|
| Provider Enumeration Date | 09/05/2021 |
| Last Update Date | 09/27/2021 |
| Medicare PECOS PAC ID | 7911395967 |
|---|---|
| Medicare Enrollment ID | O20211026000053 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700554599 | NPI | - | NPPES |
| 036.155890 | Other | IL | ILLINOIS PHYSICIAN LICENSE NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Moiz Suhail |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255825543 PECOS PAC ID: 9436493541 Enrollment ID: I20211026000076 |
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