| Swan Primary Care PLLC | |
|
303 E Army Trail Rd Ste 111 Bloomingdale IL 60108-2140 | |
| (630) 931-2929 | |
| (833) 731-0578 |
| Full Name | Swan Primary Care PLLC |
|---|---|
| Speciality | Internal Medicine |
| Location | 303 E Army Trail Rd Ste 111, Bloomingdale, Illinois |
| Authorized Official Name and Position | Sunnan Moinuddin (OWNER) |
| Authorized Official Contact | 6304560307 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Swan Primary Care PLLC 303 E Army Trail Rd Ste 111 Bloomingdale IL 60108-2140 Ph: (630) 931-2929 | Swan Primary Care PLLC 303 E Army Trail Rd Ste 111 Bloomingdale IL 60108-2140 Ph: (630) 931-2929 |
| NPI Number | 1376137083 |
|---|---|
| Provider Enumeration Date | 02/23/2021 |
| Last Update Date | 01/23/2024 |
| Certification Date | 01/23/2024 |
| Medicare PECOS PAC ID | 1951717016 |
|---|---|
| Medicare Enrollment ID | O20210316000294 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376137083 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (NU) | Primary |
| Provider Name | Rohini Attavane |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447771860 PECOS PAC ID: 4688932346 Enrollment ID: I20171229001993 |
| Provider Name | Peter R Kuta |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508382375 PECOS PAC ID: 6709145139 Enrollment ID: I20180110003257 |
| Provider Name | Sunnan Moinuddin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497140727 PECOS PAC ID: 0143524199 Enrollment ID: I20180828003683 |
| Provider Name | Wahaj Ahmed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750834628 PECOS PAC ID: 7517211048 Enrollment ID: I20190404000324 |
| Provider Name | Lisa Vasquez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336793298 PECOS PAC ID: 7719311620 Enrollment ID: I20200102000139 |
| Provider Name | Patricia Ludwikowska |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699319723 PECOS PAC ID: 9335574334 Enrollment ID: I20200122001146 |
| Provider Name | Rose M Hernandez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699337329 PECOS PAC ID: 1951738475 Enrollment ID: I20200224000425 |
| Provider Name | Kristine L Bautista |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689220261 PECOS PAC ID: 2860811247 Enrollment ID: I20201005000907 |
| Provider Name | Margaret Kuria |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467084095 PECOS PAC ID: 1850706763 Enrollment ID: I20210225003341 |
| Provider Name | Margeret Kiggundu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265042402 PECOS PAC ID: 0345656203 Enrollment ID: I20210302000420 |
| Provider Name | Moiz Suhail |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255825543 PECOS PAC ID: 9436493541 Enrollment ID: I20211026000076 |
| Provider Name | Rashidah Sembatya |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376297093 PECOS PAC ID: 1759777964 Enrollment ID: I20220414001825 |
| Provider Name | Annmary Kachappilly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477294809 PECOS PAC ID: 7618354804 Enrollment ID: I20220509001315 |
| Provider Name | Abdullah Zeeshan Farooqui |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629647169 PECOS PAC ID: 0547603136 Enrollment ID: I20240212000485 |
| Provider Name | Mir Mannan Ali Hashmi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1205405503 PECOS PAC ID: 8325583487 Enrollment ID: I20240712001762 |
| Provider Name | Sakeenah G Latifi |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1558950600 PECOS PAC ID: 1759897069 Enrollment ID: I20250723001671 |
| Provider Name | Nadia Rahman |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1922969435 PECOS PAC ID: 6204313950 Enrollment ID: I20260123001303 |
| Provider Name | Aaron Jake Go |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427910678 PECOS PAC ID: 0143709394 Enrollment ID: I20260209000012 |
| Provider Name | Afshan Ahsan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326908559 PECOS PAC ID: 3971075722 Enrollment ID: I20260612002292 |
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