| Thinfast MD Naperville | |
|
1560 Wall St Ste 128 Naperville IL 60563-1300 | |
| (630) 219-2002 | |
| Not Available |
| Full Name | Thinfast MD Naperville |
|---|---|
| Speciality | Family Medicine - Obesity Medicine |
| Location | 1560 Wall St Ste 128, Naperville, Illinois |
| Authorized Official Name and Position | Jameel Ahamed (BILLER) |
| Authorized Official Contact | 8472270293 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Thinfast MD Naperville 1560 Wall St Ste 128 Naperville IL 60563-1123 Ph: (630) 219-2002 | Thinfast MD Naperville 1560 Wall St Ste 128 Naperville IL 60563-1300 Ph: (630) 219-2002 |
| NPI Number | 1750647855 |
|---|---|
| Provider Enumeration Date | 04/03/2012 |
| Last Update Date | 06/05/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750647855 | NPI | - | NPPES |
| 036-126253 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QB0002X | Family Medicine - Obesity Medicine | 209007392 (Illinois) | Primary |
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