| Vital Medical Associates Pc | |
|
701 Lee St Ste 150 Des Plaines IL 60016-4554 | |
| (224) 985-1214 | |
| (224) 285-1214 |
| Full Name | Vital Medical Associates Pc |
|---|---|
| Speciality | Clinic/Center |
| Location | 701 Lee St Ste 150, Des Plaines, Illinois |
| Authorized Official Name and Position | Ahsin Shamsi (ADMIN) |
| Authorized Official Contact | 2249851214 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Vital Medical Associates Pc 701 Lee St # S150 Des Plaines IL 60016-4539 Ph: (224) 985-1214 | Vital Medical Associates Pc 701 Lee St Ste 150 Des Plaines IL 60016-4554 Ph: (224) 985-1214 |
| NPI Number | 1154186203 |
|---|---|
| Provider Enumeration Date | 02/19/2024 |
| Last Update Date | 03/17/2026 |
| Medicare PECOS PAC ID | 4284170440 |
|---|---|
| Medicare Enrollment ID | O20240724000331 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154186203 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| 261QU0200X | Clinic/center - Urgent Care | (* (Not Available)) | Secondary |
| Provider Name | Mohammad A Toor |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841289691 PECOS PAC ID: 2264426212 Enrollment ID: I20050628000341 |
| Provider Name | Sundar Sivaprakasam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720063530 PECOS PAC ID: 4587673132 Enrollment ID: I20060412000107 |
| Provider Name | Syed Najeemuddin |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1376110932 PECOS PAC ID: 1456746742 Enrollment ID: I20240102001462 |
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