DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: IBADETE SULEJMANI PA

MEDICARE:   IBADETE  SULEJMANI  PA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician Assistant085.006239IL

General Provider Information

NPI Number : 1386914075
Entity Type Code : Individual
Provider Name (Legal Business Name) : IBADETE SULEJMANI PA
Provider Business Mailing Address
First Line : 676 N SAINT CLAIR ST
Second Line : SUITE 1900
City : CHICAGO
State : IL
Zip : 60611-4395
Country : US
Telephone Number : 347-524-7329
Fax Number :
Provider Business Practice Location Address
First Line : 676 N SAINT CLAIR ST STE 1900
Second Line :
City : CHICAGO
State : IL
Zip : 60611-2986
Country : US
Telephone Number : 312-695-0151
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/11/2012
Last Update Date : 08/17/2017

Similar Medicare Providers

1588844070 — AMISHI S. DESAI D.O.
Practice Location Address:
676 N SAINT CLAIR ST STE 1900
CHICAGO, IL
60611-2986
Practice Phone: 312-695-8900
Practice Fax: 312-926-5489
1487688131 — DR. MOHAMMED JAVEED I ANSARI M.D.
Practice Location Address:
676 N SAINT CLAIR ST STE 1900
CHICAGO, IL
60611-2986
Practice Phone: 312-695-8900
Practice Fax: 312-926-5489
1881771731 — BING HO MD
Practice Location Address:
676 N SAINT CLAIR ST STE 1900
CHICAGO, IL
60611-2986
Practice Phone: 312-695-8900
Practice Fax:
1235251620 — BRIAN MOYER PA-C
Practice Location Address:
676 N SAINT CLAIR ST STE 1900
CHICAGO, IL
60611-2986
Practice Phone: 312-695-8900
Practice Fax:
1710211503 — DANIEL BORJA CACHO MD
Practice Location Address:
676 N SAINT CLAIR ST STE 1900
CHICAGO, IL
60611-2986
Practice Phone: 312-695-8900
Practice Fax: 312-695-9194
1104200625 — ALYSSA BRIE KETCHUM PA-C
Practice Location Address:
676 N SAINT CLAIR ST STE 1900
CHICAGO, IL
60611-2986
Practice Phone: 312-926-5354
Practice Fax:

Directions to “ IBADETE SULEJMANI PA” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.