OrganizationActive
Avid Primary Care LLC
NPI 1295522688 · Geriatric Medicine (Family Medicine) Physician · Hazel Crest, IL
Provider details
- NPI number
- 1295522688
- Entity type
- Organization
- Primary specialty
- Geriatric Medicine (Family Medicine) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Ashraf Anani, Authorized Official(708) 887-7329
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
17465 Kedzie Ave
Hazel Crest, IL 60429-1632
Phone: (708) 887-7329
Fax: (708) 786-0066
Approximate (ZIP-level) locationGet directions
Mailing address
17465 Kedzie Ave
Hazel Crest, IL 60429-1632
Registry dates
- Enumerated
- 2025-04-21
- Last updated
- 2026-05-22
- Certified
- 2026-05-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.