NPI 1295522688

Avid Primary Care LLC

Organisation Geriatric Medicine (Family Medicine) Physician Hazel Crest, IL

Practice location

Address: 17465 Kedzie Ave, Hazel Crest, IL 60429-1632
Phone: (708) 887-7329
Fax: (708) 907-0771

Authorised official

Name: Ashraf Anani
Title: Authorized Official
Phone: (708) 887-7329

Registered specialties

Geriatric Medicine (Family Medicine) Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207QG0300X

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Registry record

NPI: 1295522688
Entity type: Organization
NPI issued: 21 Apr 2025
Record last updated: 2 Jul 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.