Dr Arpana Broor Mathur, MD | |
698 Featherstone Rd, Suite 250, Rockford, IL 61107-6303 | |
(815) 399-4404 | |
(815) 484-7091 |
Full Name | Dr Arpana Broor Mathur |
---|---|
Gender | Female |
Speciality | Family Medicine |
Location | 698 Featherstone Rd, Rockford, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1023090560 | NPI | - | NPPES |
336074258 | Other | IL | IL STATE CTL SUBS LICENSE |
553180 | Other | IL | MEDICARE GROUP PTAN |
834370 | Other | IL | MEDICARE GROUP |
036113594 | Other | IL | IL STATE LICENSE |
036113594 | Medicaid | IL | |
0-551-903-8 | Other | IL | ECFMG NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 036113594 (Illinois) | Primary |
Entity Name | Edward Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013969013 PECOS PAC ID: 0042108110 Enrollment ID: O20040309001279 |
Mailing Address | Practice Location Address |
---|---|
Dr Arpana Broor Mathur, MD 698 Featherstone Rd, Suite 250, Rockford, IL 61107-6303 Ph: (815) 399-4404 | Dr Arpana Broor Mathur, MD 698 Featherstone Rd, Suite 250, Rockford, IL 61107-6303 Ph: (815) 399-4404 |
Srivani Sridhar, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3505 N. Bell School Rd., Rockford, IL 61114 Phone: 779-696-0300 | |
Dr. John Wall, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1200 W State St, Rockford, IL 61102 Phone: 815-490-1600 | |
Dr. Steven J Lidvall, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1215 N Alpine Rd, Rockford, IL 61107 Phone: 815-391-7807 | |
Ms. Rachael Mcpeek, NP Family Medicine Medicare: Medicare Enrolled Practice Location: 1215 N Alpine Rd, Rockford, IL 61107 Phone: 815-490-1600 | |
Dr. Jithinraj Edakkanambeth Varayil, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1200 W State St, Rockford, IL 61102 Phone: 815-490-1600 Fax: 815-490-1881 | |
Dr. Raju M Shanmugam, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3401 N Perryville Rd, Rockford, IL 61114 Phone: 815-971-2000 Fax: 815-971-2000 |