| Santa Maria Health | |
|
314 E Downer Pl Aurora IL 60505-3404 | |
| (630) 346-3995 | |
| (630) 884-3800 |
| Full Name | Santa Maria Health |
|---|---|
| Speciality | Clinic/Center |
| Location | 314 E Downer Pl, Aurora, Illinois |
| Authorized Official Name and Position | Maricela Perez (PRACTICE OWNER) |
| Authorized Official Contact | 6303635117 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Santa Maria Health 317 Le Grande Blvd Aurora IL 60506-4847 Ph: (630) 346-3995 | Santa Maria Health 314 E Downer Pl Aurora IL 60505-3404 Ph: (630) 346-3995 |
| NPI Number | 1518648831 |
|---|---|
| Provider Enumeration Date | 07/28/2023 |
| Last Update Date | 07/28/2023 |
| Certification Date | 07/28/2023 |
| Medicare PECOS PAC ID | 1557714839 |
|---|---|
| Medicare Enrollment ID | O20240202001780 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518648831 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| Provider Name | Maricela Perez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669697934 PECOS PAC ID: 0749401602 Enrollment ID: I20141020000657 |
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