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 |
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Provider Enumeration Date | 07/28/2023 |
Last Update Date | 07/28/2023 |
Certification Date | 07/28/2023 |
Medicare PECOS PAC ID | 1557714839 |
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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 |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1669697934 PECOS PAC ID: 0749401602 Enrollment ID: I20141020000657 |
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