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152 N Addison Ave Suite 202 Elmhurst IL 60126-2821 | |
| (847) 428-2273 | |
| (847) 428-3128 |
| Full Name | |
|---|---|
| Speciality | Internal Medicine |
| Location | 152 N Addison Ave, Elmhurst, Illinois |
| Authorized Official Name and Position | Aaron Bush (HEALTHCARE ADMINISTRATOR) |
| Authorized Official Contact | 8474282273 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
650 Spring Hill Ring Rd Suite 2000 West Dundee IL 60118-1296 Ph: (847) 428-2273 | 152 N Addison Ave Suite 202 Elmhurst IL 60126-2821 Ph: (847) 428-2273 |
| NPI Number | 1417249145 |
|---|---|
| Provider Enumeration Date | 05/13/2011 |
| Last Update Date | 05/13/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417249145 | NPI | - | NPPES |
| 036110141 | Medicaid | IL | |
| 036047835 | Medicaid | IL |
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