| Academic Endocrine Metabolism & Nutrition | |
|
120 Spalding Dr Suite 401 Naperville IL 60540-6508 | |
| (630) 416-4501 | |
| (630) 416-4504 |
| Full Name | Academic Endocrine Metabolism & Nutrition |
|---|---|
| Speciality | Internal Medicine - Endocrinology, Diabetes & Metabolism |
| Location | 120 Spalding Dr, Naperville, Illinois |
| Authorized Official Name and Position | Daesman Suri (ENDOCRINOLOGIST) |
| Authorized Official Contact | 6304164501 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Academic Endocrine Metabolism & Nutrition 120 Spalding Dr Suite 401 Naperville IL 60540-6508 Ph: (630) 416-4501 | Academic Endocrine Metabolism & Nutrition 120 Spalding Dr Suite 401 Naperville IL 60540-6508 Ph: (630) 416-4501 |
| NPI Number | 1912963919 |
|---|---|
| Provider Enumeration Date | 04/26/2006 |
| Last Update Date | 03/07/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912963919 | NPI | - | NPPES |
| 336075844 | Other | IL | CS LICENSE # |
| 036108885 | Other | IL | ILLINOIS PROFESSIONAL LIC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | 042617401 (Illinois) | Primary |
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