| Advanced Center For Internal Medicine, S.c. | |
|
2172 Blackberry Dr Ste 101 Geneva IL 60134-1103 | |
| (630) 262-0888 | |
| (630) 262-0999 |
| Full Name | Advanced Center For Internal Medicine, S.c. |
|---|---|
| Speciality | Internal Medicine |
| Location | 2172 Blackberry Dr Ste 101, Geneva, Illinois |
| Authorized Official Name and Position | Nirali Patel (PRESIDENT) |
| Authorized Official Contact | 6302620888 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Center For Internal Medicine, S.c. 302 Randall Rd Suite 208 Geneva IL 60134-4209 Ph: (630) 262-0888 | Advanced Center For Internal Medicine, S.c. 2172 Blackberry Dr Ste 101 Geneva IL 60134-1103 Ph: (630) 262-0888 |
| NPI Number | 1386804763 |
|---|---|
| Provider Enumeration Date | 06/10/2008 |
| Last Update Date | 01/03/2022 |
| Medicare PECOS PAC ID | 3870665151 |
|---|---|
| Medicare Enrollment ID | O20080701000477 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386804763 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 036116887 (Illinois) | Primary |
| Provider Name | Nirali Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720115041 PECOS PAC ID: 2264504547 Enrollment ID: I20080701000467 |
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