Full Name | |
---|---|
Speciality | Clinic/center - Health Service |
Location | 4000 Ogden Ave, Aurora, Illinois |
Authorized Official Name and Position | Raad Yaldo (PRESIDENT) |
Authorized Official Contact | 9723648000 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
5080 Spectrum Drive Suite 1200 West Addison TX 75001-4624 Ph: (972) 364-8000 | 4000 Ogden Ave Aurora IL 60504 Ph: (630) 820-8963 |
NPI Number | 1194004390 |
---|---|
Provider Enumeration Date | 08/05/2011 |
Last Update Date | 06/20/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1194004390 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
261QH0100X | Clinic/center - Health Service | (* (Not Available)) | Primary |
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