| Alliance Internal Medicine, S.c. | |
|
370 Larry Power Rd Suite 2 Bourbonnais IL 60914 | |
| (815) 523-2070 | |
| (815) 523-7022 |
| Full Name | Alliance Internal Medicine, S.c. |
|---|---|
| Speciality | Internal Medicine |
| Location | 370 Larry Power Rd, Bourbonnais, Illinois |
| Authorized Official Name and Position | Saw M Oo (PRESIDENT) |
| Authorized Official Contact | 8155232070 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Alliance Internal Medicine, S.c. 370 Larry Power Rd Suite 2 Bourbonnais IL 60914-5193 Ph: (815) 523-7020 | Alliance Internal Medicine, S.c. 370 Larry Power Rd Suite 2 Bourbonnais IL 60914 Ph: (815) 523-2070 |
| NPI Number | 1710120696 |
|---|---|
| Provider Enumeration Date | 04/08/2009 |
| Last Update Date | 05/03/2010 |
| Medicare PECOS PAC ID | 2668526047 |
|---|---|
| Medicare Enrollment ID | O20090819000671 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710120696 | NPI | - | NPPES |
| 036108040 | Other | IL | SAW OO, M.D. |
| 036090542 | Other | IL | JOEL VILLEGAS, M.D |
| 036090440 | Other | IL | DR. CHANDAN D.O. |
| Provider Name | Saw M Oo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093813156 PECOS PAC ID: 0648171108 Enrollment ID: I20040116000838 |
| Provider Name | Joel P Villegas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518063205 PECOS PAC ID: 4183778566 Enrollment ID: I20090827000671 |
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