| Aurora Internal Medicine, Ltd. | |
|
23 S Lincolnway North Aurora IL 60542-1645 | |
| (630) 264-8000 | |
| (630) 264-9470 |
| Full Name | Aurora Internal Medicine, Ltd. |
|---|---|
| Speciality | Internal Medicine |
| Location | 23 S Lincolnway, North Aurora, Illinois |
| Authorized Official Name and Position | Ted Joseph Kulczycki (PRESIDENT) |
| Authorized Official Contact | 6302648000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Aurora Internal Medicine, Ltd. 23 S Lincolnway North Aurora IL 60542-1645 Ph: (630) 264-8000 | Aurora Internal Medicine, Ltd. 23 S Lincolnway North Aurora IL 60542-1645 Ph: (630) 264-8000 |
| NPI Number | 1235181488 |
|---|---|
| Provider Enumeration Date | 05/16/2006 |
| Last Update Date | 02/03/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235181488 | NPI | - | NPPES |
| 036086232 | Medicaid | IL | |
| 04521997 | Other | IL | BLUE CROSS BLUE SHIELD |
| 1558311738 | Other | IL | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 036086232 (Illinois) | Primary |
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