Aurora Medical Center | |
302 E New York St Aurora IL 60505-3424 | |
(630) 844-0080 | |
Not Available |
Full Name | Aurora Medical Center |
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Speciality | Internal Medicine |
Location | 302 E New York St, Aurora, Illinois |
Authorized Official Name and Position | Akil Moinuddin (PRESIDENT) |
Authorized Official Contact | 6308440080 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Aurora Medical Center 302 E New York St Aurora IL 60505-3424 Ph: (630) 844-0080 | Aurora Medical Center 302 E New York St Aurora IL 60505-3424 Ph: (630) 844-0080 |
NPI Number | 1083734198 |
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Provider Enumeration Date | 03/30/2007 |
Last Update Date | 02/05/2014 |
Medicare PECOS PAC ID | 4880659390 |
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Medicare Enrollment ID | O20041124000061 |
Identifier | Type | State | Issuer |
---|---|---|---|
1083734198 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Akil Moinuddin |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1548292683 PECOS PAC ID: 3870558380 Enrollment ID: I20041203000066 |
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