B&a Health Provider Llc | |
8542 Thistlewood Ct Darien IL 60561-8404 | |
(708) 846-4972 | |
Not Available |
Full Name | B&a Health Provider Llc |
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Speciality | Family Medicine |
Location | 8542 Thistlewood Ct, Darien, Illinois |
Authorized Official Name and Position | Annaliza S Teano (PRESIDENT) |
Authorized Official Contact | 7088464972 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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B&a Health Provider Llc 7331 N Lincoln Ave Ste 15 Lincolnwood IL 60712-1766 Ph: (847) 983-8356 | B&a Health Provider Llc 8542 Thistlewood Ct Darien IL 60561-8404 Ph: (708) 846-4972 |
NPI Number | 1699377200 |
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Provider Enumeration Date | 11/10/2020 |
Last Update Date | 11/10/2020 |
Medicare PECOS PAC ID | 8729495312 |
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Medicare Enrollment ID | O20210326001042 |
Identifier | Type | State | Issuer |
---|---|---|---|
1699377200 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Neil R Fried |
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Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1427060888 PECOS PAC ID: 7810800273 Enrollment ID: I20031111000437 |
Provider Name | Rosita S Hernandez |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1184712887 PECOS PAC ID: 9335102623 Enrollment ID: I20041201000562 |
Provider Name | Wilfredo G Dacuycuy |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1407818545 PECOS PAC ID: 6709844608 Enrollment ID: I20041223000093 |
Provider Name | Jose Mario R Flores |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1568530400 PECOS PAC ID: 0143231175 Enrollment ID: I20060505000358 |
Provider Name | Lourdes D Floro |
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Provider Type | Practitioner - Allergy/immunology |
Provider Identifiers | NPI Number: 1275758955 PECOS PAC ID: 8224070586 Enrollment ID: I20081008000127 |
Provider Name | Leticia Flores Claridad |
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Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1043280621 PECOS PAC ID: 5294900288 Enrollment ID: I20111201000747 |
Provider Name | Roger John F Golingan |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1487036752 PECOS PAC ID: 6800100629 Enrollment ID: I20150806010576 |
Provider Name | Taryrsha Davis |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1821552761 PECOS PAC ID: 7911246368 Enrollment ID: I20190228002263 |
Provider Name | Carla Mae Haverland |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1184899072 PECOS PAC ID: 4981095353 Enrollment ID: I20220630000501 |
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