Divyang A Joshi Md Pc | |
750 Fletcher Dr Suite 200 Elgin IL 60123-4703 | |
(847) 931-8900 | |
(847) 931-9041 |
Full Name | Divyang A Joshi Md Pc |
---|---|
Speciality | Internal Medicine |
Location | 750 Fletcher Dr, Elgin, Illinois |
Authorized Official Name and Position | Divyang Anatray Joshi (PRESIDENT) |
Authorized Official Contact | 8479318900 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Divyang A Joshi Md Pc 750 Fletcher Dr Suite 200 Elgin IL 60123-4703 Ph: (847) 931-8900 | Divyang A Joshi Md Pc 750 Fletcher Dr Suite 200 Elgin IL 60123-4703 Ph: (847) 931-8900 |
NPI Number | 1619020039 |
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Provider Enumeration Date | 01/19/2007 |
Last Update Date | 07/29/2014 |
Medicare PECOS PAC ID | 7012959042 |
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Medicare Enrollment ID | O20050531000698 |
Identifier | Type | State | Issuer |
---|---|---|---|
1619020039 | NPI | - | NPPES |
1626038 | Other | IL | BLUE CROSS BLUE SHIELD |
036082772 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 036082772 (Illinois) | Primary |
Provider Name | Divyang A Joshi |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1528053568 PECOS PAC ID: 9739121773 Enrollment ID: I20050601000429 |
Provider Name | Tobi Adeoti |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1720534316 PECOS PAC ID: 7113214024 Enrollment ID: I20190311001939 |
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