| Downers Grove Medical Group | |
|
1034 Warren Ave Downers Grove IL 60515-3601 | |
| (630) 969-9200 | |
| Not Available |
| Full Name | Downers Grove Medical Group |
|---|---|
| Speciality | Internal Medicine |
| Location | 1034 Warren Ave, Downers Grove, Illinois |
| Authorized Official Name and Position | Sheela Swamy (MD) |
| Authorized Official Contact | 6309699200 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Downers Grove Medical Group 1121 Warren Ave Ste 200 Downers Grove IL 60515-3572 Ph: (630) 969-9200 | Downers Grove Medical Group 1034 Warren Ave Downers Grove IL 60515-3601 Ph: (630) 969-9200 |
| NPI Number | 1619150489 |
|---|---|
| Provider Enumeration Date | 12/14/2007 |
| Last Update Date | 12/22/2020 |
| Medicare PECOS PAC ID | 9739369422 |
|---|---|
| Medicare Enrollment ID | O20110214000122 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619150489 | NPI | - | NPPES |
| CH6557 | Other | IL | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 036-081176 (Illinois) | Primary |
| Provider Name | Sheela Swamy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831145416 PECOS PAC ID: 1456531144 Enrollment ID: I20110214000144 |
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