Dr Raman Popli And Associates | |
145 S Virginia St Ste C Crystal Lake IL 60014-7226 | |
(815) 363-6055 | |
(815) 363-6150 |
Full Name | Dr Raman Popli And Associates |
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Speciality | Internal Medicine |
Location | 145 S Virginia St Ste C, Crystal Lake, Illinois |
Authorized Official Name and Position | Raman Inder Popli (PRESIDENT) |
Authorized Official Contact | 8153636055 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Dr Raman Popli And Associates 5415 Bull Valley Rd Mchenry IL 60050-7410 Ph: (815) 363-6055 | Dr Raman Popli And Associates 145 S Virginia St Ste C Crystal Lake IL 60014-7226 Ph: (815) 363-6055 |
NPI Number | 1760812978 |
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Provider Enumeration Date | 11/25/2013 |
Last Update Date | 09/09/2021 |
Medicare PECOS PAC ID | 5991935827 |
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Medicare Enrollment ID | O20140220000709 |
Identifier | Type | State | Issuer |
---|---|---|---|
1760812978 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 036104035 (Illinois) | Primary |
Provider Name | Raman Inder Popli |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1013928712 PECOS PAC ID: 9830232529 Enrollment ID: I20100203000357 |
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