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2424 W Indian Trl Suite B Aurora IL 60506-1568 | |
| (630) 907-2424 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 2424 W Indian Trl, Aurora, Illinois |
| Authorized Official Name and Position | Nan Nelson (EVP FINANCIAL OPS) |
| Authorized Official Contact | 4142991610 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
2357 Sequoia Dr Aurora IL 60506-6222 Ph: (630) 859-6800 | 2424 W Indian Trl Suite B Aurora IL 60506-1568 Ph: (630) 907-2424 |
| NPI Number | 1871968263 |
|---|---|
| Provider Enumeration Date | 12/10/2015 |
| Last Update Date | 08/30/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871968263 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (Illinois) | Primary |
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