| Dufi Llc | |
|
327 E Wayne St Ste 175 Fort Wayne IN 46802-2716 | |
| (260) 420-2800 | |
| Not Available |
| Full Name | Dufi Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 327 E Wayne St Ste 175, Fort Wayne, Indiana |
| Authorized Official Name and Position | David Ilo (OWNER) |
| Authorized Official Contact | 2604202800 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dufi Llc 327 E Wayne St Ste 175 Fort Wayne IN 46802-2716 Ph: (260) 420-2800 | Dufi Llc 327 E Wayne St Ste 175 Fort Wayne IN 46802-2716 Ph: (260) 420-2800 |
| NPI Number | 1740970656 |
|---|---|
| Provider Enumeration Date | 05/12/2023 |
| Last Update Date | 05/12/2023 |
| Medicare PECOS PAC ID | 1153787130 |
|---|---|
| Medicare Enrollment ID | O20230517001334 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740970656 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | David U Ilo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104094689 PECOS PAC ID: 1759458797 Enrollment ID: I20080917000500 |
| Provider Name | Paulina Washington |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306263389 PECOS PAC ID: 6103182712 Enrollment ID: I20171115002093 |
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