Dupage Family Medicine | |
2272 W 95th St Suite 325 Naperville IL 60564-8942 | |
(630) 778-4700 | |
Not Available |
Full Name | Dupage Family Medicine |
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Speciality | Family Medicine |
Location | 2272 W 95th St, Naperville, Illinois |
Authorized Official Name and Position | James George Cunnar (OWNER) |
Authorized Official Contact | 6307784700 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Dupage Family Medicine 2272 W 95th St Suite 325 Naperville IL 60564-8942 Ph: (630) 778-4700 | Dupage Family Medicine 2272 W 95th St Suite 325 Naperville IL 60564-8942 Ph: (630) 778-4700 |
NPI Number | 1235315458 |
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Provider Enumeration Date | 01/17/2008 |
Last Update Date | 03/10/2009 |
Medicare PECOS PAC ID | 4789625534 |
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Medicare Enrollment ID | O20050523000028 |
Identifier | Type | State | Issuer |
---|---|---|---|
1235315458 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 036-095349 (Illinois) | Primary |
Provider Name | James G Cunnar |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1164538617 PECOS PAC ID: 9133160989 Enrollment ID: I20050524000090 |
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