| Dupage Internal Medicine Of Illinois Llc | |
|
534 Chestnut Dr Suite 210 Hinsdale IL 60521-3527 | |
| (630) 323-7833 | |
| (630) 323-7410 |
| Full Name | Dupage Internal Medicine Of Illinois Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 534 Chestnut Dr, Hinsdale, Illinois |
| Authorized Official Name and Position | Prabhu Shivalingappa (PRESIDENT) |
| Authorized Official Contact | 6303237833 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dupage Internal Medicine Of Illinois Llc 40 S Clay St Ste 210w Hinsdale IL 60521-8805 Ph: (630) 323-7833 | Dupage Internal Medicine Of Illinois Llc 534 Chestnut Dr Suite 210 Hinsdale IL 60521-3527 Ph: (630) 323-7833 |
| NPI Number | 1669689428 |
|---|---|
| Provider Enumeration Date | 05/17/2007 |
| Last Update Date | 07/22/2019 |
| Medicare PECOS PAC ID | 0648336313 |
|---|---|
| Medicare Enrollment ID | O20090304000399 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669689428 | NPI | - | NPPES |
| 036087760 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Prabhu Shivalingappa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447337704 PECOS PAC ID: 6305902073 Enrollment ID: I20090304000505 |
| Provider Name | Veena Prabhu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053421271 PECOS PAC ID: 5496811168 Enrollment ID: I20090304000518 |
| Provider Name | Jennifer Prosniewski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700323185 PECOS PAC ID: 2961785951 Enrollment ID: I20170217001126 |
| Provider Name | Lindsay Shanahan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295227759 PECOS PAC ID: 5698027456 Enrollment ID: I20181008000175 |
| Provider Name | Robin Marie Spatola |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831710276 PECOS PAC ID: 6204246820 Enrollment ID: I20201110000295 |
| Provider Name | Brooke Corrin Page |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902591456 PECOS PAC ID: 2163889437 Enrollment ID: I20230531002489 |
| Provider Name | Erika Balbuena |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326724881 PECOS PAC ID: 6305292533 Enrollment ID: I20231025000323 |
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