Endocrine Solutions Llc | |
372 Larry Power Rd Bourbonnais IL 60914-5190 | |
(815) 954-0771 | |
Not Available |
Full Name | Endocrine Solutions Llc |
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Speciality | Internal Medicine |
Location | 372 Larry Power Rd, Bourbonnais, Illinois |
Authorized Official Name and Position | Maureen Morgan O'connor (PHYSICIAN) |
Authorized Official Contact | 8159540771 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Endocrine Solutions Llc Po Box 1135 Bourbonnais IL 60914-7135 Ph: (815) 954-0771 | Endocrine Solutions Llc 372 Larry Power Rd Bourbonnais IL 60914-5190 Ph: (815) 954-0771 |
NPI Number | 1467994129 |
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Provider Enumeration Date | 11/12/2016 |
Last Update Date | 11/25/2016 |
Medicare PECOS PAC ID | 4082995386 |
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Medicare Enrollment ID | O20161228001438 |
Identifier | Type | State | Issuer |
---|---|---|---|
1467994129 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | 036097969 (Illinois) | Primary |
Provider Name | Maureen M Morgan Oconnor |
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Provider Type | Practitioner - Endocrinology |
Provider Identifiers | NPI Number: 1558460337 PECOS PAC ID: 5799972865 Enrollment ID: I20101215000667 |
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