Gastroenterology Clinics Sc | |
581 W Sullivan Rd Suite A Aurora IL 60506-1443 | |
(630) 560-1115 | |
(630) 906-7200 |
Full Name | Gastroenterology Clinics Sc |
---|---|
Speciality | Internal Medicine - Gastroenterology |
Location | 581 W Sullivan Rd, Aurora, Illinois |
Authorized Official Name and Position | Mohammed Asif Mahkri (OWNER) |
Authorized Official Contact | 6305601115 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Gastroenterology Clinics Sc 581 W Sullivan Rd Suite A Aurora IL 60506-1443 Ph: (630) 560-1115 | Gastroenterology Clinics Sc 581 W Sullivan Rd Suite A Aurora IL 60506-1443 Ph: (630) 560-1115 |
NPI Number | 1285857805 |
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Provider Enumeration Date | 04/11/2007 |
Last Update Date | 08/05/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1285857805 | NPI | - | NPPES |
036085150 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RG0100X | Internal Medicine - Gastroenterology | 036085150 (Illinois) | Primary |
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