Geneva Family Practice Associates, S.c. | |
815 N Randall Rd Batavia IL 60510-1992 | |
(630) 232-1818 | |
(630) 232-1868 |
Full Name | Geneva Family Practice Associates, S.c. |
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Speciality | Family Medicine |
Location | 815 N Randall Rd, Batavia, Illinois |
Authorized Official Name and Position | Robert R Rivers (PRESIDENT) |
Authorized Official Contact | 6302321818 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Geneva Family Practice Associates, S.c. 815 N Randall Rd Batavia IL 60510-1992 Ph: (630) 232-1818 | Geneva Family Practice Associates, S.c. 815 N Randall Rd Batavia IL 60510-1992 Ph: (630) 232-1818 |
NPI Number | 1285641811 |
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Provider Enumeration Date | 08/03/2006 |
Last Update Date | 08/19/2019 |
Medicare PECOS PAC ID | 8224089339 |
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Medicare Enrollment ID | O20050207000382 |
Identifier | Type | State | Issuer |
---|---|---|---|
1285641811 | NPI | - | NPPES |
036047518 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 036-047518 (Illinois) | Primary |
Provider Name | Christopher T Fahey |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1306926415 PECOS PAC ID: 6204887318 Enrollment ID: I20100911000080 |
Provider Name | Robert Richard Rivers |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1053359182 PECOS PAC ID: 1759332869 Enrollment ID: I20100917000618 |
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