| Id Associates Limited | |
|
5 Hunt Club Ln Oak Brook IL 60523-2328 | |
| (630) 908-9876 | |
| Not Available |
| Full Name | Id Associates Limited |
|---|---|
| Speciality | Internal Medicine |
| Location | 5 Hunt Club Ln, Oak Brook, Illinois |
| Authorized Official Name and Position | Kiran Dhillon (OWNER) |
| Authorized Official Contact | 6309089876 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Id Associates Limited 5 Hunt Club Ln Oak Brook IL 60523-2328 Ph: () - | Id Associates Limited 5 Hunt Club Ln Oak Brook IL 60523-2328 Ph: (630) 908-9876 |
| NPI Number | 1699201582 |
|---|---|
| Provider Enumeration Date | 05/11/2017 |
| Last Update Date | 05/11/2017 |
| Medicare PECOS PAC ID | 8820354616 |
|---|---|
| Medicare Enrollment ID | O20171110001578 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699201582 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | (* (Not Available)) | Primary |
| Provider Name | Patricia A Larson |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1750300091 PECOS PAC ID: 2860455706 Enrollment ID: I20041110001258 |
| Provider Name | Kiran Dhillon |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1053383125 PECOS PAC ID: 1355232661 Enrollment ID: I20050311000325 |
| Provider Name | Reda Kubilius |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063921799 PECOS PAC ID: 7517223308 Enrollment ID: I20171110001757 |
| Provider Name | Shefali Bhatt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265942023 PECOS PAC ID: 5395003073 Enrollment ID: I20180102000188 |
| Provider Name | Ellen Dekold |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316571151 PECOS PAC ID: 9335578236 Enrollment ID: I20200327001856 |
| Provider Name | Cristina Golajer Sira |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518580620 PECOS PAC ID: 7810312188 Enrollment ID: I20200803003113 |
| Provider Name | Aleksandra Wojewoda |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154086767 PECOS PAC ID: 4688067861 Enrollment ID: I20220210002760 |
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