| Indu M. Vence, M.d., S.c. | |
|
800 E Woodfield Rd Suite 101 Schaumburg IL 60173-4718 | |
| (847) 466-5091 | |
| (847) 517-1222 |
| Full Name | Indu M. Vence, M.d., S.c. |
|---|---|
| Speciality | Clinic/Center |
| Location | 800 E Woodfield Rd, Schaumburg, Illinois |
| Authorized Official Name and Position | Indu M Vence (PRESIDENT) |
| Authorized Official Contact | 8474665091 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Indu M. Vence, M.d., S.c. 800 E Woodfield Rd Suite 101 Schaumburg IL 60173-4718 Ph: (847) 466-5091 | Indu M. Vence, M.d., S.c. 800 E Woodfield Rd Suite 101 Schaumburg IL 60173-4718 Ph: (847) 466-5091 |
| NPI Number | 1700199841 |
|---|---|
| Provider Enumeration Date | 07/19/2010 |
| Last Update Date | 02/29/2012 |
| Medicare PECOS PAC ID | 5799979852 |
|---|---|
| Medicare Enrollment ID | O20101102001201 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700199841 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 036096196 (Illinois) | Primary |
| Provider Name | Indu M Vence |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992805808 PECOS PAC ID: 1456309053 Enrollment ID: I20050111000256 |
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