Internal Medicine Specialists Of Kankakee Sc | |
555 W Court St Ste 400 Kankakee IL 60901-3675 | |
(815) 932-4614 | |
(815) 932-4615 |
Full Name | Internal Medicine Specialists Of Kankakee Sc |
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Speciality | Internal Medicine |
Location | 555 W Court St Ste 400, Kankakee, Illinois |
Authorized Official Name and Position | Vallabh Patel (PRESIDENT) |
Authorized Official Contact | 8159324614 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Internal Medicine Specialists Of Kankakee Sc 555 W Court St Ste 400 Kankakee IL 60901-3675 Ph: (815) 932-4614 | Internal Medicine Specialists Of Kankakee Sc 555 W Court St Ste 400 Kankakee IL 60901-3675 Ph: (815) 932-4614 |
NPI Number | 1528193430 |
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Provider Enumeration Date | 02/22/2007 |
Last Update Date | 03/18/2011 |
Medicare PECOS PAC ID | 5092746263 |
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Medicare Enrollment ID | O20050826000774 |
Identifier | Type | State | Issuer |
---|---|---|---|
1528193430 | NPI | - | NPPES |
DE2925 | Other | IL | RAILROAD MEDICARE |
DE3021 | Other | RAILROAD MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Suresh K Didwania |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1093777880 PECOS PAC ID: 8527099795 Enrollment ID: I20050912001262 |
Provider Name | Vallabh N Patel |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1750344214 PECOS PAC ID: 1355372525 Enrollment ID: I20050912001269 |
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