| Midwest Endocrinology Llc | |
|
380 N Terra Cotta Rd Suite A Crystal Lake IL 60012-1809 | |
| (815) 444-6362 | |
| Not Available |
| Full Name | Midwest Endocrinology Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 380 N Terra Cotta Rd, Crystal Lake, Illinois |
| Authorized Official Name and Position | Hiralal Goklani Maheshwari (ENDOCRINOLOGIST) |
| Authorized Official Contact | 8154446362 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Midwest Endocrinology Llc 723 Blackthorn Dr Crystal Lake IL 60014-4599 Ph: (815) 788-7492 | Midwest Endocrinology Llc 380 N Terra Cotta Rd Suite A Crystal Lake IL 60012-1809 Ph: (815) 444-6362 |
| NPI Number | 1316192685 |
|---|---|
| Provider Enumeration Date | 11/29/2008 |
| Last Update Date | 11/29/2008 |
| Medicare PECOS PAC ID | 4284799099 |
|---|---|
| Medicare Enrollment ID | O20090211000316 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316192685 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | (* (Not Available)) | Primary |
| Provider Name | Hiralal Goklani Maheshwari |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1740238757 PECOS PAC ID: 1254365810 Enrollment ID: I20050922000790 |
| Provider Name | Otilia Boncu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427396381 PECOS PAC ID: 0749426062 Enrollment ID: I20130411000154 |
| Provider Name | Arvind K. Maheshwari |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1659767903 PECOS PAC ID: 0749598241 Enrollment ID: I20181004001997 |
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