| Naperville Family Clinic Sc | |
|
1831 Bay Scott Cir Ste 109 Naperville IL 60540-1115 | |
| (515) 991-7370 | |
| (331) 301-5170 |
| Full Name | Naperville Family Clinic Sc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1831 Bay Scott Cir Ste 109, Naperville, Illinois |
| Authorized Official Name and Position | Sunita Dervesh Koul (PRESIDENT) |
| Authorized Official Contact | 5159917370 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Naperville Family Clinic Sc 3319 Danlaur Ct Naperville IL 60564-4213 Ph: (515) 991-7370 | Naperville Family Clinic Sc 1831 Bay Scott Cir Ste 109 Naperville IL 60540-1115 Ph: (515) 991-7370 |
| NPI Number | 1720658248 |
|---|---|
| Provider Enumeration Date | 06/28/2021 |
| Last Update Date | 01/10/2023 |
| Medicare PECOS PAC ID | 7911301635 |
|---|---|
| Medicare Enrollment ID | O20210803001536 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720658248 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Sunita Koul |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1003127895 PECOS PAC ID: 1456587427 Enrollment ID: I20131121000684 |
| Provider Name | Sejalben Patel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629528443 PECOS PAC ID: 4284914078 Enrollment ID: I20161214000359 |
| Provider Name | Swati Patel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871367094 PECOS PAC ID: 6103279302 Enrollment ID: I20240124001247 |
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