| Naperville Medical Group Corporation | |
|
454 W Boughton Rd Ste C Bolingbrook IL 60440-1378 | |
| (312) 823-3469 | |
| (630) 759-4505 |
| Full Name | Naperville Medical Group Corporation |
|---|---|
| Speciality | Internal Medicine |
| Location | 454 W Boughton Rd Ste C, Bolingbrook, Illinois |
| Authorized Official Name and Position | Sijun Yang Yang (DIRECTOR) |
| Authorized Official Contact | 6304163191 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Naperville Medical Group Corporation 1308 Little Berry Ct Naperville IL 60565-1751 Ph: (630) 416-3191 | Naperville Medical Group Corporation 454 W Boughton Rd Ste C Bolingbrook IL 60440-1378 Ph: (312) 823-3469 |
| NPI Number | 1639489057 |
|---|---|
| Provider Enumeration Date | 10/19/2010 |
| Last Update Date | 01/11/2021 |
| Medicare PECOS PAC ID | 0648450205 |
|---|---|
| Medicare Enrollment ID | O20110214000958 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639489057 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Sijun Yang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962653568 PECOS PAC ID: 6305984931 Enrollment ID: I20091118000729 |
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