| Pallan Primary Care Ltd S C | |
|
2425 W 22nd St Ste 211 Oak Brook IL 60523 | |
| (630) 368-3909 | |
| Not Available |
| Full Name | Pallan Primary Care Ltd S C |
|---|---|
| Speciality | Family Medicine |
| Location | 2425 W 22nd St Ste 211, Oak Brook, Illinois |
| Authorized Official Name and Position | Tony Varghese Pallan (PRESIDENT) |
| Authorized Official Contact | 9139809289 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pallan Primary Care Ltd S C Po Box 428 Downers Grove IL 60515-0428 Ph: (630) 368-3909 | Pallan Primary Care Ltd S C 2425 W 22nd St Ste 211 Oak Brook IL 60523 Ph: (630) 368-3909 |
| NPI Number | 1851753636 |
|---|---|
| Provider Enumeration Date | 03/22/2016 |
| Last Update Date | 07/09/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851753636 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 036-137215 (Illinois) | Primary |
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