Pitroda Medical Llc | |
19 E Schaumburg Rd Fl 2 Schaumburg IL 60194-3503 | |
(224) 353-6361 | |
(847) 278-5398 |
Full Name | Pitroda Medical Llc |
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Speciality | Internal Medicine |
Location | 19 E Schaumburg Rd Fl 2, Schaumburg, Illinois |
Authorized Official Name and Position | Parol Pitroda (PHYSICIAN / OWNER) |
Authorized Official Contact | 2489356690 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Pitroda Medical Llc Po Box 959134 Hoffman Estates IL 60195-9134 Ph: (224) 353-6361 | Pitroda Medical Llc 19 E Schaumburg Rd Fl 2 Schaumburg IL 60194-3503 Ph: (224) 353-6361 |
NPI Number | 1407095821 |
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Provider Enumeration Date | 02/09/2009 |
Last Update Date | 04/23/2024 |
Medicare PECOS PAC ID | 1759439037 |
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Medicare Enrollment ID | O20090424000022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1407095821 | NPI | - | NPPES |
036115162 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 036115162 (Illinois) | Primary |
Provider Name | Parol P Pitroda |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1225064686 PECOS PAC ID: 4183628217 Enrollment ID: I20060905000080 |
Provider Name | Sejal N Jhaveri |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1912373655 PECOS PAC ID: 5496064818 Enrollment ID: I20151026000006 |
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