| Premier Internists S.c. | |
|
620 N River Rd Ste 102 Naperville IL 60563-8950 | |
| (630) 355-4755 | |
| (630) 355-8838 |
| Full Name | Premier Internists S.c. |
|---|---|
| Speciality | Internal Medicine |
| Location | 620 N River Rd, Naperville, Illinois |
| Authorized Official Name and Position | Cicily Jones (PRESIDENT) |
| Authorized Official Contact | 6303554755 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Premier Internists S.c. 620 N River Rd Ste 102 Naperville IL 60563-8950 Ph: (630) 355-4755 | Premier Internists S.c. 620 N River Rd Ste 102 Naperville IL 60563-8950 Ph: (630) 355-4755 |
| NPI Number | 1295953842 |
|---|---|
| Provider Enumeration Date | 04/20/2007 |
| Last Update Date | 02/13/2015 |
| Medicare PECOS PAC ID | 6305893306 |
|---|---|
| Medicare Enrollment ID | O20050401000420 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295953842 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Cicily Jones |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255396511 PECOS PAC ID: 1759338767 Enrollment ID: I20050401000448 |
| Provider Name | Sumitha V Panicker |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528279577 PECOS PAC ID: 3870661788 Enrollment ID: I20081006000274 |
| Provider Name | Haidee Apn Polgar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568983765 PECOS PAC ID: 8426320763 Enrollment ID: I20170821002049 |
| Provider Name | Treesa J Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063949840 PECOS PAC ID: 1153680228 Enrollment ID: I20180117002520 |
| Provider Name | Litty Cyriac |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407379324 PECOS PAC ID: 3678833191 Enrollment ID: I20180201000708 |
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