Premier Medical Associates, Llc | |
4050 Healthway Dr Suite 140 Aurora IL 60504-8183 | |
(630) 318-3355 | |
(630) 701-9277 |
Full Name | Premier Medical Associates, Llc |
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Speciality | Internal Medicine |
Location | 4050 Healthway Dr, Aurora, Illinois |
Authorized Official Name and Position | Alice Marie Rupp (OWNER) |
Authorized Official Contact | 6303183355 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Premier Medical Associates, Llc 4050 Healthway Dr Suite 140 Aurora IL 60504-8183 Ph: (630) 318-3355 | Premier Medical Associates, Llc 4050 Healthway Dr Suite 140 Aurora IL 60504-8183 Ph: (630) 318-3355 |
NPI Number | 1306105655 |
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Provider Enumeration Date | 05/07/2012 |
Last Update Date | 08/03/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1306105655 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 00303608379601 (Illinois) | Primary |
363LF0000X | Nurse Practitioner - Family | 209006778 (Illinois) | Secondary |
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