Preventive Medical Associates Ltd | |
1308 Macom Dr Ste 103 Naperville IL 60564-9355 | |
(630) 585-0800 | |
(630) 585-6331 |
Full Name | Preventive Medical Associates Ltd |
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Speciality | Internal Medicine |
Location | 1308 Macom Dr, Naperville, Illinois |
Authorized Official Name and Position | Hardeep Arora (PRESIDENT) |
Authorized Official Contact | 6305850800 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Preventive Medical Associates Ltd 1308 Macom Dr Ste 103 Naperville IL 60564-9355 Ph: (630) 585-0800 | Preventive Medical Associates Ltd 1308 Macom Dr Ste 103 Naperville IL 60564-9355 Ph: (630) 585-0800 |
NPI Number | 1285726570 |
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Provider Enumeration Date | 09/28/2006 |
Last Update Date | 07/25/2017 |
Medicare PECOS PAC ID | 9739136193 |
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Medicare Enrollment ID | O20050407000347 |
Identifier | Type | State | Issuer |
---|---|---|---|
1285726570 | NPI | - | NPPES |
036082908 | Medicaid | IL | |
02226840 | Other | IL | BLUE CROSS BLUE SHIELD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 036-082908 (Illinois) | Primary |
208100000X | Physical Medicine & Rehabilitation | 036-082908 (Illinois) | Secondary |
Provider Name | Hardeep Arora |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1922057926 PECOS PAC ID: 7517914971 Enrollment ID: I20050418000469 |
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