Surjit S Thiara Md Ltd | |
915 N Caron Rd Rochelle IL 61068-9649 | |
(815) 562-4014 | |
(815) 562-5120 |
Full Name | Surjit S Thiara Md Ltd |
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Speciality | Family Medicine |
Location | 915 N Caron Rd, Rochelle, Illinois |
Authorized Official Name and Position | Surjit Thiara (PRESIDENT) |
Authorized Official Contact | 8155624014 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Surjit S Thiara Md Ltd 915 N Caron Rd Rochelle IL 61068-9649 Ph: (815) 562-4014 | Surjit S Thiara Md Ltd 915 N Caron Rd Rochelle IL 61068-9649 Ph: (815) 562-4014 |
NPI Number | 1477757235 |
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Provider Enumeration Date | 06/13/2007 |
Last Update Date | 01/15/2008 |
Medicare PECOS PAC ID | 8325124647 |
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Medicare Enrollment ID | O20080327000309 |
Identifier | Type | State | Issuer |
---|---|---|---|
1477757235 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Surjit S Thiara |
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Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1609856715 PECOS PAC ID: 2062598386 Enrollment ID: I20080327000301 |
Wills Integrated Health Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 102 Maple Ave, Rochelle, IL 61068 Phone: 815-562-5333 Fax: 815-562-5833 | |
Rochelle Family Health Care Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 822 N 2nd St, Rochelle, IL 61068 Phone: 815-562-3784 | |
Physician Care At Home Management Company Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1026 N Main St, Rochelle, IL 61068 Phone: 773-307-2648 Fax: 773-942-7454 | |
Rochelle Family Health Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 822 N 2nd St, Rochelle, IL 61068 Phone: 815-562-3784 | |
Davis Family Health Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1212 Currency Ct Ste A, Rochelle, IL 61068 Phone: 815-561-8500 Fax: 815-561-8501 | |
Medical Group Of Rochelle Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 900 N 2nd St Ste 200, Rochelle, IL 61068 Phone: 815-562-3784 Fax: 815-561-3149 |