| University Pediatrics & Internal Medicine | |
|
640 S Washington St Suite #288 Naperville IL 60540-6603 | |
| (630) 355-8828 | |
| (630) 355-8837 |
| Full Name | University Pediatrics & Internal Medicine |
|---|---|
| Speciality | Internal Medicine |
| Location | 640 S Washington St, Naperville, Illinois |
| Authorized Official Name and Position | Reda Kilani (PHYSICAN) |
| Authorized Official Contact | 6303558828 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| University Pediatrics & Internal Medicine 640 S Washington St Suite #288 Naperville IL 60540-6603 Ph: (630) 355-8828 | University Pediatrics & Internal Medicine 640 S Washington St Suite #288 Naperville IL 60540-6603 Ph: (630) 355-8828 |
| NPI Number | 1871699611 |
|---|---|
| Provider Enumeration Date | 09/16/2006 |
| Last Update Date | 04/20/2023 |
| Medicare PECOS PAC ID | 0345240990 |
|---|---|
| Medicare Enrollment ID | O20070104000023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871699611 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 036-076152 (Illinois) | Primary |
| 208000000X | Pediatrics | 036-076152 (Illinois) | Secondary |
| 208D00000X | General Practice | 036-076152 (Illinois) | Secondary |
| Provider Name | Reda Kilani |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1366462665 PECOS PAC ID: 1355310038 Enrollment ID: I20040929000614 |
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