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2020 Ogden Ave Suite 400 Aurora IL 60504-5894 | |
| (630) 499-2442 | |
| (630) 499-2452 |
| Full Name | |
|---|---|
| Speciality | Internal Medicine - Gastroenterology |
| Location | 2020 Ogden Ave, Aurora, Illinois |
| Authorized Official Name and Position | Khurram Qadir (PRESIDENT) |
| Authorized Official Contact | 6306397771 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
2020 Ogden Ave Suite 400 Aurora IL 60504-5894 Ph: (630) 898-3535 | 2020 Ogden Ave Suite 400 Aurora IL 60504-5894 Ph: (630) 499-2442 |
| NPI Number | 1508922949 |
|---|---|
| Provider Enumeration Date | 12/29/2006 |
| Last Update Date | 08/29/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508922949 | NPI | - | NPPES |
| 285924555 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | 36114031 (Illinois) | Primary |
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