| Vituity - Illinois Infectious Disease Specialists, P.c. | |
|
200 Health Care Dr Greenville IL 62246-1154 | |
| (618) 664-1230 | |
| Not Available |
| Full Name | Vituity - Illinois Infectious Disease Specialists, P.c. |
|---|---|
| Speciality | Internal Medicine |
| Location | 200 Health Care Dr, Greenville, Illinois |
| Authorized Official Name and Position | David Birdsall (ADMINISTRATIVE VP OF OPERATIONS) |
| Authorized Official Contact | 5108517552 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Vituity - Illinois Infectious Disease Specialists, P.c. 2100 Powell St Ste 400 Emeryville CA 94608-1872 Ph: (510) 350-2600 | Vituity - Illinois Infectious Disease Specialists, P.c. 200 Health Care Dr Greenville IL 62246-1154 Ph: (618) 664-1230 |
| NPI Number | 1821741737 |
|---|---|
| Provider Enumeration Date | 01/31/2022 |
| Last Update Date | 01/31/2022 |
| Medicare PECOS PAC ID | 8022405414 |
|---|---|
| Medicare Enrollment ID | O20220504001217 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821741737 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | (* (Not Available)) | Primary |
| Provider Name | Sumbul Meraj |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285931261 PECOS PAC ID: 9436394228 Enrollment ID: I20130327000332 |
| Provider Name | Kalyani Vangala |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588696918 PECOS PAC ID: 5991789711 Enrollment ID: I20220504001615 |
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