| Vivirmed Llc | |
|
630 N Lake St Aurora IL 60506-3106 | |
| (630) 923-5222 | |
| Not Available |
| Full Name | Vivirmed Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 630 N Lake St, Aurora, Illinois |
| Authorized Official Name and Position | Imran Ali Osmani (INTERNAL MEDICINE) |
| Authorized Official Contact | 6309235222 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vivirmed Llc 630 N Lake St Aurora IL 60506-3106 Ph: () - | Vivirmed Llc 630 N Lake St Aurora IL 60506-3106 Ph: (630) 923-5222 |
| NPI Number | 1669824694 |
|---|---|
| Provider Enumeration Date | 07/01/2016 |
| Last Update Date | 08/10/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669824694 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (Illinois) | Secondary |
| 207R00000X | Internal Medicine | (Illinois) | Primary |
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