| Willowbrook Clinic | |
|
4121 Fairview Ave Ste L2 Downers Grove IL 60515-2275 | |
| (630) 674-1160 | |
| (866) 261-3402 |
| Full Name | Willowbrook Clinic |
|---|---|
| Speciality | Family Medicine |
| Location | 4121 Fairview Ave Ste L2, Downers Grove, Illinois |
| Authorized Official Name and Position | Ataullah Arain (PHYSICIAN) |
| Authorized Official Contact | 6306741160 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Willowbrook Clinic 4121 Fairview Ave Ste L2 Downers Grove IL 60515-2275 Ph: (630) 674-1160 | Willowbrook Clinic 4121 Fairview Ave Ste L2 Downers Grove IL 60515-2275 Ph: (630) 674-1160 |
| NPI Number | 1740368927 |
|---|---|
| Provider Enumeration Date | 11/02/2006 |
| Last Update Date | 12/29/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740368927 | NPI | - | NPPES |
| 036054825 | Medicaid | IL | |
| 02201168 | Other | IL | BCBS OF IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 036054825 (Illinois) | Primary |
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