| Qian Sun, | |
|
1213 Oak St, North Aurora, IL 60542-2006 | |
| (630) 504-2200 | |
| Not Available |
| Full Name | Qian Sun |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 1213 Oak St, North Aurora, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275163248 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 085.008121 (Illinois) | Primary |
| Entity Name | North Shore Podiatry |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518035583 PECOS PAC ID: 5698764462 Enrollment ID: O20040507000405 |
| Entity Name | Kaneland Allergy and Asthma Center SC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811289325 PECOS PAC ID: 7416128186 Enrollment ID: O20110929000365 |
| Mailing Address | Practice Location Address |
|---|---|
| Qian Sun, 1213 Oak St, North Aurora, IL 60542-2006 Ph: (630) 504-2200 | Qian Sun, 1213 Oak St, North Aurora, IL 60542-2006 Ph: (630) 504-2200 |
Haley Young, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 838 Columbia Cir, North Aurora, IL 60542 Phone: 630-448-0545 Fax: 630-326-8652 |
Ms. Ankita Shah, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 66 Miller Dr, Suite 101, North Aurora, IL 60542 Phone: 630-504-2200 |
Paul George Bamberger, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1213 Oak St, North Aurora, IL 60542 Phone: 630-504-2200 |