| Aim Healthcare Providers Il, Sc | |
|
1901 Butterfield Rd Ste 810 Downers Grove IL 60515-7904 | |
| (480) 494-2465 | |
| Not Available |
| Full Name | Aim Healthcare Providers Il, Sc |
|---|---|
| Speciality | Family Medicine |
| Location | 1901 Butterfield Rd Ste 810, Downers Grove, Illinois |
| Authorized Official Name and Position | Kelly Karaniuk (CREDENTIALING DIRECTOR) |
| Authorized Official Contact | 4804476841 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Aim Healthcare Providers Il, Sc 161 E Rivulon Blvd Ste 210 Gilbert AZ 85297-0087 Ph: (480) 447-6841 | Aim Healthcare Providers Il, Sc 1901 Butterfield Rd Ste 810 Downers Grove IL 60515-7904 Ph: (480) 494-2465 |
| NPI Number | 1891494084 |
|---|---|
| Provider Enumeration Date | 02/27/2023 |
| Last Update Date | 03/14/2024 |
| Medicare PECOS PAC ID | 5395104376 |
|---|---|
| Medicare Enrollment ID | O20230710000208 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891494084 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Dalia M Garrett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265557615 PECOS PAC ID: 4789615360 Enrollment ID: I20050823000923 |
| Provider Name | Solomon R Katta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265668750 PECOS PAC ID: 2264667096 Enrollment ID: I20131031001666 |
| Provider Name | Anne E Groves |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1699948786 PECOS PAC ID: 8921222043 Enrollment ID: I20140611001780 |
| Provider Name | Jamila Danice Goldsmith |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1750646550 PECOS PAC ID: 8022313071 Enrollment ID: I20171101000560 |
| Provider Name | Zeba S Geloo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730255977 PECOS PAC ID: 8224062286 Enrollment ID: I20190529001120 |
| Provider Name | Dhollie Lyn Dayao Quiamco |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790499580 PECOS PAC ID: 9830560069 Enrollment ID: I20230125002069 |
| Provider Name | Ron Kyle Medina |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407560287 PECOS PAC ID: 6305218413 Enrollment ID: I20230217000533 |
| Provider Name | Praveen Jayakumar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235337486 PECOS PAC ID: 0648495150 Enrollment ID: I20230710000248 |
| Provider Name | Amish Purohit |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053413286 PECOS PAC ID: 1355347170 Enrollment ID: I20230721002460 |
| Provider Name | Heather White |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275818957 PECOS PAC ID: 8729252986 Enrollment ID: I20230912000121 |
| Provider Name | Susan R Russell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700842754 PECOS PAC ID: 9537120050 Enrollment ID: I20231011001784 |
| Provider Name | Gary Dwight Russell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891751848 PECOS PAC ID: 6204816556 Enrollment ID: I20231027002145 |
| Provider Name | Quaneisha Fortson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144906843 PECOS PAC ID: 5698122182 Enrollment ID: I20231106000078 |
| Provider Name | Tanya Janette Sibrava |
|---|---|
| Provider Type | Practitioner - Osteopathic Manipulative Medicine |
| Provider Identifiers | NPI Number: 1225230071 PECOS PAC ID: 3476654633 Enrollment ID: I20231207002844 |
| Provider Name | Adele Towers |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902872542 PECOS PAC ID: 2961394994 Enrollment ID: I20240118000433 |
| Provider Name | Corey Andrew Shrewsberry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619738697 PECOS PAC ID: 6204271406 Enrollment ID: I20240227004116 |
| Provider Name | Seraphin Bamouni |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205609229 PECOS PAC ID: 3779929849 Enrollment ID: I20240312002892 |
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