| Ascend Id Partners LLC | |
|
1s072 Luther Ave Lombard IL 60148-4164 | |
| (630) 908-9876 | |
| Not Available |
| Full Name | Ascend Id Partners LLC |
|---|---|
| Speciality | Internal Medicine |
| Location | 1s072 Luther Ave, Lombard, Illinois |
| Authorized Official Name and Position | Kiran Dhillon (OWNER) |
| Authorized Official Contact | 6309089876 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ascend Id Partners LLC 1s072 Luther Ave Lombard IL 60148-4164 | Ascend Id Partners LLC 1s072 Luther Ave Lombard IL 60148-4164 Ph: (630) 908-9876 |
| NPI Number | 1962363416 |
|---|---|
| Provider Enumeration Date | 11/22/2025 |
| Last Update Date | 11/22/2025 |
| Certification Date | 11/22/2025 |
| Medicare PECOS PAC ID | 2365920915 |
|---|---|
| Medicare Enrollment ID | O20260204000518 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962363416 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (NU) | Primary |
| Provider Name | Kiran Dhillon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053383125 PECOS PAC ID: 1355232661 Enrollment ID: I20050311000325 |
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