| B&a Health Provider Llc | |
|
8542 Thistlewood Ct Darien IL 60561-8404 | |
| (708) 846-4972 | |
| Not Available |
| Full Name | B&a Health Provider Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 8542 Thistlewood Ct, Darien, Illinois |
| Authorized Official Name and Position | Annaliza S Teano (PRESIDENT) |
| Authorized Official Contact | 7088464972 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| B&a Health Provider Llc 7331 N Lincoln Ave Ste 15 Lincolnwood IL 60712-1766 Ph: (847) 983-8356 | B&a Health Provider Llc 8542 Thistlewood Ct Darien IL 60561-8404 Ph: (708) 846-4972 |
| NPI Number | 1699377200 |
|---|---|
| Provider Enumeration Date | 11/10/2020 |
| Last Update Date | 11/10/2020 |
| Medicare PECOS PAC ID | 8729495312 |
|---|---|
| Medicare Enrollment ID | O20210326001042 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699377200 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Neil R Fried |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1427060888 PECOS PAC ID: 7810800273 Enrollment ID: I20031111000437 |
| Provider Name | Rosita S Hernandez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184712887 PECOS PAC ID: 9335102623 Enrollment ID: I20041201000562 |
| Provider Name | Wilfredo G Dacuycuy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407818545 PECOS PAC ID: 6709844608 Enrollment ID: I20041223000093 |
| Provider Name | Jose Mario R Flores |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568530400 PECOS PAC ID: 0143231175 Enrollment ID: I20060505000358 |
| Provider Name | Leticia Flores Claridad |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1043280621 PECOS PAC ID: 5294900288 Enrollment ID: I20111201000747 |
| Provider Name | Roger John F Golingan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487036752 PECOS PAC ID: 6800100629 Enrollment ID: I20150806010576 |
| Provider Name | Taryrsha Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821552761 PECOS PAC ID: 7911246368 Enrollment ID: I20190228002263 |
| Provider Name | Carla Mae Haverland |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1184899072 PECOS PAC ID: 4981095353 Enrollment ID: I20220630000501 |
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