| Divyang a Joshi MD PC | |
|
750 Fletcher Dr Suite 200 Elgin IL 60123-4703 | |
| (847) 931-8900 | |
| (847) 931-9041 |
| Full Name | Divyang a Joshi MD PC |
|---|---|
| Speciality | Internal Medicine |
| Location | 750 Fletcher Dr, Elgin, Illinois |
| Authorized Official Name and Position | Divyang Anatray Joshi (PRESIDENT) |
| Authorized Official Contact | 8479318900 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Divyang a Joshi MD PC 750 Fletcher Dr Suite 200 Elgin IL 60123-4703 Ph: (847) 931-8900 | Divyang a Joshi MD PC 750 Fletcher Dr Suite 200 Elgin IL 60123-4703 Ph: (847) 931-8900 |
| NPI Number | 1619020039 |
|---|---|
| Provider Enumeration Date | 01/19/2007 |
| Last Update Date | 07/29/2014 |
| Medicare PECOS PAC ID | 7012959042 |
|---|---|
| Medicare Enrollment ID | O20050531000698 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619020039 | NPI | - | NPPES |
| 036082772 | Medicaid | IL | |
| 1626038 | Other | IL | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 036082772 (Illinois) | Primary |
| Provider Name | Divyang a Joshi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528053568 PECOS PAC ID: 9739121773 Enrollment ID: I20050601000429 |
| Provider Name | Francesca Jonelle Castro |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1720788813 PECOS PAC ID: 9830546191 Enrollment ID: I20241029002001 |
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