| Heyer Celestial Paul Devarapalli MD SC | |
|
1015 S Evergreen Ave Arlington Heights IL 60005-3144 | |
| (847) 296-0336 | |
| (847) 789-8548 |
| Full Name | Heyer Celestial Paul Devarapalli MD SC |
|---|---|
| Speciality | Internal Medicine |
| Location | 1015 S Evergreen Ave, Arlington Heights, Illinois |
| Authorized Official Name and Position | Heyer CP Devarapalli (MEDICAL DIRECTOR) |
| Authorized Official Contact | 8472960336 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Heyer Celestial Paul Devarapalli MD SC 1015 S Evergreen Ave Arlington Heights IL 60005-3144 Ph: (847) 296-0336 | Heyer Celestial Paul Devarapalli MD SC 1015 S Evergreen Ave Arlington Heights IL 60005-3144 Ph: (847) 296-0336 |
| NPI Number | 1235327677 |
|---|---|
| Provider Enumeration Date | 10/11/2007 |
| Last Update Date | 01/06/2023 |
| Certification Date | 01/06/2023 |
| Medicare PECOS PAC ID | 6608963186 |
|---|---|
| Medicare Enrollment ID | O20071031000036 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235327677 | NPI | - | NPPES |
| 1637966 | Other | IL | BC BS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 036117190 (Illinois) | Primary |
| Provider Name | Heyer CP Devarapalli |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588704381 PECOS PAC ID: 5991892549 Enrollment ID: I20071030000466 |
| Provider Name | Chary Mathew |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942738166 PECOS PAC ID: 7315210283 Enrollment ID: I20170829002725 |
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