| Imelda Dawis Md Sc | |
|
364 N Farnsworth Ave Aurora IL 60505-3083 | |
| (630) 898-7960 | |
| Not Available |
| Full Name | Imelda Dawis Md Sc |
|---|---|
| Speciality | Family Medicine |
| Location | 364 N Farnsworth Ave, Aurora, Illinois |
| Authorized Official Name and Position | Imelda Dawis (PRESIDENT) |
| Authorized Official Contact | 6308987960 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Imelda Dawis Md Sc 364 N Farnsworth Ave Aurora IL 60505-3083 Ph: (630) 898-7960 | Imelda Dawis Md Sc 364 N Farnsworth Ave Aurora IL 60505-3083 Ph: (630) 898-7960 |
| NPI Number | 1497026181 |
|---|---|
| Provider Enumeration Date | 01/26/2012 |
| Last Update Date | 01/26/2012 |
| Medicare PECOS PAC ID | 8628236031 |
|---|---|
| Medicare Enrollment ID | O20120214000689 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497026181 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 036055383 (Illinois) | Primary |
| Provider Name | Imelda Dawis |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1083742324 PECOS PAC ID: 9537327945 Enrollment ID: I20120216000266 |
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