| Internal Medicine Center | |
|
1909 Ogden Ave Downers Grove IL 60515-2602 | |
| (630) 241-1616 | |
| (630) 541-0066 |
| Full Name | Internal Medicine Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 1909 Ogden Ave, Downers Grove, Illinois |
| Authorized Official Name and Position | Ravikiran N Tamragouri (PRESIDENT) |
| Authorized Official Contact | 6302411616 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Internal Medicine Center 1909 Ogden Ave Downers Grove IL 60515-2602 Ph: (630) 241-1616 | Internal Medicine Center 1909 Ogden Ave Downers Grove IL 60515-2602 Ph: (630) 241-1616 |
| NPI Number | 1588840607 |
|---|---|
| Provider Enumeration Date | 01/18/2008 |
| Last Update Date | 05/10/2010 |
| Medicare PECOS PAC ID | 2860523495 |
|---|---|
| Medicare Enrollment ID | O20100625000876 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588840607 | NPI | - | NPPES |
| 036073705 | Medicaid | IL | |
| 2215606 | Other | IL | BLUE CROSS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 036073705 (Illinois) | Primary |
| Provider Name | Ravikiran N Tamragouri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831207430 PECOS PAC ID: 4688705213 Enrollment ID: I20100625000881 |
Pinnacle Woundcare, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1431 Opus Place, Suit # 110, Downers Grove, IL 60515 Phone: 224-315-8593 | |
Landmark Medical Of Tennessee Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2655 Warrenville Rd Ste 500, Downers Grove, IL 60515 Phone: 657-400-5180 | |
Halcyon Medical Group Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 6241 Main St, Downers Grove, IL 60516 Phone: 312-394-0571 | |
Marshal Medical Group Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4121 Fairview Ave Ste 103, Downers Grove, IL 60515 Phone: 630-974-6505 | |
Gastroenterology Services, Ltd Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3825 Highland Ave, Suite 203, Downers Grove, IL 60515 Phone: 630-969-1167 Fax: 630-969-1297 | |
Avd Medical Sc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3825 Highland Ave Ste 3d, Downers Grove, IL 60515 Phone: 630-964-7006 Fax: 630-964-7082 | |
Greg Yahiro Md Ltd Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3825 Highland Ave, Suite 3f, Downers Grove, IL 60515 Phone: 630-434-9700 |