| Key Internal Medicine, S.C. | |
|
100 Provena Way Ste D Bourbonnais IL 60914 | |
| (815) 932-9210 | |
| (815) 932-9220 |
| Full Name | Key Internal Medicine, S.C. |
|---|---|
| Speciality | Internal Medicine |
| Location | 100 Provena Way Ste D, Bourbonnais, Illinois |
| Authorized Official Name and Position | Dharam R Anand (OWNER) |
| Authorized Official Contact | 8159329210 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Key Internal Medicine, S.C. Po Box 715 Bourbonnais IL 60914-0715 Ph: (815) 932-9210 | Key Internal Medicine, S.C. 100 Provena Way Ste D Bourbonnais IL 60914 Ph: (815) 932-9210 |
| NPI Number | 1447308176 |
|---|---|
| Provider Enumeration Date | 01/08/2007 |
| Last Update Date | 06/22/2023 |
| Certification Date | 06/22/2023 |
| Medicare PECOS PAC ID | 7315849353 |
|---|---|
| Medicare Enrollment ID | O20040121000950 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447308176 | NPI | - | NPPES |
| 036076865 | Medicaid | IL | |
| 4632036 | Other | IL | BCBS PROVIDER NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 036-076865 (Illinois) | Primary |
| Provider Name | Dharam R Anand |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134107170 PECOS PAC ID: 0143122028 Enrollment ID: I20040128000024 |
Chinese Provider Group of Illinois PLLC Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 201 Park Pl Ste 2, Bourbonnais, IL 60914 Phone: 833-308-8876 |
Lafayettemed Community Health Co Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1563 Sun Ridge Dr, Bourbonnais, IL 60914 Phone: 815-908-9685 |
Nepomuceno Family Practice LLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 475 Brown Blvd Ste 106, Bourbonnais, IL 60914 Phone: 815-937-8786 |
Dr. Katie Maier DC, Ltd Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 662 N Convent St, Bourbonnais, IL 60914 Phone: 815-937-0446 |
Keith A. Moss, M.D., SC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 300 Riverside Dr, Suite 2400, Bourbonnais, IL 60914 Phone: 815-935-2784 Fax: 815-935-5687 |
Sarat Yalamanchili, MD, SC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1521 N Convent St Ste 101, Bourbonnais, IL 60914 Phone: 815-937-4500 Fax: 815-937-4777 |