| Pitroda Medical Llc | |
|
19 E Schaumburg Rd Fl 2 Schaumburg IL 60194-3503 | |
| (224) 353-6361 | |
| (847) 278-5398 |
| Full Name | Pitroda Medical Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 19 E Schaumburg Rd Fl 2, Schaumburg, Illinois |
| Authorized Official Name and Position | Parol Pitroda (PHYSICIAN / OWNER) |
| Authorized Official Contact | 2489356690 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pitroda Medical Llc Po Box 959134 Hoffman Estates IL 60195-9134 Ph: (224) 353-6361 | Pitroda Medical Llc 19 E Schaumburg Rd Fl 2 Schaumburg IL 60194-3503 Ph: (224) 353-6361 |
| NPI Number | 1407095821 |
|---|---|
| Provider Enumeration Date | 02/09/2009 |
| Last Update Date | 04/23/2024 |
| Medicare PECOS PAC ID | 1759439037 |
|---|---|
| Medicare Enrollment ID | O20090424000022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407095821 | NPI | - | NPPES |
| 036115162 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 036115162 (Illinois) | Primary |
| Provider Name | Parol P Pitroda |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225064686 PECOS PAC ID: 4183628217 Enrollment ID: I20060905000080 |
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