| Tharris Apn Ltd | |
|
2460 S Eola Rd Aurora IL 60503-6494 | |
| (630) 585-5600 | |
| Not Available |
| Full Name | Tharris Apn Ltd |
|---|---|
| Speciality | Family Medicine |
| Location | 2460 S Eola Rd, Aurora, Illinois |
| Authorized Official Name and Position | Javier Banuelos (BILLING/CREDENTIAL MANAGER) |
| Authorized Official Contact | 6306493974 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tharris Apn Ltd 405 S Madison St Oswego IL 60543-9056 Ph: () - | Tharris Apn Ltd 2460 S Eola Rd Aurora IL 60503-6494 Ph: (630) 585-5600 |
| NPI Number | 1417460312 |
|---|---|
| Provider Enumeration Date | 11/14/2017 |
| Last Update Date | 11/14/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417460312 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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