| Mdproactive.com,llc | |
|
1995 Springbrook Square Dr Ste 119 Naperville IL 60564-5953 | |
| (630) 369-6644 | |
| (630) 369-3428 |
| Full Name | Mdproactive.com,llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1995 Springbrook Square Dr Ste 119, Naperville, Illinois |
| Authorized Official Name and Position | Narendra K Garg (OWNER) |
| Authorized Official Contact | 6303696644 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mdproactive.com,llc 1995 Springbrook Square Dr Ste 119 Naperville IL 60564-5953 Ph: (630) 369-6644 | Mdproactive.com,llc 1995 Springbrook Square Dr Ste 119 Naperville IL 60564-5953 Ph: (630) 369-6644 |
| NPI Number | 1215416292 |
|---|---|
| Provider Enumeration Date | 08/09/2018 |
| Last Update Date | 03/08/2021 |
| Medicare PECOS PAC ID | 5395153944 |
|---|---|
| Medicare Enrollment ID | O20210420000844 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215416292 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 036-069044 (Illinois) | Primary |
| Provider Name | Narendra K Garg |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1134136369 PECOS PAC ID: 0446153134 Enrollment ID: I20040129001050 |
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