| Vinod Motiani MD SC | |
|
404 W Boughton Rd Suite A Bolingbrook IL 60440-1898 | |
| (815) 834-7232 | |
| (815) 834-1307 |
| Full Name | Vinod Motiani MD SC |
|---|---|
| Speciality | Internal Medicine |
| Location | 404 W Boughton Rd, Bolingbrook, Illinois |
| Authorized Official Name and Position | John Miller (ACCOUNT EXECUTIVE) |
| Authorized Official Contact | 8158347232 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vinod Motiani MD SC 404 W Boughton Rd Suite A Bolingbrook IL 60440-1898 Ph: (815) 834-7232 | Vinod Motiani MD SC 404 W Boughton Rd Suite A Bolingbrook IL 60440-1898 Ph: (815) 834-7232 |
| NPI Number | 1508032053 |
|---|---|
| Provider Enumeration Date | 05/05/2008 |
| Last Update Date | 06/09/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508032053 | NPI | - | NPPES |
| 1508032053 | Other | IL | TYPE 2 NPI |
| 036072068 | Medicaid | IL | |
| 110170972 | Other | IL | MEDICARE RR |
| 2201614 | Other | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 036-072068 (Illinois) | Primary |
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