| Yorktown Health Lisle | |
|
2009 Warrenville Rd Unit C Lisle IL 60532-2373 | |
| (262) 274-8431 | |
| Not Available |
| Full Name | Yorktown Health Lisle |
|---|---|
| Speciality | Internal Medicine |
| Location | 2009 Warrenville Rd Unit C, Lisle, Illinois |
| Authorized Official Name and Position | Shawn George (OWNER) |
| Authorized Official Contact | 7736531354 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Yorktown Health Lisle 500 E 22nd St Ste A Lombard IL 60148-6102 | Yorktown Health Lisle 2009 Warrenville Rd Unit C Lisle IL 60532-2373 Ph: (262) 274-8431 |
| NPI Number | 1851190912 |
|---|---|
| Provider Enumeration Date | 03/11/2025 |
| Last Update Date | 03/11/2025 |
| Certification Date | 03/11/2025 |
| Medicare PECOS PAC ID | 6608342118 |
|---|---|
| Medicare Enrollment ID | O20260421002514 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851190912 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | () | Primary |
| Provider Name | Krunal R Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396127239 PECOS PAC ID: 7719273895 Enrollment ID: I20181105000091 |
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