| Yorkville Internists, S.c. | |
|
2720 E New York St Ste #108 Aurora IL 60502-9300 | |
| (630) 820-7045 | |
| Not Available |
| Full Name | Yorkville Internists, S.c. |
|---|---|
| Speciality | Internal Medicine |
| Location | 2720 E New York St, Aurora, Illinois |
| Authorized Official Name and Position | Sanjay A Thakkar (PRESIDENT) |
| Authorized Official Contact | 6308207045 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Yorkville Internists, S.c. 2720 E New York St Ste #108 Aurora IL 60502-9300 Ph: (630) 820-7045 | Yorkville Internists, S.c. 2720 E New York St Ste #108 Aurora IL 60502-9300 Ph: (630) 820-7045 |
| NPI Number | 1306869656 |
|---|---|
| Provider Enumeration Date | 07/26/2006 |
| Last Update Date | 09/22/2011 |
| Medicare PECOS PAC ID | 5496759011 |
|---|---|
| Medicare Enrollment ID | O20060912000589 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306869656 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 036107028 (Illinois) | Primary |
| Provider Name | Sanjay A Thakkar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073548483 PECOS PAC ID: 5890727317 Enrollment ID: I20050906000929 |
| Provider Name | Dyzzy Kramer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871802744 PECOS PAC ID: 4880875624 Enrollment ID: I20110225000802 |
| Provider Name | Alex N Ariri |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033493929 PECOS PAC ID: 6406011006 Enrollment ID: I20120705000389 |
| Provider Name | Valencia Faulkner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306182753 PECOS PAC ID: 2769622539 Enrollment ID: I20151110001737 |
| Provider Name | Courtney J Harley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003361049 PECOS PAC ID: 6709164536 Enrollment ID: I20161031000688 |
| Provider Name | Terra L Kolacki |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033764998 PECOS PAC ID: 3375872294 Enrollment ID: I20190831000028 |
| Provider Name | Sanvir Baadh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669020780 PECOS PAC ID: 9234568890 Enrollment ID: I20211029000527 |
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