Provider Demographics
NPI:1790865277
Name:PAI, APARNA U (MD)
Entity Type:Individual
Prefix:DR
First Name:APARNA
Middle Name:U
Last Name:PAI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5530 S ELM ST
Mailing Address - Street 2:
Mailing Address - City:HINSDALE
Mailing Address - State:IL
Mailing Address - Zip Code:60521-5045
Mailing Address - Country:US
Mailing Address - Phone:630-640-6090
Mailing Address - Fax:815-531-0898
Practice Address - Street 1:120 BATSON CT STE 201
Practice Address - Street 2:
Practice Address - City:NEW LENOX
Practice Address - State:IL
Practice Address - Zip Code:60451-1579
Practice Address - Country:US
Practice Address - Phone:630-767-9755
Practice Address - Fax:815-531-0898
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-17
Last Update Date:2022-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036-109800207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL036-109800Medicaid
ILH94304Medicare UPIN