Provider Demographics
NPI:1891562443
Name:PHYSICIANS OF INTERNAL MEDICINE AND PEDIATRICS, LTD.
Entity Type:Organization
Organization Name:PHYSICIANS OF INTERNAL MEDICINE AND PEDIATRICS, LTD.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BHAVYA
Authorized Official - Middle Name:
Authorized Official - Last Name:KUMAR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:630-523-9161
Mailing Address - Street 1:360 W BUTTERFIELD RD STE 270
Mailing Address - Street 2:
Mailing Address - City:ELMHURST
Mailing Address - State:IL
Mailing Address - Zip Code:60126-5098
Mailing Address - Country:US
Mailing Address - Phone:630-523-9161
Mailing Address - Fax:630-523-9697
Practice Address - Street 1:360 W BUTTERFIELD RD STE 270
Practice Address - Street 2:
Practice Address - City:ELMHURST
Practice Address - State:IL
Practice Address - Zip Code:60126-5098
Practice Address - Country:US
Practice Address - Phone:630-523-9161
Practice Address - Fax:630-523-9697
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-05
Last Update Date:2023-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty