Aaa-Prism Schaumburg LTD.
Organization Active NPI Internal Medicine Physician · Schaumburg, IL
NPI 1124292560 · NPPES record last updated Nov 21, 2008
Key facts
- NPI
- 1124292560
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 036112261 (IL)
- Legal business name
- AAA-PRISM SCHAUMBURG LTD.
- Practice address
- 825 E Schaumburg Rd
Schaumburg, IL 60194-3654 - Phone
- (630) 539-9900
- Fax
- (630) 539-9901
- NPI assigned
- Apr 16, 2008
- Organization subpart
- No
Authorized official
- Name
- Dr. Anand Satyadev, M.D.
- Title
- Vice President
- Phone
- (630) 539-9900
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician |
207R00000X | 036112261 | IL | Yes |
Addresses
Primary practice location
825 E Schaumburg Rd
Schaumburg, IL 60194-3654
Mailing address
825 E Schaumburg Rd
Schaumburg, IL 60194-3654
Phone (630) 539-9900
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| '036112261 | Medicaid | IL | |
| 1639119 | Other | IL | BCBS OF IL |
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All providers in Schaumburg, IL · Internal Medicine Physician in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 21, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.