Bartlett Medical Associates SC

Organization Active NPI Internal Medicine Physician · Bartlett, IL

NPI 1740539220 · NPPES record last updated Aug 30, 2012

Key facts

NPI
1740539220
Entity type
Organization (NPI type 2)
Primary specialty
Internal Medicine Physician 207R00000X
License
036128479 (IL)
Legal business name
BARTLETT MEDICAL ASSOCIATES SC
Practice address
385 Bartlett PLZ
Bartlett, IL 60103-4234
Phone
(630) 289-6024
Fax
(630) 289-8400
NPI assigned
Aug 30, 2012
Organization subpart
No

Authorized official

Name
Marionette S Jayaprakash, MD
Title
Physician
Phone
(630) 289-6024

National Provider Directory

Locations

385 Bartlett Plz
Bartlett, IL 60103
Phone (630) 289-6024

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician
Group: 193400000X SINGLE SPECIALTY GROUP
207R00000X 036128479 IL Yes

Addresses

Primary practice location

385 Bartlett PLZ
Bartlett, IL 60103-4234

Mailing address

385 Bartlett PLZ
Bartlett, IL 60103-4234
Phone (630) 289-6024

Other providers in Bartlett, IL

All providers in Bartlett, IL · Internal Medicine Physician in Illinois

Sources for this page

Verify at the official NPI Registry.