Aim Healthcare Providers Il, SC
Organization Active NPI Family Medicine Physician · Downers Grove, IL
NPI 1891494084 · NPPES record last updated Dec 9, 2024
Key facts
- NPI
- 1891494084
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- Legal business name
- AIM HEALTHCARE PROVIDERS IL, SC
- Practice address
- 1901 Butterfield Rd Ste 810
Downers Grove, IL 60515-7904 - Phone
- (480) 494-2465
- NPI assigned
- Feb 27, 2023
- Organization subpart
- No
Authorized official
- Name
- Kelly Karaniuk
- Title
- Credentialing Director
- Phone
- (480) 494-2465
Subparts reporting this organization as parent 1
Corporate family (same tax ID) 1
Practitioners 8
-
Christina Ahme, FNP-BC
-
Natalia Ruiz, NURSE PRACTITIONER
-
Josina M Thompson, FNP-BC
-
Jiori Jacobsen, FNP-C
-
Bianca Ray, FNP-BC
-
Onyeisi Stephen Ogbomeh, DNP, APRN-FPA,FNP-BC
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20230710000208 | IL | Part B Supplier - Clinic/Group Practice | 5395104376 |
Receives reassigned benefits from 7 practitioners Practice locations: Downers Grove, IL |
National Provider Directory
- Tax ID family
- Aim Healthcare Providers Il SC
Locations
161 E Rivulon Blvd
Ste 210
Gilbert, AZ 85297
Phone (480) 244-1724
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | Yes |
Addresses
Primary practice location
1901 Butterfield Rd Ste 810
Downers Grove, IL 60515-7904
Mailing address
161 E Rivulon Blvd Ste 210
Gilbert, AZ 85297-0087
Phone (480) 447-6841
Other practice location 1
161 E Rivulon Blvd Ste 210
Gilbert, AZ 85297-0087
Phone (480) 494-2465
Other providers in Downers Grove, IL
- Junbum Ahn
- Nicole Ahrens
- Maleeha A Ahsan
- Roopleen Ahuja
- Aim Healthcare Providers Il, SC
- Aim to Achieve, P.C.
- Zayna Ajam
- Kristine Ann Akers
- Nusrath Akhtar
- Naheed R Akhter
All providers in Downers Grove, IL · Family 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 Dec 9, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.