Aberrant Health S C
Organization Active NPI Internal Medicine Physician · Des Plaines, IL
NPI 1942014949 · NPPES record last updated Feb 3, 2025
Key facts
- NPI
- 1942014949
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Internal Medicine Physician 207R00000X
- Legal business name
- ABERRANT HEALTH S C
- Practice address
- 100 N River Rd
Des Plaines, IL 60016-1209 - Phone
- (847) 813-3542
- NPI assigned
- Feb 3, 2025
- Organization subpart
- No
Authorized official
- Name
- Ritesh Panwar, MD
- Title
- Provider
- Phone
- (847) 813-3542
Practitioners 1
-
Ritesh Panwar, MD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250210002157 | IL | Part B Supplier - Clinic/Group Practice | 2769912500 |
Receives reassigned benefits from 1 practitioner Practice locations: Des Plaines, IL |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician |
207R00000X | Yes |
Addresses
Primary practice location
100 N River Rd
Des Plaines, IL 60016-1209
Mailing address
100 N River Rd
Des Plaines, IL 60016-1209
Phone (847) 813-3542
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- Noor Ablahad
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All providers in Des Plaines, 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 Feb 3, 2025. 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.