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Organization
PREMIER MEDICAL ASSOCIATES, LLC
Active
Organization
PREMIER MEDICAL ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALICE MARIE RUPP DO (OWNER)
(630) 318-3355
Entity
Organization
Contact information
Practice address
4050 HEALTHWAY DR, SUITE 140, AURORA, IL 60504-8183
(630) 318-3355
(630) 701-9277
Mailing address
4050 HEALTHWAY DR, SUITE 140, AURORA, IL 60504-8183
(630) 318-3355
(630) 701-9277
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
00303608379601
IL
363LF0000X
Family Nurse Practitioner
209006778
IL
Other
Enumeration date
05/07/2012
Last updated
08/03/2012
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