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Organization
NAPERVILLE FAMILY CLINIC SC
Active
Organization
NAPERVILLE FAMILY CLINIC SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUNITA DERVESH KOUL MD (PRESIDENT)
(515) 991-7370
Entity
Organization
Contact information
Practice address
1879 BAY SCOTT CIR STE 111, NAPERVILLE, IL 60540-1109
(630) 961-1341
(630) 961-1782
Mailing address
1879 BAY SCOTT CIR STE 111, NAPERVILLE, IL 60540-1109
(515) 991-7370
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
NULL
207R00000X
Internal Medicine Physician
Primary
—
—
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
06/28/2021
Last updated
07/30/2026
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