Organization
AURORA INTERNAL MEDICINE, LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TED JOSEPH KULCZYCKI M.D. (PRESIDENT)
(630) 264-8000
Entity
Organization
Contact information
Practice address
23 S LINCOLNWAY, NORTH AURORA, IL 60542-1645
(630) 264-8000
(630) 264-9470
Mailing address
23 S LINCOLNWAY, NORTH AURORA, IL 60542-1645
(630) 264-8000
(630) 264-9470
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036086232
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036086232
—
IL
01
—
04521997
BLUE CROSS BLUE SHIELD
IL
01
—
1558311738
NPI
IL
Enumeration date
05/16/2006
Last updated
02/03/2011
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