Organization
ANTHONY M AURIEMMA MD SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY AURIEMMA M.D. (PRESIDENT)
(630) 925-4402
Entity
Organization
Contact information
Practice address
460 QUAIL RIDGE DR, WESTMONT, IL 60559-6145
(630) 887-2900
(630) 986-2440
Mailing address
460 QUAIL RIDGE DR, WESTMONT, IL 60559-6145
(630) 887-2900
(630) 986-2440
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036113958
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036113958
—
IL
01
—
DP3005
RR MEDICARE PTAN
IL
Enumeration date
04/09/2007
Last updated
10/06/2009
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