Organization
INTERNAL MEDICINE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAVIKIRAN N TAMRAGOURI MD (PRESIDENT)
(630) 241-1616
Entity
Organization
Contact information
Practice address
1909 OGDEN AVE, DOWNERS GROVE, IL 60515-2602
(630) 241-1616
(630) 541-0066
Mailing address
1909 OGDEN AVE, DOWNERS GROVE, IL 60515-2602
(630) 241-1616
(630) 541-0066
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
036073705
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036073705
—
IL
01
—
2215606
BLUE CROSS
IL
Enumeration date
01/18/2008
Last updated
05/10/2010
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us