Basic Information
Provider Information
NPI: 1932431137
EntityType: 2
ReplacementNPI:  
OrganizationName: ACCESS HOSPITALISTS, LLC
LastName:  
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Mailing Information
Address1: 1717 N. NAPER BLVD
Address2: SUITE 107
City: NAPERVILLE
State: IL
PostalCode: 60563
CountryCode: US
TelephoneNumber: 8667274612
FaxNumber: 8777574402
Practice Location
Address1: 800 BIESTERFIELD ROAD
Address2:  
City: ELK GROVE VILLAGE
State: IL
PostalCode: 600073397
CountryCode: US
TelephoneNumber: 8667274612
FaxNumber: 8777574402
Other Information
ProviderEnumerationDate: 02/12/2010
LastUpdateDate: 10/04/2010
NPIDeactivationReasonCode:  
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AuthorizedOfficialLastName: BEKKAM
AuthorizedOfficialFirstName: NAVEEN
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AuthorizedOfficialTitleorPosition: MEDICAL DIRECTOR
AuthorizedOfficialTelephone: 6304706102
IsSoleProprietor:  
IsOrganizationSubpart: N
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix: DR.
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential: M.D.
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
208M00000X036116759ILY193400000X SINGLE SPECIALTY GROUPAllopathic & Osteopathic PhysiciansHospitalist 

No ID Information.


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