Basic Information
Provider Information | |||||||||
NPI: | 1932431137 | ||||||||
EntityType: | 2 | ||||||||
ReplacementNPI: |   | ||||||||
OrganizationName: | ACCESS HOSPITALISTS, LLC | ||||||||
LastName: |   | ||||||||
FirstName: |   | ||||||||
MiddleName: |   | ||||||||
NamePrefix: |   | ||||||||
NameSuffix: |   | ||||||||
Credential: |   | ||||||||
OtherOrganizationName: |   | ||||||||
OtherOrganizationType: |   | ||||||||
OtherLastName: |   | ||||||||
OtherFirstName: |   | ||||||||
OtherMiddleName: |   | ||||||||
OtherNamePrefix: |   | ||||||||
OtherNameSuffix: |   | ||||||||
OtherCredential: |   | ||||||||
OtherLastNameType: |   | ||||||||
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: |   | ||||||||
NPIDeactivationDate: |   | ||||||||
NPIReactivationDate: |   | ||||||||
ProviderGenderCode: |   | ||||||||
AuthorizedOfficialLastName: | BEKKAM | ||||||||
AuthorizedOfficialFirstName: | NAVEEN | ||||||||
AuthorizedOfficialMiddleName: |   | ||||||||
AuthorizedOfficialTitleorPosition: | MEDICAL DIRECTOR | ||||||||
AuthorizedOfficialTelephone: | 6304706102 | ||||||||
IsSoleProprietor: |   | ||||||||
IsOrganizationSubpart: | N | ||||||||
ParentOrganizationLBN: |   | ||||||||
AuthorizedOfficialNamePrefix: | DR. | ||||||||
AuthorizedOfficialNameSuffix: |   | ||||||||
AuthorizedOfficialCredential: | M.D. | ||||||||
NPICertificationDate: |   |
Taxonomy Information
Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208M00000X | 036116759 | IL | Y | 193400000X SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Hospitalist |   |
No ID Information.