Healthcare Provider Details

I. General information

NPI: 1295985620
Provider Name (Legal Business Name): MEDICAL CARE ASSOCIATES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/22/2008
Last Update Date: 10/08/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2003 MONTGOMERY RD
AURORA IL
60504-9078
US

IV. Provider business mailing address

2003 MONTGOMERY RD
AURORA IL
60504-9078
US

V. Phone/Fax

Practice location:
  • Phone: 630-229-6708
  • Fax: 630-340-3460
Mailing address:
  • Phone: 630-229-6708
  • Fax: 630-340-3460

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number036106379
License Number StateIL

VIII. Authorized Official

Name: ALAFIA NOMANI
Title or Position: MD
Credential: MD
Phone: 219-781-6366