MEDICARE: 7 HILLS HEALTHCARE CENTER P.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	036047835	IL
2	207U00000X	Nuclear Medicine Physician	036110141	IL
3	207R00000X	Internal Medicine Physician	036110141	IL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1417249145
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	7 HILLS HEALTHCARE CENTER P.C.

Provider Business Mailing Address
First Line	:	650 SPRING HILL RING RD
Second Line	:	SUITE 2000
City	:	WEST DUNDEE
State	:	IL
Zip	:	60118-1296
Country	:	US
Telephone Number	:	847-428-2273
Fax Number	:	847-428-3128

Provider Business Practice Location Address
First Line	:	152 N ADDISON AVE
Second Line	:	SUITE 202
City	:	ELMHURST
State	:	IL
Zip	:	60126-2821
Country	:	US
Telephone Number	:	847-428-2273
Fax Number	:	847-428-3128

Authorized Official
Title or Position	:	HEALTHCARE ADMINISTRATOR
Name	:	MR. AARON BUSH
Credential	:	MHA
Telephone Number	:	847-428-2273

Provider Enumeration Date	:	05/13/2011
Last Update Date	:	05/13/2011

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