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NPI Code Detail

MEDICARE: DR. TONY VARGHESE PALLAN M.D

MEDICARE: DR. TONY VARGHESE PALLAN M.D
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
1207QB0002XObesity Medicine (Family Medicine) Physician036137215IL
2207Q00000XFamily Medicine Physician036137215IL
3207Q00000XFamily Medicine Physician2010015021MO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1QZZ000000044776OTHERILAETNA BETTER HEALTH
212569529OTHERILCAQH
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1942512827
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. TONY VARGHESE PALLAN M.D
Provider Business Mailing Address
First Line : 2000 OGDEN AVE
Second Line :
City : AURORA
State : IL
Zip : 60504-7222
Country : US
Telephone Number : 866-565-8607
Fax Number : 312-563-8661
Provider Business Practice Location Address
First Line : 2000 OGDEN AVE
Second Line :
City : AURORA
State : IL
Zip : 60504-7222
Country : US
Telephone Number : 866-565-8607
Fax Number : 312-563-8661
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/08/2010
Last Update Date : 01/09/2026

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