Udaya Bontu is a Internal Medicine in Huntley, Illinois. Udaya Bontu practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Udaya Bontu is 1255339503. The last update date is 2022-03-21.
Udaya Bontu's current location address is 10400 Haligus Rd Ste 200, Huntley, Illinois. You can contact this provider via phone number 8157594323 and fax number 8472145753. The mailing address for Udaya Bontu is 10400 Haligus Rd Ste 200, Huntley, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Udaya Bontu |
|---|---|
| Address | 10400 Haligus Rd Ste 200, Huntley, Illinois |
| Phone Number | 8157594323 |
| Fax Number | 8472145753 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1255339503 |
|---|---|
| Provider Enumeration Date | 2005-07-11 |
| Last Updated Date | 2022-03-21 |
Provider Mailing Address Detail
| Address | 10400 Haligus Rd Ste 200 |
|---|---|
| City | Huntley |
| State | Illinois (IL) |
| Post Code | 601429553 |
| Phone Number | 8157594323 |
| Fax Number | 8472145753 |
Provider's Primary Taxonomy Detail
| Speciality | Internal Medicine |
|---|---|
| Taxonomy | 207R00000X |
| Licence No | 36091568 |
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Definition: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 610033301 | IL | DOL WORKCOMP | |
| DB0387 | IL | RAILROAD MEDICARE GROUP | |
| P00083896 | IL | RAILROAD MEDICARE | |
| 4532170 | IL | BLUE CROSS BLUE SHIELD | |
| 36091568 | IL | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Udaya Bontu?
The Udaya Bontu has been issued the NPI (National Provider Identifier) 1255339503 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Udaya Bontu's facilities are geographically located?
The facilities of Udaya Bontu are physically situated at the following location: 10400 Haligus Rd Ste 200, Huntley, IL, 601429553.
What is the Udaya Bontu's area of specialization and corresponding taxonomy classification?
The Udaya Bontu's specialty field is Internal Medicine, and it falls under the taxonomy code 207R00000X, which categorizes healthcare providers based on their specialties.
On what date did the Udaya Bontu receive the assignment of its 1255339503 from the Centers for Medicare & Medicaid Services?
The Udaya Bontu was issued its 1255339503 by the Centers for Medicare & Medicaid Services on 2005-07-11.
As of what date was the information pertaining to Udaya Bontu, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Udaya Bontu, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2022-03-21.
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