Tharris Apn Ltd

NPI #1417460312 in Aurora, Illinois

Provider Information

NPI Number: 1417460312
Entity Type: Organization
Organization Name: Tharris Apn Ltd
Primary Specialty: Family Medicine
Enumeration Date: Nov 14, 2017
Last Updated: Nov 14, 2017

Practice Location

Address: 2460 S EOLA RD
City: Aurora
State: Illinois
ZIP Code: 60503-6494
Phone: (630) 585-5600

Authorized Official

Name: JAVIER BANUELOS
Title: BILLING/CREDENTIAL MANAGER
Phone: (630) 649-3974

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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