Provider Demographics
NPI:1427210285
Name:HEM AGGARWAL, MD SC
Entity type:Organization
Organization Name:HEM AGGARWAL, MD SC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:HEM
Authorized Official - Middle Name:C
Authorized Official - Last Name:AGGARWAL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:630-466-9777
Mailing Address - Street 1:217 CAPITOL DR
Mailing Address - Street 2:SUITE B
Mailing Address - City:SUGAR GROVE
Mailing Address - State:IL
Mailing Address - Zip Code:60554-9842
Mailing Address - Country:US
Mailing Address - Phone:630-466-9777
Mailing Address - Fax:640-466-3809
Practice Address - Street 1:217 CAPITOL DR
Practice Address - Street 2:SUITE B
Practice Address - City:SUGAR GROVE
Practice Address - State:IL
Practice Address - Zip Code:60554-9842
Practice Address - Country:US
Practice Address - Phone:630-466-9777
Practice Address - Fax:630-466-3809
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-01
Last Update Date:2008-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036-111697207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty