North Suburban Physicians Group, Ltd is a medicare enrolled "Specialist" provider in Niles, Illinois. Their current practice location is
241 Golf Mill Ctr, Suite 600, Niles, Illinois. You can reach out to their office (for appointments etc.) via phone at
(847) 699-8888.
North Suburban Physicians Group, Ltd is licensed to practice in Illinois (license number 036100991) and it also participates in the medicare program. North Suburban Physicians Group, Ltd
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1750550703.
Healthcare Provider's Profile
| Full Name | North Suburban Physicians Group, Ltd |
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| Type | Facility |
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| Speciality | Specialist |
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| Location | 241 Golf Mill Ctr, Niles, Illinois |
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| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1750550703
- Provider Enumeration Date: 02/25/2008
- Last Update Date: 09/08/2008
Medicare PECOS Information:
- PECOS PAC ID: 8921174566
- Enrollment ID: O20080905000492
Medical Identifiers
Medical identifiers for North Suburban Physicians Group, Ltd such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1750550703 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 111N00000X | Chiropractor | 038008965 (Illinois) | Secondary |
| 111N00000X | Chiropractor | 038008113 (Illinois) | Secondary |
| 174400000X | Specialist | 036100991 (Illinois) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
North Suburban Physicians Group, Ltd acts as a billing entity for following providers:
| Provider Name | Hovig Vartanian |
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| Provider Type | Practitioner - Chiropractic |
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| Provider Identifiers | NPI Number: 1215016134
PECOS PAC ID: 5193700649
Enrollment ID: I20040621000449 |
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| Provider Name | Michael G Tsinman |
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| Provider Type | Practitioner - Internal Medicine |
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| Provider Identifiers | NPI Number: 1710900907
PECOS PAC ID: 1658317078
Enrollment ID: I20050707000148 |
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| Provider Name | Shannon Lee Burke |
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| Provider Type | Practitioner - Chiropractic |
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| Provider Identifiers | NPI Number: 1952480865
PECOS PAC ID: 4789609835
Enrollment ID: I20051007000825 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. North Suburban Physicians Group, Ltd is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
North Suburban Physicians Group, Ltd
241 Golf Mill Ctr, Suite 600,
Niles, IL 60714-1224
Ph: (847) 699-8888 | North Suburban Physicians Group, Ltd
241 Golf Mill Ctr, Suite 600,
Niles, IL 60714-1224
Ph: (847) 699-8888 |
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