| Primehealth Of Illinois Inc | |
|
2100 E Lake Cook Rd Suite 1000 Buffalo Grove IL 60089-1999 | |
| (224) 632-5613 | |
| (844) 246-5875 |
| Full Name | Primehealth Of Illinois Inc |
|---|---|
| Speciality | Podiatrist |
| Location | 2100 E Lake Cook Rd, Buffalo Grove, Illinois |
| Authorized Official Name and Position | Kenneth King (OWNER) |
| Authorized Official Contact | 8448823127 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Primehealth Of Illinois Inc 2100 E Lake Cook Rd Suite 1000 Buffalo Grove IL 60089-1999 Ph: (224) 632-5613 | Primehealth Of Illinois Inc 2100 E Lake Cook Rd Suite 1000 Buffalo Grove IL 60089-1999 Ph: (224) 632-5613 |
| NPI Number | 1558808261 |
|---|---|
| Provider Enumeration Date | 01/20/2017 |
| Last Update Date | 03/21/2017 |
| Medicare PECOS PAC ID | 7517242803 |
|---|---|
| Medicare Enrollment ID | O20170329001437 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558808261 | NPI | - | NPPES |
| Provider Name | Michael Lacey |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1700882602 PECOS PAC ID: 9830152172 Enrollment ID: I20041108001225 |
| Provider Name | Wika Kao Gomez |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1477649010 PECOS PAC ID: 8729087895 Enrollment ID: I20061219000262 |
| Provider Name | Ronald P Pieroni |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1033112917 PECOS PAC ID: 3870664170 Enrollment ID: I20080613000259 |
| Provider Name | Robert M Bester |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1194940106 PECOS PAC ID: 6608923131 Enrollment ID: I20090529000189 |
| Provider Name | Michelle M Mattingly |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1427364876 PECOS PAC ID: 4385824226 Enrollment ID: I20110209000487 |
| Provider Name | Aaron J Raestas |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1407233760 PECOS PAC ID: 0941514954 Enrollment ID: I20150805006670 |
| Provider Name | William H Frey |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1851467286 PECOS PAC ID: 9638278963 Enrollment ID: I20150923001774 |
| Provider Name | Daryl Kinshasa Jenkins |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1245215318 PECOS PAC ID: 0042280935 Enrollment ID: I20151028000205 |
| Provider Name | James W Lieber |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1184731515 PECOS PAC ID: 0143523324 Enrollment ID: I20160121001598 |
| Provider Name | Staci Ducker |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1023155561 PECOS PAC ID: 3476651878 Enrollment ID: I20161122000435 |
| Provider Name | Ronald G Hageman |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1245249192 PECOS PAC ID: 2466462221 Enrollment ID: I20170323001916 |
| Provider Name | Ernest Luczkowski |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1457764375 PECOS PAC ID: 4082986112 Enrollment ID: I20170825000722 |
| Provider Name | Farheen Wahid |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1659753523 PECOS PAC ID: 5092061184 Enrollment ID: I20180703000515 |
| Provider Name | Nhat Nguyen |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1619464898 PECOS PAC ID: 0446507388 Enrollment ID: I20180723003280 |
| Provider Name | Alexander M Mckanna |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1285029694 PECOS PAC ID: 7517242910 Enrollment ID: I20180726000624 |
| Provider Name | Reem Jamal Mohammad |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1407268378 PECOS PAC ID: 0648579839 Enrollment ID: I20180901000126 |
| Provider Name | Maliha S Khan |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1790165959 PECOS PAC ID: 3577877802 Enrollment ID: I20181112002186 |
| Provider Name | Alexis Niemann Kirner |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1164959862 PECOS PAC ID: 5799040614 Enrollment ID: I20190311002425 |
| Provider Name | Gayatri Samita Samnarain |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1548630619 PECOS PAC ID: 0941550560 Enrollment ID: I20190325001992 |
| Provider Name | Rosa D Bellido Griffin |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1649484353 PECOS PAC ID: 4183911522 Enrollment ID: I20190412001581 |
| Provider Name | Alison Dawn Traffanstedt Young |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1225489172 PECOS PAC ID: 3678834173 Enrollment ID: I20190716000527 |
| Provider Name | Mansoor Ahmed |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1821442237 PECOS PAC ID: 3072850163 Enrollment ID: I20190913002093 |
| Provider Name | Krystle Miller |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1578998936 PECOS PAC ID: 9234557950 Enrollment ID: I20200914000080 |
| Provider Name | Frank Wasserman |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1154338481 PECOS PAC ID: 6002834264 Enrollment ID: I20210401001574 |
| Provider Name | Dennis Mcgrath |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1598176091 PECOS PAC ID: 5294959276 Enrollment ID: I20210401001642 |
| Provider Name | Susan L Westfall |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1124007455 PECOS PAC ID: 3375508047 Enrollment ID: I20210401001676 |
Lake Cook Dental Center P C Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1207 Mchenry Road, Suite 215, Buffalo Grove, IL 60089 Phone: 847-955-2331 Fax: 847-955-2332 | |
Chorzempa & Ziah D.d.s.,ltd. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1425 Mchenry Rd, Suite 101, Buffalo Grove, IL 60089 Phone: 847-955-1500 Fax: 847-955-1589 | |
Shiffman Morris Dental Assoc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 195 N Arlington Heights Rd, Suite 160, Buffalo Grove, IL 60089 Phone: 847-215-1511 Fax: 847-243-0509 | |
Alexander Katsnelson Dmd Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 488 Thorndale Dr, Buffalo Grove, IL 60089 Phone: 847-902-9922 Fax: 888-846-4758 | |
Michael E. Moats Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 135 N Arlington Heights Rd, Suite 150, Buffalo Grove, IL 60089 Phone: 847-279-1440 Fax: 847-279-1450 | |
Natalya Nagornaya Dds Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 472 Half Day Rd, Buffalo Grove, IL 60089 Phone: 847-634-2525 Fax: 847-634-2860 | |
Buffalo Grove Orthodontics Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 600 N Buffalo Grove Rd Ste 200, Buffalo Grove, IL 60089 Phone: 847-537-0210 |