C Lucy Park, | |
121 S Wilke Rd, Suite 311, Arlington Heights, IL 60005-1533 | |
(630) 599-5444 | |
(630) 599-5445 |
Full Name | C Lucy Park |
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Gender | Female |
Speciality | Pediatrics |
Location | 121 S Wilke Rd, Arlington Heights, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1609886183 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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208000000X | Pediatrics | 036069211 (Illinois) | Primary |
Entity Name | The Board Of Trustees Of The University Of Illinois |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1386863819 PECOS PAC ID: 3072422716 Enrollment ID: O20031112000158 |
Mailing Address | Practice Location Address |
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C Lucy Park, 606 Forest Rd, Glenview, IL 60025-3448 Ph: (312) 203-5587 | C Lucy Park, 121 S Wilke Rd, Suite 311, Arlington Heights, IL 60005-1533 Ph: (630) 599-5444 |
Dr. Asadullah Khan, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 880 W Central Rd Ste 7200, Arlington Heights, IL 60005 Phone: 847-618-4430 Fax: 847-618-0786 | |
Stephanie Baker, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3233 N Arlington Heights Rd, Suite 209, Arlington Heights, IL 60004 Phone: 847-670-4545 | |
Ms. Sherri L Dagostino, APN Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 880 W Central Rd, Suite 6400 Childrens Memorial Outpt Center, Arlington Heights, IL 60005 Phone: 224-625-2180 Fax: 224-625-2182 | |
Dr. George W Goodlow, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3295 N Arlington Heights Rd, Suite 106-107, Arlington Heights, IL 60004 Phone: 847-797-0587 | |
Alexis Nicole Bond, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3335 N Arlington Heights Rd Ste C&d, Arlington Heights, IL 60004 Phone: 847-788-8300 Fax: 847-788-8306 | |
Carissa Lee-holmes, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3323 N. Arlington Heights Rd, Suite 209, Arlington Heights, IL 60004 Phone: 847-670-4545 Fax: 847-670-4540 | |
Dr. Maria M Santiago, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3325 N Arlington Heights Rd, Suite 100a, Arlington Heights, IL 60004 Phone: 847-398-0400 Fax: 847-398-9590 |