Dr Jeffrey Lerch, MD | |
9230 Broadway Ave, Brookfield, IL 60513-1252 | |
(708) 387-1109 | |
(708) 387-9649 |
Full Name | Dr Jeffrey Lerch |
---|---|
Gender | Male |
Speciality | Obstetrics & Gynecology |
Location | 9230 Broadway Ave, Brookfield, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1124078795 | NPI | - | NPPES |
36050848 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207VX0000X | Obstetrics & Gynecology - Obstetrics | 54280 (Kentucky) | Secondary |
207V00000X | Obstetrics & Gynecology | 36050848 (Illinois) | Primary |
Entity Name | Quincy Physicians & Surgeons Clinic, Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1548234198 PECOS PAC ID: 0749192375 Enrollment ID: O20031103000445 |
Entity Name | Erie Family Health Center Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760499545 PECOS PAC ID: 9537050422 Enrollment ID: O20040322000689 |
Entity Name | Northshore University Healthsystem Faculty Practice Associates |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1497701882 PECOS PAC ID: 2163334699 Enrollment ID: O20040524000118 |
Entity Name | Obhg Illinois Sc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1700107216 PECOS PAC ID: 7810179702 Enrollment ID: O20110314001065 |
Entity Name | Blessing Hospital |
---|---|
Entity Type | Part B Supplier - Hospital Department(s) |
Entity Identifiers | NPI Number: 1114471737 PECOS PAC ID: 3072422534 Enrollment ID: O20161005001836 |
Mailing Address | Practice Location Address |
---|---|
Dr Jeffrey Lerch, MD 4219 Ridgeland Ln, Northbrook, IL 60062-4936 Ph: (847) 564-3288 | Dr Jeffrey Lerch, MD 9230 Broadway Ave, Brookfield, IL 60513-1252 Ph: (708) 387-1109 |