Dr Peter Thomas Georginis, MD | |
695 Park Ave, Lake Villa, IL 60046-6531 | |
(224) 541-9100 | |
Not Available |
Full Name | Dr Peter Thomas Georginis |
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Gender | Male |
Speciality | Internal Medicine |
Location | 695 Park Ave, Lake Villa, 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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1629426366 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | 036.147842 (Illinois) | Secondary |
207R00000X | Internal Medicine | 036.147842 (Illinois) | Primary |
Entity Name | University Of Chicago |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1821048786 PECOS PAC ID: 7719899426 Enrollment ID: O20031103000094 |
Entity Name | The University Of Chicago Medical Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033218128 PECOS PAC ID: 7618880766 Enrollment ID: O20031106000203 |
Entity Name | Signify Health Medical Associates Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1750845863 PECOS PAC ID: 2163764424 Enrollment ID: O20190507001451 |
Mailing Address | Practice Location Address |
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Dr Peter Thomas Georginis, MD 695 Park Ave, Lake Villa, IL 60046-6531 Ph: (224) 541-9100 | Dr Peter Thomas Georginis, MD 695 Park Ave, Lake Villa, IL 60046-6531 Ph: (224) 541-9100 |
Dr. Mohamed E Nasr, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 213 S Milwaukee Ave, Lake Villa, IL 60046 Phone: 847-356-9009 |