Elliott Kroger, MD | |
3210 Grand Ave, Waukegan, IL 60085-2204 | |
(847) 220-4103 | |
(847) 693-7029 |
Full Name | Elliott Kroger |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Location | 3210 Grand Ave, Waukegan, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1427087063 | NPI | - | NPPES |
1982624763 | Other | BCBS OF IL | |
04-29526 | Other | EVERCARE | |
4932996 | Other | BCBS OF IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 036-059136 (Illinois) | Primary |
Entity Name | Senior Care Physicians Of Illinois, S.c. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1952676405 PECOS PAC ID: 9830352558 Enrollment ID: O20120516000543 |
Entity Name | Oak Street Health Physicians Group Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1083051643 PECOS PAC ID: 7517109879 Enrollment ID: O20130815000670 |
Mailing Address | Practice Location Address |
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Elliott Kroger, MD Po Box 746721, Atlanta, GA 30374-6721 Ph: (313) 733-9730 | Elliott Kroger, MD 3210 Grand Ave, Waukegan, IL 60085-2204 Ph: (847) 220-4103 |
John Anthony Kyncl, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 700 S Lewis Ave, #210, Waukegan, IL 60085 Phone: 847-662-7788 Fax: 847-662-7817 | |
John P Freeland, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 1616 Grand Ave, Suite A, Waukegan, IL 60085 Phone: 847-623-0032 Fax: 847-623-0505 | |
William Edwards Cape, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1800 Grand Ave, Waukegan, IL 60085 Phone: 847-360-8800 Fax: 847-267-0966 | |
Kokeela Rathi, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2400 Belvidere Rd, Waukegan, IL 60085 Phone: 847-377-8400 | |
Miloslava Marie Kyncl, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 700 S Lewis Ave, Suite 210, Waukegan, IL 60085 Phone: 847-662-7788 Fax: 847-662-7817 | |
Dr. Kang-yann Lin, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1616 Grand Ave, Suite A, Waukegan, IL 60085 Phone: 847-662-5050 Fax: 847-782-5615 | |
Yoginder Kumar, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 2504 Washington St, Suite 103, Waukegan, IL 60085 Phone: 847-244-6800 Fax: 847-244-9538 |