Ermil Wagner, | |
2 E Rollins Rd, Suite 103, Round Lake Beach, IL 60073-3808 | |
(847) 740-4300 | |
Not Available |
Full Name | Ermil Wagner |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 36 Years |
Location | 2 E Rollins Rd, Round Lake Beach, Illinois |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1922193028 | NPI | - | NPPES |
036082201 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 036082201 (Illinois) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Mohammad Waseem Kagzi Md Ltd | 6406836998 | 2 |
Entity Name | Mohammad Waseem Kagzi Md Ltd |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1750568960 PECOS PAC ID: 6406836998 Enrollment ID: O20040723001189 |
Mailing Address | Practice Location Address |
---|---|
Ermil Wagner, 731 S Il Route 21, Ste 120, Gurnee, IL 60031-3803 Ph: () - | Ermil Wagner, 2 E Rollins Rd, Suite 103, Round Lake Beach, IL 60073-3808 Ph: (847) 740-4300 |
Anita Rani Bhardwaj, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2540 N Il Route 83, Round Lake Beach, IL 60073 Phone: 847-356-2752 Fax: 847-356-2763 | |
Dr. Leonard Ginzburg, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 19 W Rollins Rd, Round Lake Beach, IL 60073 Phone: 847-740-7260 Fax: 847-740-7262 | |
Daniel Kirschner, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2 E Rollins Rd, Round Lake Beach, IL 60073 Phone: 847-740-2500 |