Jennifer Dimond, MD | |
915 S Waukegan Rd, Lake Forest, IL 60045-2654 | |
(847) 234-8866 | |
(847) 234-4682 |
Full Name | Jennifer Dimond |
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Gender | Female |
Speciality | Internal Medicine |
Location | 915 S Waukegan Rd, Lake Forest, 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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1669932737 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207R00000X | Internal Medicine | 036162764 (Illinois) | Primary |
Entity Name | Northshore University Healthsystem Faculty Practice Associates |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1497701882 PECOS PAC ID: 2163334699 Enrollment ID: O20040524000118 |
Mailing Address | Practice Location Address |
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Jennifer Dimond, MD 915 S Waukegan Rd, Lake Forest, IL 60045-2654 Ph: (847) 234-8866 | Jennifer Dimond, MD 915 S Waukegan Rd, Lake Forest, IL 60045-2654 Ph: (847) 234-8866 |
Dr. Jason T Garti, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 800 N Westmoreland Rd, Suite 100, Lake Forest, IL 60045 Phone: 847-234-8866 Fax: 824-234-4682 | |
Dr. Vikram Kanakayya Devisetty, M.D., M.B.A., M.P.H. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 660 N Westmoreland Rd, Lake Forest, IL 60045 Phone: 847-234-5600 | |
Mariam Anis, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1000 N Westmoreland Rd # Level1, Lake Forest, IL 60045 Phone: 847-535-7647 Fax: 847-535-7151 | |
Jennifer M Nguyen, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1000 N Westmoreland Rd, Lake Forest, IL 60045 Phone: 847-234-5600 | |
Andrew Min Jun Choi, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1000 N Westmoreland Rd, Lake Forest, IL 60045 Phone: 847-234-5600 | |
Sam F Hull, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 951 Country Pl, Lake Forest, IL 60045 Phone: 847-295-5729 Fax: 847-295-5700 | |
Dr. Denise Verges, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 900 N Westmoreland Rd, Suite 222, Lake Forest, IL 60045 Phone: 847-234-6121 |