Kelley J London, MD | |
917 Sherwood Dr Ste 200, Lake Bluff, IL 60044-2234 | |
(847) 232-3447 | |
(224) 678-0001 |
Full Name | Kelley J London |
---|---|
Gender | Female |
Speciality | Obstetrics/gynecology |
Experience | 32 Years |
Location | 917 Sherwood Dr Ste 200, Lake Bluff, Illinois |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1164574141 | NPI | - | NPPES |
036090495 | Other | IL | STATE LICENCE |
036090495 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207V00000X | Obstetrics & Gynecology | 036090495 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Northwestern Lake Forest Hospital | Lake forest, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Westmoreland Obstetric And Gynecologic Associates Sc | 4082646880 | 3 |
Together Women's Health Medical Group Of Illinois, Pllc | 8325195506 | 15 |
Entity Name | Westmoreland Obstetric & Gynecologic Associates Sc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1124059043 PECOS PAC ID: 4082646880 Enrollment ID: O20050831000950 |
Entity Name | Together Women's Health Medical Group Of Illinois, Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1912161100 PECOS PAC ID: 8325195506 Enrollment ID: O20090403000207 |
Mailing Address | Practice Location Address |
---|---|
Kelley J London, MD 917 Sherwood Dr Ste 200, Lake Bluff, IL 60044-2234 Ph: (847) 232-3447 | Kelley J London, MD 917 Sherwood Dr Ste 200, Lake Bluff, IL 60044-2234 Ph: (847) 232-3447 |
Scott Logan, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 917 Sherwood Dr Ste 200, Lake Bluff, IL 60044 Phone: 847-232-3447 Fax: 224-678-0001 | |
Adam K Cohan, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 917 Sherwood Dr Ste 200, Lake Bluff, IL 60044 Phone: 847-232-3447 Fax: 224-678-0001 |