Lata Santa Ines, MD | |
373 Summit St, Suite 105, Elgin, IL 60120 | |
(847) 888-3631 | |
Not Available |
Full Name | Lata Santa Ines |
---|---|
Gender | Female |
Speciality | Obstetrics & Gynecology |
Location | 373 Summit St, Elgin, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1871621136 | NPI | - | NPPES |
036124106 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207V00000X | Obstetrics & Gynecology | ME151048 (Florida) | Secondary |
207V00000X | Obstetrics & Gynecology | 49654 (Wisconsin) | Primary |
Entity Name | Mercy Health System Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1598718603 PECOS PAC ID: 7416860440 Enrollment ID: O20031111000307 |
Entity Name | Freeport Memorial Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1447228788 PECOS PAC ID: 8426958232 Enrollment ID: O20040109000305 |
Entity Name | Vna Health Care |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1508826983 PECOS PAC ID: 6901879311 Enrollment ID: O20041004000258 |
Entity Name | Obhg Illinois Sc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1700107216 PECOS PAC ID: 7810179702 Enrollment ID: O20110314001065 |
Entity Name | Osf Multi-specialty Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922445527 PECOS PAC ID: 3678889789 Enrollment ID: O20150904000279 |
Mailing Address | Practice Location Address |
---|---|
Lata Santa Ines, MD 3351 Sandstone Ct, Lake In The Hills, IL 60156-4425 Ph: (224) 231-7335 | Lata Santa Ines, MD 373 Summit St, Suite 105, Elgin, IL 60120 Ph: (847) 888-3631 |
Lindsey Graff, D.O. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1435 N Randall Rd Ste 309, Elgin, IL 60123 Phone: 847-741-7990 Fax: 847-741-8099 | |
Anita Chandrathil Manogura, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 1425 N Randall Rd, Sherman Hosp Ste 1-2150, Elgin, IL 60123 Phone: 224-773-8975 | |
Dr. Melissa Joy Miller, D.O. Obstetrics & Gynecology Medicare: May Accept Medicare Assignments Practice Location: 2350 Royal Blvd, Suite 600, Elgin, IL 60123 Phone: 847-316-2900 | |
Jude R Duval, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1425 N Randall Rd Ste 1-2150, Maternal Fetal Consultants, Sc, Elgin, IL 60123 Phone: 224-783-8975 Fax: 630-762-9681 | |
Dr. Carol Korzen, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1435 N Randall Rd, Suite 309, Elgin, IL 60123 Phone: 847-741-7990 Fax: 847-741-8099 | |
Roland Williby Jr., M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 620 Wing Street, Elgin, IL 60123 Phone: 847-717-6455 Fax: 847-488-9142 | |
Dr. Kathryn Omalley, DO Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 1435 N Randall Rd Ste 309, Elgin, IL 60123 Phone: 847-741-7990 Fax: 847-741-8099 |