Molly Proskine Antoniolli, MD | |
830 W End Ct, Suite 500, Vernon Hills, IL 60061-1365 | |
(847) 522-8900 | |
(847) 680-6177 |
Full Name | Molly Proskine Antoniolli |
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Gender | Female |
Speciality | Pediatrics |
Location | 830 W End Ct, Vernon Hills, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1760742753 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 036.138510 (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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Molly Proskine Antoniolli, MD 830 W End Ct Ste 500, Vernon Hills, IL 60061-1379 Ph: (847) 522-8900 | Molly Proskine Antoniolli, MD 830 W End Ct, Suite 500, Vernon Hills, IL 60061-1365 Ph: (847) 522-8900 |
Gordon Chase Wood, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 830 W End Ct, Suite 500, Vernon Hills, IL 60061 Phone: 847-522-8900 Fax: 847-680-6177 | |
Abrar Arshad, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 565 Lakeview Pkwy, Suite 192, Vernon Hills, IL 60061 Phone: 847-549-1111 Fax: 847-549-1121 | |
Dr. Soma Mukherjee, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 870 W End Ct, Suite 205, Vernon Hills, IL 60061 Phone: 847-362-4155 Fax: 847-362-4425 | |
Alissa E Block-rissman, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 830 W End Ct, Vernon Hills, IL 60061 Phone: 847-522-8900 | |
Elias Masri, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 830 W End Ct, Suite 500, Vernon Hills, IL 60061 Phone: 847-522-8900 Fax: 847-680-6177 | |
Dr. Sharon F Libit, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 10 W Phillip Rd, Suite 111, Vernon Hills, IL 60061 Phone: 847-367-5400 Fax: 847-367-4769 |