Mr Clarence D Engstrom, MD | |
3115 Lewis Ave, Zion, IL 60099-3099 | |
(847) 746-3752 | |
(847) 746-9144 |
Full Name | Mr Clarence D Engstrom |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 59 Years |
Location | 3115 Lewis Ave, Zion, 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 |
---|---|---|---|
1356327514 | NPI | - | NPPES |
036040526 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 036040526 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Advocate Home Health Care Serv | Lombard, IL | Home health agency |
Aurora Medical Center Kenosha | Kenosha, WI | Hospital |
Vista Medical Center East | Waukegan, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Amg Illinois Ltd | 8527117027 | 26 |
Entity Name | Amg Illinois Ltd |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1972741759 PECOS PAC ID: 8527117027 Enrollment ID: O20090512000348 |
Mailing Address | Practice Location Address |
---|---|
Mr Clarence D Engstrom, MD 3115 Lewis Ave, Zion, IL 60099-3099 Ph: (847) 746-3752 | Mr Clarence D Engstrom, MD 3115 Lewis Ave, Zion, IL 60099-3099 Ph: (847) 746-3752 |
Anuvesha Samala, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 2723 Sheridan Rd, Suite # C, Zion, IL 60099 Phone: 847-360-4260 | |
Mr. Dennis E Mccreary, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3115 Lewis Ave, Zion, IL 60099 Phone: 847-746-3752 Fax: 847-746-9144 | |
Pedro Palu-ay, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2606 Elisha Ave, Zion, IL 60099 Phone: 847-872-4558 Fax: 847-872-9334 | |
Dr. Neel Gopal Bhalala, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 2024 Lewis Ave, Zion, IL 60099 Phone: 847-872-5911 Fax: 847-872-7202 |