Mr Guy R Abderholden, MD | |
543 Orchard St, Antioch, IL 60002-3107 | |
(847) 395-3322 | |
(847) 395-0921 |
Full Name | Mr Guy R Abderholden |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 35 Years |
Location | 543 Orchard St, Antioch, 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 |
---|---|---|---|
1902899792 | NPI | - | NPPES |
0360848531 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 33453020 (Wisconsin) | Secondary |
207Q00000X | Family Medicine | 036-084853 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Advocate Home Health Care Serv | Lombard, IL | Home health agency |
Vista Medical Center East | Waukegan, IL | Hospital |
Advocate Condell Medical Center | Libertyville, IL | Hospital |
Northwestern Lake Forest Hospital | Lake forest, IL | Hospital |
Northwestern Medicine Mchenry Hospital | Mchenry, IL | Hospital |
Northshore University Healthsystem - Evanston Hospital | Evanston, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Orchard Medical Center Sc | 9133154610 | 4 |
Entity Name | Orchard Medical Center Sc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1306835491 PECOS PAC ID: 9133154610 Enrollment ID: O20051004000283 |
Mailing Address | Practice Location Address |
---|---|
Mr Guy R Abderholden, MD 543 Orchard St, Antioch, IL 60002-3107 Ph: (847) 395-3322 | Mr Guy R Abderholden, MD 543 Orchard St, Antioch, IL 60002-3107 Ph: (847) 395-3322 |
Elizabeth Soifer, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 543 Orchard St, Antioch, IL 60002 Phone: 847-395-3322 Fax: 847-395-0921 | |
Mr. John J Devaney Jr., MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 543 Orchard St, Antioch, IL 60002 Phone: 847-395-3322 Fax: 847-395-0921 |