Richard J Clatch, MD PHD | |
660 North Westmoreland, Lake Forest Hospital, Lake Forest, IL 60045-1696 | |
(847) 234-0049 | |
(847) 234-1946 |
Full Name | Richard J Clatch |
---|---|
Gender | Male |
Speciality | Pathology - Anatomic Pathology & Clinical Pathology |
Location | 660 North Westmoreland, Lake Forest, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1306815238 | NPI | - | NPPES |
0360868894 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | (Illinois) | Primary |
Entity Name | Consolidated Pathology Consultants Sc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003884206 PECOS PAC ID: 9133025349 Enrollment ID: O20031209000737 |
Entity Name | Mchenry Pathology Associates Sc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1942669478 PECOS PAC ID: 4688970007 Enrollment ID: O20160311000232 |
Mailing Address | Practice Location Address |
---|---|
Richard J Clatch, MD PHD 75 Remittance Dr, Ste 1895, Chicago, IL 60675-1895 Ph: (847) 234-0049 | Richard J Clatch, MD PHD 660 North Westmoreland, Lake Forest Hospital, Lake Forest, IL 60045-1696 Ph: (847) 234-0049 |
Dr. John Chongwon Lee, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 660 N Westmoreland Rd, Lake Forest, IL 60045 Phone: 847-535-6217 | |
Michael P Viglione, MD PHD Pathology Medicare: Accepting Medicare Assignments Practice Location: 660 North Westmoreland, Lake Forest Hospital, Lake Forest, IL 60045 Phone: 847-234-0049 Fax: 847-234-1946 | |
Ricardo S Cajulis, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 660 North Westmoreland, Lake Forest Hospital, Lake Forest, IL 60045 Phone: 847-234-0049 Fax: 847-234-1946 | |
Cherise Meyerson, Pathology Medicare: Accepting Medicare Assignments Practice Location: 1000 N Westmoreland Rd # Ll0519, Lake Forest, IL 60045 Phone: 847-535-6218 Fax: 847-535-6237 | |
Dr. Manuel Raul Montez, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 1261 Oak Knoll Dr, Lake Forest, IL 60045 Phone: 847-337-4752 | |
Dr. Amalia B Digan, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 660 N Westmoreland Rd, Lake Forest, IL 60045 Phone: 847-234-0049 |