Semyon Maslovsky, MD | |
500 Park Ave, Ste 104, Lake Villa, IL 60046-6556 | |
(847) 245-8700 | |
(847) 245-8771 |
Full Name | Semyon Maslovsky |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 500 Park Ave, Lake Villa, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1508855040 | NPI | - | NPPES |
036077057 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 036077057 (Illinois) | Primary |
Entity Name | Family Care Of Lake County S.c. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1861485658 PECOS PAC ID: 3577547835 Enrollment ID: O20040615000575 |
Mailing Address | Practice Location Address |
---|---|
Semyon Maslovsky, MD 500 Park Ave, Ste 104, Lake Villa, IL 60046-6556 Ph: (847) 245-8700 | Semyon Maslovsky, MD 500 Park Ave, Ste 104, Lake Villa, IL 60046-6556 Ph: (847) 245-8700 |
Dr. You-sah Kim, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 201 S. Miluakee Ave, Lake Villa, IL 60046 Phone: 847-356-9009 | |
Christopher Thomas Molitor, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 695 Park Ave, Lake Villa, IL 60046 Phone: 224-541-9100 Fax: 224-541-9070 | |
Dr. Terryll Eli Joy, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 300 N Milwaukee Ave, Suite D, Lake Villa, IL 60046 Phone: 847-356-6634 Fax: 847-356-7264 | |
Eugene A Pomeranets, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 500 Park Ave, Ste 104, Lake Villa, IL 60046 Phone: 847-245-8700 Fax: 847-245-8771 |