Wayne P Carlson, MD | |
600 S Randall Rd, Algonquin, IL 60102-5996 | |
(224) 783-4302 | |
(224) 783-4356 |
Full Name | Wayne P Carlson |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 600 S Randall Rd, Algonquin, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1629076005 | NPI | - | NPPES |
036064835 | Medicaid | IL | |
05632414 | Other | IL | BCBS PROV # |
612038400 | Other | IL | IL DEPT OF LABOR |
05623112 | Other | IL | BLUE CROSS BLUE SHIELD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 036064835 (Illinois) | Primary |
Entity Name | Advocate Health And Hospitals Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1700824455 PECOS PAC ID: 7810800935 Enrollment ID: O20031106000064 |
Mailing Address | Practice Location Address |
---|---|
Wayne P Carlson, MD Po Box 1509, Elgin, IL 60121-1509 Ph: (224) 238-4160 | Wayne P Carlson, MD 600 S Randall Rd, Algonquin, IL 60102-5996 Ph: (224) 783-4302 |
Dr. Jose L. Guevara, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1486 Merchant Dr, Algonquin, IL 60102 Phone: 847-658-6667 Fax: 847-658-6669 | |
Dr. Christine M Mueller, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1482 Merchant Dr, Algonquin, IL 60102 Phone: 224-678-9769 Fax: 224-678-9762 | |
Dr. Sameena Jawed, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1345 Ryan Pkwy, Algonquin, IL 60102 Phone: 847-658-9555 | |
Philip Favia, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1340 Ryan Pkwy, Algonquin, IL 60102 Phone: 815-276-0150 Fax: 877-461-6742 | |
Brian J Chudik, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 600 S Randall Rd, Algonquin, IL 60102 Phone: 224-783-4365 Fax: 224-783-4356 | |
Dr. Adnan Qadir, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 600 S Randall Rd Ste 210, Algonquin, IL 60102 Phone: 224-783-4365 Fax: 224-783-4356 | |
Dr. Maria Cristina Ng, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 560 Lake Cornish Way, Algonquin, IL 60102 Phone: 847-960-7256 |