| Advantage Healthcare Specialists, Llc | |
|
355 W Dundee Rd Ste 110 Buffalo Grove IL 60089-3500 | |
| (847) 337-1960 | |
| Not Available |
| Full Name | Advantage Healthcare Specialists, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 355 W Dundee Rd Ste 110, Buffalo Grove, Illinois |
| Authorized Official Name and Position | Leo Kanev (PRESIDENT) |
| Authorized Official Contact | 8473371960 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Advantage Healthcare Specialists, Llc 355 W Dundee Rd Ste 110 Buffalo Grove IL 60089-3500 Ph: (847) 337-1960 | Advantage Healthcare Specialists, Llc 355 W Dundee Rd Ste 110 Buffalo Grove IL 60089-3500 Ph: (847) 337-1960 |
| NPI Number | 1750884375 |
|---|---|
| Provider Enumeration Date | 03/09/2018 |
| Last Update Date | 03/09/2018 |
| Medicare PECOS PAC ID | 1658634878 |
|---|---|
| Medicare Enrollment ID | O20180420001071 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750884375 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Secondary |
| 207RG0300X | Internal Medicine - Geriatric Medicine | (* (Not Available)) | Primary |
| Provider Name | Leo Kanev |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497748131 PECOS PAC ID: 9830087287 Enrollment ID: I20040525000908 |
| Provider Name | Deyan R Ortwig |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104859818 PECOS PAC ID: 3173523313 Enrollment ID: I20070111000301 |
| Provider Name | Theodore M Homa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699710483 PECOS PAC ID: 5597810796 Enrollment ID: I20090921000393 |
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