|
| |
|
1775 Ballard Rd Park Ridge IL 60068-1005 | |
| (847) 384-3550 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Clinic/Center |
| Location | 1775 Ballard Rd, Park Ridge, Illinois |
| Authorized Official Name and Position | Kara Richardson (VP MANAGED HEALTH) |
| Authorized Official Contact | 7046310450 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
29373 Network Pl Chicago IL 60673-1293 Ph: () - | 1775 Ballard Rd Park Ridge IL 60068-1005 Ph: (847) 384-3550 |
| NPI Number | 1508637422 |
|---|---|
| Provider Enumeration Date | 01/10/2024 |
| Last Update Date | 12/02/2024 |
| Medicare PECOS PAC ID | 7810800935 |
|---|---|
| Medicare Enrollment ID | O20241121002942 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508637422 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
Park Ridge Center For Plastic Surgery Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 444 N. Northwest Hwy, Park Ridge, IL 60068 Phone: 847-696-9900 Fax: 847-696-9913 | |
Advocate Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1775 Ballard Rd, Park Ridge, IL 60068 Phone: 847-318-2400 Fax: 847-318-2414 | |
Maine East School Based Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2601 Dempster St, Park Ridge, IL 60068 Phone: 847-825-4058 Fax: 847-825-4060 | |
North Suburban Gastroenterology Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 711 W Devon, Park Ridge, IL 60068 Phone: 847-696-3176 Fax: 847-696-2678 | |
Primary Care Of Illinois, Sc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1550 N Northwest Hwy, Suite 211, Park Ridge, IL 60068 Phone: 847-768-9300 Fax: 847-768-9393 | |
Apex Weight Solutions Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 556 Busse Hwy, Park Ridge, IL 60068 Phone: 708-797-3541 | |