| Algonquin Family Healthcare Pc | |
|
2220 Huntington Dr N Algonquin IL 60102-4419 | |
| (847) 854-0050 | |
| Not Available |
| Full Name | Algonquin Family Healthcare Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 2220 Huntington Dr N, Algonquin, Illinois |
| Authorized Official Name and Position | Arsenio Atadero (PRESIDENT) |
| Authorized Official Contact | 8478540050 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Algonquin Family Healthcare Pc 2220 Huntington Dr N Algonquin IL 60102-4419 Ph: (847) 854-0050 | Algonquin Family Healthcare Pc 2220 Huntington Dr N Algonquin IL 60102-4419 Ph: (847) 854-0050 |
| NPI Number | 1134399678 |
|---|---|
| Provider Enumeration Date | 03/11/2008 |
| Last Update Date | 08/27/2024 |
| Medicare PECOS PAC ID | 5698765295 |
|---|---|
| Medicare Enrollment ID | O20040515000187 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134399678 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 036097738 (Illinois) | Primary |
| 207R00000X | Internal Medicine | 036094916 (Illinois) | Secondary |
| Provider Name | Jennifer A Atadero |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881692275 PECOS PAC ID: 4486644093 Enrollment ID: I20040515000253 |
| Provider Name | Arsenio D Atadero |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700884194 PECOS PAC ID: 8123018736 Enrollment ID: I20040515000311 |
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