| Assoc Physicians Of Libertyville | |
|
1850 W Winchester Rd Suite 220 Libertyville IL 60048-5357 | |
| (847) 362-9050 | |
| (847) 362-9486 |
| Full Name | Assoc Physicians Of Libertyville |
|---|---|
| Speciality | Clinic/Center |
| Location | 1850 W Winchester Rd, Libertyville, Illinois |
| Authorized Official Name and Position | Daniel J. Lynch (OWNER) |
| Authorized Official Contact | 8473629050 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Assoc Physicians Of Libertyville 1850 W Winchester Rd Suite220 Libertyville IL 60048-5357 Ph: (847) 362-9050 | Assoc Physicians Of Libertyville 1850 W Winchester Rd Suite 220 Libertyville IL 60048-5357 Ph: (847) 362-9050 |
| NPI Number | 1376675686 |
|---|---|
| Provider Enumeration Date | 03/12/2007 |
| Last Update Date | 07/21/2022 |
| Medicare PECOS PAC ID | 4082872890 |
|---|---|
| Medicare Enrollment ID | O20120224000819 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376675686 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (Illinois) | Primary |
| Provider Name | Daniel J Lynch |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1477548782 PECOS PAC ID: 9436317245 Enrollment ID: I20120224000826 |
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