| Brookville Medical Center | |
|
730 S Weber Rd Unit G Bolingbrook IL 60490-5472 | |
| (630) 378-2000 | |
| Not Available |
| Full Name | Brookville Medical Center |
|---|---|
| Speciality | Family Medicine |
| Location | 730 S Weber Rd, Bolingbrook, Illinois |
| Authorized Official Name and Position | Datta Sambare (PRESIDENT) |
| Authorized Official Contact | 6303782000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Brookville Medical Center Po Box 215 Westmont IL 60559-0215 Ph: () - | Brookville Medical Center 730 S Weber Rd Unit G Bolingbrook IL 60490-5472 Ph: (630) 378-2000 |
| NPI Number | 1780606566 |
|---|---|
| Provider Enumeration Date | 07/24/2006 |
| Last Update Date | 03/29/2016 |
| Medicare PECOS PAC ID | 9234199845 |
|---|---|
| Medicare Enrollment ID | O20041018000376 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780606566 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| Provider Name | Dattatreya Sambare |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619911211 PECOS PAC ID: 6002876612 Enrollment ID: I20041019000080 |
| Provider Name | Varsha Datta Sambare |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497775233 PECOS PAC ID: 6204877632 Enrollment ID: I20050517000120 |
| Provider Name | Resmi Ann George |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952808081 PECOS PAC ID: 8527302546 Enrollment ID: I20181203001438 |
| Provider Name | Elizabeth Casabal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861912636 PECOS PAC ID: 4082028246 Enrollment ID: I20210128002843 |
| Provider Name | Michael Kim |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023609005 PECOS PAC ID: 3274926225 Enrollment ID: I20220215001723 |
| Provider Name | Rajwant Kaur Sohal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205548088 PECOS PAC ID: 7911355995 Enrollment ID: I20231201000441 |
Boling Medical Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 899 S Weber Rd, Suite G, Bolingbrook, IL 60490 Phone: 630-226-1800 Fax: 630-226-4226 | |
Associates Of Inpatient Management Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1000 Remington Blvd, Ste 200, Bolingbrook, IL 60440 Phone: 630-312-7865 | |
Bolingbrook Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 329 Remington Blvd, Ste 100, Bolingbrook, IL 60440 Phone: 630-759-4800 Fax: 630-759-6927 | |
Sabs Corporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 899 S Weber Rd, Suite A, Bolingbrook, IL 60490 Phone: 630-544-7283 Fax: 708-221-6631 | |
Premier Occupational Health Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 550 E Boughton Rd, # 140, Bolingbrook, IL 60440 Phone: 630-972-0733 | |
Presence Healthcare Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1000 Remington Blvd Ste 100, Bolingbrook, IL 60440 Phone: 630-914-2468 | |
Medical Home Care Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 167 W Boughton Rd Ste C, Bolingbrook, IL 60440 Phone: 331-871-6674 |