| Covenant Medical Group, Llc | |
|
2501 Compass Rd Ste 100 Glenview IL 60026-8000 | |
| (847) 901-5200 | |
| Not Available |
| Full Name | Covenant Medical Group, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 2501 Compass Rd Ste 100, Glenview, Illinois |
| Authorized Official Name and Position | Michael C Caughron (PARTNER) |
| Authorized Official Contact | 8479015200 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Covenant Medical Group, Llc 2501 Compass Rd Ste 100 Glenview IL 60026-8000 Ph: (847) 901-5200 | Covenant Medical Group, Llc 2501 Compass Rd Ste 100 Glenview IL 60026-8000 Ph: (847) 901-5200 |
| NPI Number | 1912186024 |
|---|---|
| Provider Enumeration Date | 10/25/2007 |
| Last Update Date | 04/02/2015 |
| Medicare PECOS PAC ID | 8426139130 |
|---|---|
| Medicare Enrollment ID | O20080121000006 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912186024 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Michael C Caughron |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164534137 PECOS PAC ID: 6305746512 Enrollment ID: I20040113000372 |
| Provider Name | Claudia F Petersen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629189501 PECOS PAC ID: 0244130359 Enrollment ID: I20040113000412 |
| Provider Name | Gregory A Wallman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043324643 PECOS PAC ID: 2365473444 Enrollment ID: I20050829000514 |
| Provider Name | Martha L Millar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063591808 PECOS PAC ID: 3779517297 Enrollment ID: I20050923000817 |
| Provider Name | Frank J Weschler |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114099173 PECOS PAC ID: 6002836301 Enrollment ID: I20051201000447 |
| Provider Name | Carol A Marinch |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326270513 PECOS PAC ID: 5092854398 Enrollment ID: I20091130000098 |
| Provider Name | Katherine A Lewinski |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114108727 PECOS PAC ID: 6406997097 Enrollment ID: I20100105000099 |
| Provider Name | Christopher Allen Ho |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053765040 PECOS PAC ID: 5092005124 Enrollment ID: I20190517000419 |
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