| Crusader Clinic Belvidere | |
|
1050 Logan Ave Belvidere IL 61008-3966 | |
| (815) 547-0282 | |
| (815) 490-1625 |
| Full Name | Crusader Clinic Belvidere |
|---|---|
| Speciality | Clinic/Center |
| Location | 1050 Logan Ave, Belvidere, Illinois |
| Authorized Official Name and Position | Samuel Miller (PRESIDENT & CEO) |
| Authorized Official Contact | 8154901737 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Crusader Clinic Belvidere 1050 Logan Ave Belvidere IL 61008-3966 Ph: (815) 490-1600 | Crusader Clinic Belvidere 1050 Logan Ave Belvidere IL 61008-3966 Ph: (815) 547-0282 |
| NPI Number | 1780852244 |
|---|---|
| Provider Enumeration Date | 02/18/2008 |
| Last Update Date | 08/24/2022 |
| Medicare PECOS PAC ID | 5799682993 |
|---|---|
| Medicare Enrollment ID | O20080812000460 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780852244 | NPI | - | NPPES |
| 1011514778 | Other | BLUE CROSS BLUE SHIELD | |
| 027548 | Other | CHAMPUS | |
| 106483 | Other | IL | DORAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Preston Scott Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1906 Pierce Ct, Belvidere, IL 61008 Phone: 815-547-9737 Fax: 815-547-9740 | |
Shobha S Iyengar, Md Sc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2186 Unit 1, North State Street, Belvidere, IL 61008 Phone: 815-547-5007 | |
L Robert Warren Md Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 205 Cadillac Ct Ste 6, Belvidere, IL 61008 Phone: 815-544-0444 Fax: 815-544-0652 | |
Clayton R. Malaker, M.d., S.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 824 Van Buren St, Belvidere, IL 61008 Phone: 815-544-3481 | |
Swedishamerican Hospital Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1320 East Ave, Belvidere, IL 61008 Phone: 779-696-3000 | |
Walgreen Co./ill. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 230 W Chrysler Dr, Belvidere, IL 61008 Phone: 815-544-4790 | |
Osfmg - Belvidere Office Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 143 Kishwaukee St, Belvidere, IL 61008 Phone: 800-589-6070 Fax: 309-683-5969 |