David Vigder Md Sc | |
800 N Westmoreland Rd Suite 206 Lake Forest IL 60045-1673 | |
(847) 615-2227 | |
(847) 615-2228 |
Full Name | David Vigder Md Sc |
---|---|
Speciality | Internal Medicine |
Location | 800 N Westmoreland Rd, Lake Forest, Illinois |
Authorized Official Name and Position | David M Vidger (PRESIDENT) |
Authorized Official Contact | 8476152227 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
David Vigder Md Sc 800 N Westmoreland Rd Suite 206 Lake Forest IL 60045-1673 Ph: (847) 615-2227 | David Vigder Md Sc 800 N Westmoreland Rd Suite 206 Lake Forest IL 60045-1673 Ph: (847) 615-2227 |
NPI Number | 1154345742 |
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Provider Enumeration Date | 07/27/2006 |
Last Update Date | 07/10/2023 |
Medicare PECOS PAC ID | 9032101944 |
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Medicare Enrollment ID | O20040331001458 |
Identifier | Type | State | Issuer |
---|---|---|---|
1154345742 | NPI | - | NPPES |
4922698 | Other | IL | BLUE CROSS BLUE SHIELD |
036094188 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 036094188 (Illinois) | Primary |
Provider Name | David M Vigder |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1780773994 PECOS PAC ID: 9638161540 Enrollment ID: I20040401000823 |
Richard J Siebert, M.d.,s,c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 700 N Westmoreland Rd Ste B, Lake Forest, IL 60045 Phone: 847-234-8808 | |
Lake Forest Place Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1100 Pembridge Drive, Lake Forest, IL 60045 Phone: 847-604-6700 Fax: 847-570-3426 | |
Home Doctors Management Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 611 Hunter, Lake Forest, IL 60045 Phone: 847-615-2273 Fax: 877-335-6195 | |
Forward Focus Medical Care Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 990 S Waukegan Rd Ste 200, Lake Forest, IL 60045 Phone: 847-234-8100 Fax: 847-234-8199 | |
Lake Forest Pediatric Associates, Ltd Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 900 N Westmoreland Rd, Suite 110, Lake Forest, IL 60045 Phone: 847-295-1220 Fax: 847-295-1255 | |
Kurt J Brotherson Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 840 S Waukegan Rd, 203, Lake Forest, IL 60045 Phone: 847-482-0136 |