| Dedication Health Llc | |
|
710 Oak St Winnetka IL 60093-2522 | |
| (847) 986-6770 | |
| Not Available |
| Full Name | Dedication Health Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 710 Oak St, Winnetka, Illinois |
| Authorized Official Name and Position | John E Croghan (PHYSICIAN) |
| Authorized Official Contact | 8479866770 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dedication Health Llc 710 Oak St Winnetka IL 60093-2522 Ph: (847) 986-6770 | Dedication Health Llc 710 Oak St Winnetka IL 60093-2522 Ph: (847) 986-6770 |
| NPI Number | 1326403593 |
|---|---|
| Provider Enumeration Date | 12/15/2015 |
| Last Update Date | 02/03/2016 |
| Medicare PECOS PAC ID | 7810290699 |
|---|---|
| Medicare Enrollment ID | O20160128001630 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326403593 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Anat A Lansky |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912040429 PECOS PAC ID: 7517927692 Enrollment ID: I20041013000619 |
| Provider Name | Philip H Sheridan |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1487606109 PECOS PAC ID: 8426092842 Enrollment ID: I20050902000304 |
| Provider Name | John E Croghan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790724060 PECOS PAC ID: 7315840246 Enrollment ID: I20050929000673 |
| Provider Name | Santiago Angel Candocia |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780764019 PECOS PAC ID: 3779679840 Enrollment ID: I20071020000063 |
| Provider Name | Richard Dale Stern |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427139765 PECOS PAC ID: 2961598032 Enrollment ID: I20071020000076 |
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