| Deerfield Healthworks S C | |
|
2525 Waukegan Rd Bannockburn IL 60015-5514 | |
| (847) 940-3800 | |
| Not Available |
| Full Name | Deerfield Healthworks S C |
|---|---|
| Speciality | Family Medicine |
| Location | 2525 Waukegan Rd, Bannockburn, Illinois |
| Authorized Official Name and Position | Bernard Lakemaker (DO) |
| Authorized Official Contact | 8475901500 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Deerfield Healthworks S C 2525 Waukegan Rd Bannockburn IL 60015-5514 Ph: (847) 940-3800 | Deerfield Healthworks S C 2525 Waukegan Rd Bannockburn IL 60015-5514 Ph: (847) 940-3800 |
| NPI Number | 1497935027 |
|---|---|
| Provider Enumeration Date | 11/12/2007 |
| Last Update Date | 04/08/2011 |
| Medicare PECOS PAC ID | 1355529702 |
|---|---|
| Medicare Enrollment ID | O20110707000187 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497935027 | NPI | - | NPPES |
| 036089110 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 036089110 (Illinois) | Primary |
| Provider Name | Bernard E Lakemaker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548273253 PECOS PAC ID: 5294761409 Enrollment ID: I20050711000374 |
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