| Discover Integrated Medical Center, Ltd. | |
|
2207 N Us Highway 12 Ste E Spring Grove IL 60081-9706 | |
| (815) 675-9355 | |
| Not Available |
| Full Name | Discover Integrated Medical Center, Ltd. |
|---|---|
| Speciality | General Practice |
| Location | 2207 N Us Highway 12 Ste E, Spring Grove, Illinois |
| Authorized Official Name and Position | Darrin Foszcz (CLINIC DIRECTOR) |
| Authorized Official Contact | 8156759355 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Discover Integrated Medical Center, Ltd. 2207 N Us Highway 12 Ste E Spring Grove IL 60081-9706 Ph: (815) 675-9355 | Discover Integrated Medical Center, Ltd. 2207 N Us Highway 12 Ste E Spring Grove IL 60081-9706 Ph: (815) 675-9355 |
| NPI Number | 1538775192 |
|---|---|
| Provider Enumeration Date | 09/18/2020 |
| Last Update Date | 09/18/2020 |
| Medicare PECOS PAC ID | 8022421395 |
|---|---|
| Medicare Enrollment ID | O20210105001652 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538775192 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Darrin R Foszcz |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1013025824 PECOS PAC ID: 6901979525 Enrollment ID: I20080715000720 |
| Provider Name | Nichole L Erhardt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386244358 PECOS PAC ID: 7517370893 Enrollment ID: I20210105001951 |
| Provider Name | Michelle E Dace |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700556206 PECOS PAC ID: 6204222334 Enrollment ID: I20220329002579 |
Walgreens Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7880 Winn Rd, Spring Grove, IL 60081 Phone: 815-675-2408 Fax: 815-675-9067 | |
Modern Health Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2440 Highview St, Spring Grove, IL 60081 Phone: 815-900-7330 Fax: 928-268-0163 | |
Fox Lake Grade School District #114 Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 29067 W Grass Lake Rd, Spring Grove, IL 60081 Phone: 847-973-4028 Fax: 847-973-4010 |