| Dr 247 Sc | |
|
975 Weiland Rd Suite 100 Buffalo Grove IL 60089-7053 | |
| (847) 947-8444 | |
| (847) 947-8435 |
| Full Name | Dr 247 Sc |
|---|---|
| Speciality | Family Medicine |
| Location | 975 Weiland Rd, Buffalo Grove, Illinois |
| Authorized Official Name and Position | Larissa Granovski (MANAGER) |
| Authorized Official Contact | 8479493913 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr 247 Sc 975 Weiland Rd Suite 100 Buffalo Grove IL 60089-7053 Ph: (847) 947-8444 | Dr 247 Sc 975 Weiland Rd Suite 100 Buffalo Grove IL 60089-7053 Ph: (847) 947-8444 |
| NPI Number | 1922669670 |
|---|---|
| Provider Enumeration Date | 06/24/2019 |
| Last Update Date | 02/18/2020 |
| Medicare PECOS PAC ID | 7315375847 |
|---|---|
| Medicare Enrollment ID | O20200317000988 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922669670 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Harry Keith Monroe |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1447219456 PECOS PAC ID: 8325144132 Enrollment ID: I20070510000258 |
| Provider Name | Layal Rashid |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1013180819 PECOS PAC ID: 4688813017 Enrollment ID: I20130617000037 |
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