| Family Care Of Lake County S.c. | |
|
500 Park Ave Ste 104 Lake Villa IL 60046-6556 | |
| (847) 245-8700 | |
| (847) 245-8771 |
| Full Name | Family Care Of Lake County S.c. |
|---|---|
| Speciality | Family Medicine |
| Location | 500 Park Ave, Lake Villa, Illinois |
| Authorized Official Name and Position | Eugene Pomeranets (OWNER/MD) |
| Authorized Official Contact | 8472458700 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Care Of Lake County S.c. 500 Park Ave Ste 104 Lake Villa IL 60046-6556 Ph: (847) 245-8700 | Family Care Of Lake County S.c. 500 Park Ave Ste 104 Lake Villa IL 60046-6556 Ph: (847) 245-8700 |
| NPI Number | 1861485658 |
|---|---|
| Provider Enumeration Date | 08/26/2005 |
| Last Update Date | 12/23/2021 |
| Medicare PECOS PAC ID | 3577547835 |
|---|---|
| Medicare Enrollment ID | O20040615000575 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861485658 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Secondary |
| Provider Name | Semyon Maslovsky |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508855040 PECOS PAC ID: 6709860075 Enrollment ID: I20040628001219 |
| Provider Name | Eugene Pomeranets |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770579005 PECOS PAC ID: 1153307350 Enrollment ID: I20040628001312 |
| Provider Name | Jill Colleen Zupansic |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346810488 PECOS PAC ID: 5294113478 Enrollment ID: I20220531000862 |
Eugene Pomeranets M.d.s.c., Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 500 Park Ave Ste 104, Lake Villa, IL 60046 Phone: 847-245-8700 Fax: 847-245-8771 | |
Medical Care Center Of Lake Villa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 213 S Milwaukee Ave, Lake Villa, IL 60046 Phone: 847-356-9009 | |
Lake Villa Internal Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 50 S Milwaukee Ave, Ste 104, Lake Villa, IL 60046 Phone: 847-356-2700 Fax: 847-356-2777 |