| Family Doctors Of Round Lake Pc | |
|
1275 E Belvidere Rd Suite 110 Grayslake IL 60030-2082 | |
| (847) 548-2528 | |
| Not Available |
| Full Name | Family Doctors Of Round Lake Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 1275 E Belvidere Rd, Grayslake, Illinois |
| Authorized Official Name and Position | James H Kim (PRESIDENT) |
| Authorized Official Contact | 8475482528 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Doctors Of Round Lake Pc 1275 E Belvidere Rd Suite 110 Grayslake IL 60030-2082 Ph: () - | Family Doctors Of Round Lake Pc 1275 E Belvidere Rd Suite 110 Grayslake IL 60030-2082 Ph: (847) 548-2528 |
| NPI Number | 1831306885 |
|---|---|
| Provider Enumeration Date | 05/17/2007 |
| Last Update Date | 06/11/2009 |
| Medicare PECOS PAC ID | 1658421896 |
|---|---|
| Medicare Enrollment ID | O20090610000457 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831306885 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 036-056766 (Illinois) | Primary |
| Provider Name | James H Kim |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891890695 PECOS PAC ID: 4385794510 Enrollment ID: I20090610000353 |
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