Family Medicine Specialists Of Round Lake Incorporated S C | |
2680 Route 83 Round Lake Beach IL 60073 | |
(224) 372-7780 | |
(224) 372-7782 |
Full Name | Family Medicine Specialists Of Round Lake Incorporated S C |
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Speciality | Family Medicine |
Location | 2680 Route 83, Round Lake Beach, Illinois |
Authorized Official Name and Position | Jason Bellucci (CFO) |
Authorized Official Contact | 8475262151 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Family Medicine Specialists Of Round Lake Incorporated S C Po Box 6037 Wauconda IL 60084-2452 Ph: (847) 526-2151 | Family Medicine Specialists Of Round Lake Incorporated S C 2680 Route 83 Round Lake Beach IL 60073 Ph: (224) 372-7780 |
NPI Number | 1740515253 |
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Provider Enumeration Date | 10/16/2009 |
Last Update Date | 10/09/2024 |
Medicare PECOS PAC ID | 6002957511 |
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Medicare Enrollment ID | O20100106000383 |
Identifier | Type | State | Issuer |
---|---|---|---|
1740515253 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 036083207 (Illinois) | Primary |
Provider Name | David J Alengo |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1356335996 PECOS PAC ID: 5193711323 Enrollment ID: I20040422001572 |
Provider Name | Jennifer M Bellucci Jackson |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1689669293 PECOS PAC ID: 5698817542 Enrollment ID: I20100115000334 |
Provider Name | Kerry Jean Ehlert-donovan |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1720373731 PECOS PAC ID: 7416129150 Enrollment ID: I20110930000574 |
Provider Name | Kristine M Redmond |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1023424389 PECOS PAC ID: 5890915649 Enrollment ID: I20140930001899 |
Provider Name | Richard J.a. Villaceran |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1245649862 PECOS PAC ID: 9931320470 Enrollment ID: I20141024002083 |
Provider Name | Rebecca A Lambo |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1144626995 PECOS PAC ID: 8820310204 Enrollment ID: I20141215001516 |
Provider Name | Michele R Frese |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1700271459 PECOS PAC ID: 7113247024 Enrollment ID: I20150515002001 |
Provider Name | Mallory J Iverson |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1366818692 PECOS PAC ID: 4880904168 Enrollment ID: I20151117002365 |
Provider Name | Nicole I Wagner |
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Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
Provider Identifiers | NPI Number: 1194968602 PECOS PAC ID: 9133418577 Enrollment ID: I20160525000945 |
Provider Name | Nneka Osude |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1295198661 PECOS PAC ID: 7719270081 Enrollment ID: I20160725000508 |
Provider Name | Michelle Naurecki |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1841718087 PECOS PAC ID: 4183999287 Enrollment ID: I20170928002817 |
Provider Name | Erika Johnson |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1508216540 PECOS PAC ID: 9335405018 Enrollment ID: I20171113003605 |
Provider Name | Corrie Mcmahon |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1104423094 PECOS PAC ID: 4587074018 Enrollment ID: I20201111002419 |
Provider Name | Marguerite Ann Kuthe |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1144897547 PECOS PAC ID: 5799173399 Enrollment ID: I20211101003089 |
Provider Name | Davinder K Dhillon |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1780331033 PECOS PAC ID: 9830578152 Enrollment ID: I20220616001771 |
Provider Name | Katarina Nicole Treiber |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1477132728 PECOS PAC ID: 9032514849 Enrollment ID: I20220826000840 |
Provider Name | Rose Henry Mariette Eboh |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1841948932 PECOS PAC ID: 9032595921 Enrollment ID: I20220929002544 |
Provider Name | Michelle Delich |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1114640612 PECOS PAC ID: 4880070408 Enrollment ID: I20221005003031 |
Provider Name | Hazel Acacio |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1205471679 PECOS PAC ID: 5294160016 Enrollment ID: I20221212001650 |
Provider Name | Melissa Pinney |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1407569627 PECOS PAC ID: 9133591225 Enrollment ID: I20230220000615 |
Provider Name | Juan Armando Chavez Duarte |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1215642368 PECOS PAC ID: 4486099926 Enrollment ID: I20240223003348 |
Provider Name | Ileana A Schropp |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1043085301 PECOS PAC ID: 2466890983 Enrollment ID: I20240403002006 |
Provider Name | Amanda Anne Lefeve |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1649035833 PECOS PAC ID: 1759720592 Enrollment ID: I20240412003155 |
Ermil Wagner, D.o. P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2 E Rollins Rd, Suite 103, Round Lake Beach, IL 60073 Phone: 847-740-4300 | |
Lake County Acute Care, Llp Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2 E Rollins Rd, Round Lake Beach, IL 60073 Phone: 847-740-2500 Fax: 847-740-2505 | |
Neptune Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2189 N Il Route 83 Ste 220, Round Lake Beach, IL 60073 Phone: 312-857-5382 | |
Lake County Health Department And Community Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 224 W Clarendon Dr, Round Lake Beach, IL 60073 Phone: 847-984-5100 Fax: 847-984-5120 | |
Midwestern Institute Of Health Ltd Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 19 W Rollins Rd, Round Lake Beach, IL 60073 Phone: 847-740-7260 Fax: 847-740-7262 | |
Accurate Home Visiting Doctors Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 301 E Rollins Rd, Round Lake Beach, IL 60073 Phone: 847-863-9589 Fax: 847-510-0636 |