| Family Practice Specialist Sc | |
|
22285 Pepper Road Suite 211 Lake Barrington IL 60010-0302 | |
| (847) 277-9700 | |
| (847) 277-9708 |
| Full Name | Family Practice Specialist Sc |
|---|---|
| Speciality | General Practice |
| Location | 22285 Pepper Road, Lake Barrington, Illinois |
| Authorized Official Name and Position | Richard J Ferolo (PRESIDENT) |
| Authorized Official Contact | 8472779700 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Practice Specialist Sc 22285 Pepper Road Suite 211 Lake Barrington IL 60010-0302 Ph: (847) 277-9700 | Family Practice Specialist Sc 22285 Pepper Road Suite 211 Lake Barrington IL 60010-0302 Ph: (847) 277-9700 |
| NPI Number | 1740470715 |
|---|---|
| Provider Enumeration Date | 07/26/2007 |
| Last Update Date | 12/14/2007 |
| Medicare PECOS PAC ID | 7214022821 |
|---|---|
| Medicare Enrollment ID | O20070927000456 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740470715 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Richard J Ferolo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750436952 PECOS PAC ID: 7719072321 Enrollment ID: I20070927000413 |
Gastroenterology And Internal Medicine Specialists, S.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 22285 Pepper Rd., #311, Lake Barrington, IL 60010 Phone: 847-382-4410 Fax: 847-382-4451 | |
Shahid Ilahi Md Sc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 22285 N Pepper Rd Ste 303, Lake Barrington, IL 60010 Phone: 847-842-0757 | |
Gastroenterology And Internal Medicine Specialists, S.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 22285 Pepper Rd., #311, Lake Barrington, IL 60010 Phone: 847-382-4410 Fax: 847-382-4451 | |
Regency Medical Center, P.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 22285 N Pepper Rd Ste 302, Lake Barrington, IL 60010 Phone: 847-726-0774 Fax: 847-239-7919 |