Fred J. Halloran, Md, Sc in Huntley, IL

Fred J. Halloran, Md, Sc is a medicare enrolled primary clinic (Clinic/center - Primary Care) in Huntley, Illinois. The current practice location for Fred J. Halloran, Md, Sc is 11904 Oak Creek Pkwy, Huntley, Illinois. For appointments, you can reach them via phone at (847) 506-1478. The mailing address for Fred J. Halloran, Md, Sc is 11904 Oak Creek Pkwy, Huntley, Illinois and phone number is (847) 506-1478.

Fred J. Halloran, Md, Sc is licensed to practice in Illinois (license number 036081972). The clinic also participates in the medicare program and its NPI number is 1295906774. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (847) 506-1478.

Contact Information

	Fred J. Halloran, Md, Sc
	11904 Oak Creek Pkwy Huntley IL 60142-6728
	(847) 506-1478
	(224) 858-4001

Map and Direction

Primary Care Clinic Profile

Full Name	Fred J. Halloran, Md, Sc
Speciality	Clinic/Center
Location	11904 Oak Creek Pkwy, Huntley, Illinois
Authorized Official Name and Position	Fred J. Halloran (OWNER)
Authorized Official Contact	8475061478
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Fred J. Halloran, Md, Sc 11904 Oak Creek Pkwy Huntley IL 60142-6728 Ph: (847) 506-1478	Fred J. Halloran, Md, Sc 11904 Oak Creek Pkwy Huntley IL 60142-6728 Ph: (847) 506-1478

NPI Details:

NPI Number	1295906774
Provider Enumeration Date	03/12/2008
Last Update Date	01/17/2024

Medicare PECOS Information:

Medicare PECOS PAC ID	5799699831
Medicare Enrollment ID	O20031113000658

Medical Identifiers

Medical identifiers for Fred J. Halloran, Md, Sc such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1295906774	NPI	-	NPPES
036081972	Medicaid	IL

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
261QP2300X	Clinic/center - Primary Care	036081972 (Illinois)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Fred J. Halloran, Md, Sc acts as a billing entity for following providers:

Provider Name	Fred J Halloran
Provider Type	Practitioner - Internal Medicine
Provider Identifiers	NPI Number: 1568434942 PECOS PAC ID: 6406760552 Enrollment ID: I20031113000704

Provider Name	Lisa M Petrongelli
Provider Type	Practitioner - Nurse Practitioner
Provider Identifiers	NPI Number: 1306281332 PECOS PAC ID: 1153229885 Enrollment ID: I20031219000456

Reviews and Comments

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Fred J. Halloran, Md, Sc - Medicare Primary Care in Huntley, IL