| Greathouse Medical Group Sc | |
|
1890 Silver Cross Blvd Ste 550 New Lenox IL 60451-9579 | |
| (708) 264-8463 | |
| Not Available |
| Full Name | Greathouse Medical Group Sc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1890 Silver Cross Blvd Ste 550, New Lenox, Illinois |
| Authorized Official Name and Position | Deirdra Greathouse (PRESIDENT) |
| Authorized Official Contact | 7082648463 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Greathouse Medical Group Sc 1531 Dunbar St Flossmoor IL 60422-4380 Ph: () - | Greathouse Medical Group Sc 1890 Silver Cross Blvd Ste 550 New Lenox IL 60451-9579 Ph: (708) 264-8463 |
| NPI Number | 1851827349 |
|---|---|
| Provider Enumeration Date | 05/04/2017 |
| Last Update Date | 05/04/2017 |
| Medicare PECOS PAC ID | 8729355193 |
|---|---|
| Medicare Enrollment ID | O20170606003141 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851827349 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 036114405 (Illinois) | Primary |
| Provider Name | Deirdra Greathouse Williams |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871549238 PECOS PAC ID: 2163440884 Enrollment ID: I20051115001029 |
S & S Doctor Ltd Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1890 Silver Cross Blvd Ste 320, New Lenox, IL 60451 Phone: 331-247-9509 | |
Silver Cross Mso Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1900 Silver Cross Blvd, New Lenox, IL 60451 Phone: 815-300-7106 | |
Foot And Wound Institute Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 475 Doxbury Ln, New Lenox, IL 60451 Phone: 708-271-3537 | |
Silver Cross Surgery Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1003 Pawlak Parkway, New Lenox, IL 60451 Phone: 815-717-1740 Fax: 815-320-3240 | |
Zafer Jawich Md Sc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1890 Silver Cross Blvd, Ste 350, New Lenox, IL 60451 Phone: 815-717-8737 Fax: 815-717-8699 | |
Zenith Healthcare Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 704 Beech Ln, New Lenox, IL 60451 Phone: 708-307-3166 | |
Hssi Mco Spv Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1851 Silver Cross Blvd, Ste 110, New Lenox, IL 60451 Phone: 815-300-3060 |