<unavail> in Addison, IL - Medicare Clinic/Center

is a medicare enrolled primary clinic (Clinic/center - Federally Qualified Health Center (fqhc)) in Addison, Illinois. The current practice location for is 228 E Lake St, Addison, Illinois. For appointments, you can reach them via phone at (630) 835-1430. The mailing address for is 228 E Lake St, Addison, Illinois and phone number is (630) 835-1430.

is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1609875053. 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 (630) 835-1430.

Contact Information


	228 E Lake St Addison IL 60101-2889
	(630) 835-1430
	Not Available

Map and Direction

Primary Care Clinic Profile

Full Name
Speciality	Clinic/Center
Location	228 E Lake St, Addison, Illinois
Authorized Official Name and Position	Shawn Bailey (FINANCE ADMINISTRATION MANAGER)
Authorized Official Contact	6308351430
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
228 E Lake St Addison IL 60101-2889 Ph: (630) 835-1430	228 E Lake St Addison IL 60101-2889 Ph: (630) 835-1430

NPI Details:

NPI Number	1609875053
Provider Enumeration Date	07/19/2005
Last Update Date	12/26/2023

Medicare PECOS Information:

Medicare PECOS PAC ID	4880680289
Medicare Enrollment ID	O20040421001679

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1609875053	NPI	-	NPPES
781811	Other	IL	PTAN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
261QF0400X	Clinic/center - Federally Qualified Health Center (fqhc)	(* (Not Available))	Primary

Medicare Reassignments

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

Provider Name	Irma Urrutia-potter
Provider Type	Practitioner - Family Practice
Provider Identifiers	NPI Number: 1447363890 PECOS PAC ID: 5799702197 Enrollment ID: I20051025000771

Provider Name	Mariyah Z Hussain
Provider Type	Practitioner - Psychiatry
Provider Identifiers	NPI Number: 1285083931 PECOS PAC ID: 9234422882 Enrollment ID: I20200219002936

Reviews and Comments

Clinic/Center in Addison, IL

Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 276 W Fullerton Ave, Addison, IL 60101 Phone: 630-543-5454 Fax: 630-543-5471
Access Community Health Network Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1111 W Lake St, Addison, IL 60101 Phone: 773-257-6770
Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 501 South Grace Street, Addison, IL 60101 Phone: 630-543-4040 Fax: 630-543-1050
Ricardo Martinez, Md, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1201 W Army Trail Blvd, Addison, IL 60101 Phone: 630-458-9200 Fax: 630-458-8460
Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 501 S Grace St, Addison, IL 60101 Phone: 630-543-4040 Fax: 630-543-1050
Bozena Scigacz Medical Office S.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 28 W Lake St, Suite 2, Addison, IL 60101 Phone: 630-458-0688 Fax: 630-458-0698
Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 303 W Lake St, Suite 206, Addison, IL 60101 Phone: 630-543-4200

- Medicare Primary Care in Addison, IL