| Infectious Disease Consultants Of Northern Illinois S.c. | |
|
1880 W Winchester Rd Suite 106 Libertyville IL 60048-5341 | |
| (847) 672-4940 | |
| (847) 855-5277 |
| Full Name | Infectious Disease Consultants Of Northern Illinois S.c. |
|---|---|
| Speciality | Internal Medicine |
| Location | 1880 W Winchester Rd, Libertyville, Illinois |
| Authorized Official Name and Position | Babette S Tilden (OFFICE MANAGER) |
| Authorized Official Contact | 8476724940 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Infectious Disease Consultants Of Northern Illinois S.c. 1880 W Winchester Rd Suite 106 Libertyville IL 60048-5341 Ph: (847) 672-4940 | Infectious Disease Consultants Of Northern Illinois S.c. 1880 W Winchester Rd Suite 106 Libertyville IL 60048-5341 Ph: (847) 672-4940 |
| NPI Number | 1356680300 |
|---|---|
| Provider Enumeration Date | 02/12/2013 |
| Last Update Date | 05/20/2016 |
| Medicare PECOS PAC ID | 4688816598 |
|---|---|
| Medicare Enrollment ID | O20130806000199 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356680300 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | 036-115915 (Illinois) | Primary |
| Provider Name | Rami K Taha |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881872588 PECOS PAC ID: 4183798531 Enrollment ID: I20080814000060 |
| Provider Name | Emmanuel N Njoku |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1689981045 PECOS PAC ID: 1052598133 Enrollment ID: I20110527000464 |
| Provider Name | Inna Hoffman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568982742 PECOS PAC ID: 1759654403 Enrollment ID: I20170831002686 |
| Provider Name | Amanda M Zimmermann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972152874 PECOS PAC ID: 1355673476 Enrollment ID: I20191022003806 |
| Provider Name | Kathleen Trinh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720635170 PECOS PAC ID: 6103259148 Enrollment ID: I20191205002795 |
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