| Integra Healthcare Sc | |
|
2504 Washington St Ste 102 Waukegan IL 60085-4960 | |
| (847) 623-7590 | |
| (847) 623-7591 |
| Full Name | Integra Healthcare Sc |
|---|---|
| Speciality | Internal Medicine |
| Location | 2504 Washington St Ste 102, Waukegan, Illinois |
| Authorized Official Name and Position | Sachin Jain (OWNER) |
| Authorized Official Contact | 8476237590 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Integra Healthcare Sc 5 Timberwood Ln Riverwoods IL 60015-2463 Ph: (847) 858-2083 | Integra Healthcare Sc 2504 Washington St Ste 102 Waukegan IL 60085-4960 Ph: (847) 623-7590 |
| NPI Number | 1083000350 |
|---|---|
| Provider Enumeration Date | 04/13/2015 |
| Last Update Date | 01/04/2019 |
| Medicare PECOS PAC ID | 0042539173 |
|---|---|
| Medicare Enrollment ID | O20150512000922 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083000350 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 036.128223 (Illinois) | Primary |
| Provider Name | Sachin K Jain |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326292228 PECOS PAC ID: 8022277789 Enrollment ID: I20130612000234 |
| Provider Name | Ninfa L Bontes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528475571 PECOS PAC ID: 3779701933 Enrollment ID: I20140829001016 |
| Provider Name | Rosanna V Santos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538548276 PECOS PAC ID: 2668560129 Enrollment ID: I20150908002468 |
| Provider Name | Rita Hall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346795671 PECOS PAC ID: 3476832130 Enrollment ID: I20161121000775 |
| Provider Name | Johanna Katigbak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104365980 PECOS PAC ID: 6709163934 Enrollment ID: I20170426000264 |
| Provider Name | Krina D Patel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386114858 PECOS PAC ID: 4587902374 Enrollment ID: I20190221001270 |
| Provider Name | Joanne Barbara Nokielski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386100444 PECOS PAC ID: 6507109972 Enrollment ID: I20190529000381 |
| Provider Name | Vrati Parikh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871955914 PECOS PAC ID: 6800182239 Enrollment ID: I20190718001274 |
| Provider Name | Brianna Marie Sanchez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932768983 PECOS PAC ID: 2365778263 Enrollment ID: I20190731000362 |
| Provider Name | Sisenia Cortes Salinas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548819808 PECOS PAC ID: 2567793870 Enrollment ID: I20191016003506 |
| Provider Name | Taniyamol Joseph |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760030498 PECOS PAC ID: 1254756331 Enrollment ID: I20200806001521 |
| Provider Name | Jane Vaysberg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700400017 PECOS PAC ID: 8123445814 Enrollment ID: I20200826001592 |
| Provider Name | Galina Shvayetskaya |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164017034 PECOS PAC ID: 3678980406 Enrollment ID: I20210323002381 |
| Provider Name | Aida Ruth Gabo Bearnod |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255925236 PECOS PAC ID: 3870657083 Enrollment ID: I20210708001419 |
| Provider Name | Tatyana Pisarevskaya |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760099337 PECOS PAC ID: 3870998719 Enrollment ID: I20210816003233 |
| Provider Name | Adejimi Carrington |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235887779 PECOS PAC ID: 9032506340 Enrollment ID: I20220504002416 |
| Provider Name | Jin Hee Lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356095368 PECOS PAC ID: 8527434588 Enrollment ID: I20221014002662 |
| Provider Name | Albert Sebandal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134823354 PECOS PAC ID: 1658736822 Enrollment ID: I20230424002092 |
| Provider Name | Tatanisha Funches |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336667070 PECOS PAC ID: 5799126728 Enrollment ID: I20240508002761 |
Glen Flora Medical Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 935 Glen Flora Ave, Ste 201, Waukegan, IL 60085 Phone: 847-249-3322 Fax: 847-249-3381 | |
Family Primary Care Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2424 Washington St Ste 208, Waukegan, IL 60085 Phone: 224-381-7672 Fax: 224-381-7969 | |
Lake County Health Department And Community Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2400 Belvidere Rd, Waukegan, IL 60085 Phone: 847-377-8400 | |
Fkleung, Md, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2504 Washington St, Suite 102, Waukegan, IL 60085 Phone: 847-623-7590 Fax: 847-623-7591 | |
Lake County Health Department And Community Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3010 Grand Ave, Waukegan, IL 60085 Phone: 847-377-8000 | |
Towee Inpatient Services Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1324 N Sheridan Rd, Waukegan, IL 60085 Phone: 847-360-3000 |