| Intervention Arms Medical Center Llc | |
|
1809 Sheridan Rd North Chicago IL 60064-2235 | |
| (847) 785-0611 | |
| (847) 785-0617 |
| Full Name | Intervention Arms Medical Center Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 1809 Sheridan Rd, North Chicago, Illinois |
| Authorized Official Name and Position | Lisa Ann Charles Fields (DIRECTOR) |
| Authorized Official Contact | 8477850611 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Intervention Arms Medical Center Llc 1809 Sheridan Rd North Chicago IL 60064-2235 Ph: (847) 785-0611 | Intervention Arms Medical Center Llc 1809 Sheridan Rd North Chicago IL 60064-2235 Ph: (847) 785-0611 |
| NPI Number | 1518145176 |
|---|---|
| Provider Enumeration Date | 02/06/2008 |
| Last Update Date | 03/27/2020 |
| Medicare PECOS PAC ID | 3072699651 |
|---|---|
| Medicare Enrollment ID | O20080324000173 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518145176 | NPI | - | NPPES |
| 085005371 | Medicaid | IL | |
| 036054557 | Medicaid | IL | |
| 085001395 | Medicaid | IL | |
| 036102939 | Medicaid | IL | |
| 036065847 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 208000000X | Pediatrics | (* (Not Available)) | Secondary |
| 363A00000X | Physician Assistant | (* (Not Available)) | Secondary |
| Provider Name | Wilfredo G Dacuycuy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407818545 PECOS PAC ID: 6709844608 Enrollment ID: I20041223000093 |
| Provider Name | James A Joseph |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083660229 PECOS PAC ID: 6800089988 Enrollment ID: I20101021000428 |
Dr Thomas J. Singel Ii,sc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1809 Sheridan Rd, North Chicago, IL 60064 Phone: 847-858-2544 Fax: 847-735-9553 | |
Lake County Health Department And Community Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2215 Audrey Nixon Blvd, North Chicago, IL 60064 Phone: 847-984-5200 Fax: 847-984-5240 | |
Intervention Arms Medical Center Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1809 Sheridan, North Chicago, IL 60085 Phone: 847-599-7783 Fax: 224-399-9967 | |
Abbvie M1 Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1401 Sheridan Rd, North Chicago, IL 60064 Phone: 847-938-8660 | |
North Chicago Primary Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1809 Sheridan Rd., North Chicago, IL 60064 Phone: 224-656-1383 | |
James A. Joseph, D.o. Medical And Wellness Center, S.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1809 Sheridan Road, North Chicago, IL 60064 Phone: 773-354-1475 Fax: 773-857-0265 |