| Lake-cook Healthcare Services | |
|
2698 Belvidere Rd Unit A01b Waukegan IL 60085-6006 | |
| (847) 868-3003 | |
| (224) 252-2997 |
| Full Name | Lake-cook Healthcare Services |
|---|---|
| Speciality | Clinic/Center |
| Location | 2698 Belvidere Rd Unit A01b, Waukegan, Illinois |
| Authorized Official Name and Position | Linda A Tanni (NURSE PRACTITIONER) |
| Authorized Official Contact | 8478683003 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lake-cook Healthcare Services 2698 Belvidere Rd Unit A01b Waukegan IL 60085-6006 Ph: (847) 868-3003 | Lake-cook Healthcare Services 2698 Belvidere Rd Unit A01b Waukegan IL 60085-6006 Ph: (847) 868-3003 |
| NPI Number | 1356925929 |
|---|---|
| Provider Enumeration Date | 05/10/2021 |
| Last Update Date | 09/09/2022 |
| Medicare PECOS PAC ID | 8224424411 |
|---|---|
| Medicare Enrollment ID | O20220418000175 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356925929 | NPI | - | NPPES |
| 13876593 | Other | IL | CAQH |
| Provider Name | Lawrence Njoh Ngu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114081643 PECOS PAC ID: 0941273916 Enrollment ID: I20040817001289 |
| Provider Name | Linda A Tanni |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780063917 PECOS PAC ID: 5698080752 Enrollment ID: I20150818005837 |
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