| Lake Forest Cardiology Llc | |
|
611 Hunter Ln Lake Forest IL 60045-4905 | |
| (847) 615-2273 | |
| Not Available |
| Full Name | Lake Forest Cardiology Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 611 Hunter Ln, Lake Forest, Illinois |
| Authorized Official Name and Position | Krishnaswami Sriram (MEMBER) |
| Authorized Official Contact | 8476152273 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lake Forest Cardiology Llc 611 Hunter Ln Lake Forest IL 60045-4905 Ph: (847) 615-2273 | Lake Forest Cardiology Llc 611 Hunter Ln Lake Forest IL 60045-4905 Ph: (847) 615-2273 |
| NPI Number | 1922342245 |
|---|---|
| Provider Enumeration Date | 11/27/2012 |
| Last Update Date | 04/05/2013 |
| Medicare PECOS PAC ID | 9335385707 |
|---|---|
| Medicare Enrollment ID | O20130410000197 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922342245 | NPI | - | NPPES |
| Provider Name | Krishnasw Sriram |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1568637833 PECOS PAC ID: 4981692043 Enrollment ID: I20040505001517 |
| Provider Name | Reena V Blesson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619221900 PECOS PAC ID: 1557507159 Enrollment ID: I20130427000133 |
| Provider Name | Irina Salabai |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194324053 PECOS PAC ID: 1355754466 Enrollment ID: I20210111001385 |
Richard J Siebert, M.d.,s,c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 700 N Westmoreland Rd Ste B, Lake Forest, IL 60045 Phone: 847-234-8808 | |
Lake Forest Place Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1100 Pembridge Drive, Lake Forest, IL 60045 Phone: 847-604-6700 Fax: 847-570-3426 | |
David Vigder Md Sc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 800 N Westmoreland Rd, Suite 206, Lake Forest, IL 60045 Phone: 847-615-2227 Fax: 847-615-2228 | |
Home Doctors Management Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 611 Hunter, Lake Forest, IL 60045 Phone: 847-615-2273 Fax: 877-335-6195 | |
Forward Focus Medical Care Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 990 S Waukegan Rd Ste 200, Lake Forest, IL 60045 Phone: 847-234-8100 Fax: 847-234-8199 | |
Lake Forest Pediatric Associates, Ltd Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 900 N Westmoreland Rd, Suite 110, Lake Forest, IL 60045 Phone: 847-295-1220 Fax: 847-295-1255 | |
Kurt J Brotherson Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 840 S Waukegan Rd, 203, Lake Forest, IL 60045 Phone: 847-482-0136 |