| Lake Street Family Physicians Sc Inc | |
|
1010 W Lake St Suite 500 Oak Park IL 60301 | |
| (708) 524-8600 | |
| (708) 524-8147 |
| Full Name | Lake Street Family Physicians Sc Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 1010 W Lake St, Oak Park, Illinois |
| Authorized Official Name and Position | Nancy Bell (PRACTICE MANAGER) |
| Authorized Official Contact | 7085248600 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lake Street Family Physicians Sc Inc Po Box 799 Oak Park IL 60303 Ph: (708) 524-8600 | Lake Street Family Physicians Sc Inc 1010 W Lake St Suite 500 Oak Park IL 60301 Ph: (708) 524-8600 |
| NPI Number | 1841363850 |
|---|---|
| Provider Enumeration Date | 11/16/2006 |
| Last Update Date | 02/12/2013 |
| Medicare PECOS PAC ID | 8123081189 |
|---|---|
| Medicare Enrollment ID | O20041110000631 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841363850 | NPI | - | NPPES |
| DD3406 | Other | IL | MEDICARE RAILROAD |
| 01634822 | Other | IL | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 042618366 (Illinois) | Primary |
| Provider Name | Paul Kungl |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831234749 PECOS PAC ID: 3577526540 Enrollment ID: I20041111000080 |
| Provider Name | Marian Sassetti |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881739753 PECOS PAC ID: 1456314426 Enrollment ID: I20041112000617 |
| Provider Name | Deborah Manus |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700921699 PECOS PAC ID: 7113980186 Enrollment ID: I20041112000662 |
| Provider Name | Katherine L Maietta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275799710 PECOS PAC ID: 6709034333 Enrollment ID: I20120924000397 |
| Provider Name | Eunice Chan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770847766 PECOS PAC ID: 0446483374 Enrollment ID: I20150709002210 |
| Provider Name | Margaret Lee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386900470 PECOS PAC ID: 0941448187 Enrollment ID: I20180809006091 |
| Provider Name | Kathryn Vanbuskirk |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073045266 PECOS PAC ID: 2466724802 Enrollment ID: I20200729000632 |
| Provider Name | Matthew Hagenswiecicki |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730747924 PECOS PAC ID: 5698102432 Enrollment ID: I20220914003173 |
| Provider Name | Allison Byrne |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003374141 PECOS PAC ID: 7719353382 Enrollment ID: I20221024000074 |
| Provider Name | Stephen Whitfield |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942691613 PECOS PAC ID: 4789918558 Enrollment ID: I20240404001633 |
James Lo M.d., Mary Lo M.d. S.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1140 W Lake St, Suite 402, Oak Park, IL 60301 Phone: 708-848-0330 | |
Diamond Gastroenterology Sc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1010 Lake St Ste 424, Oak Park, IL 60301 Phone: 708-613-4417 | |
Maria Slobodian Md Sc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1 Erie Ct, Suite#7040, Oak Park, IL 60302 Phone: 708-848-5410 Fax: 708-848-6539 | |
Anarkali Internists Sc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1035 N Marion St, Oak Park, IL 60302 Phone: 773-354-7041 | |
Pcc Community Wellness Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 14 W Lake St, Oak Park, IL 60302 Phone: 708-383-0113 Fax: 708-383-9911 | |
Midwest Gi And Hepatology, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 610 S Maple Ave, Suite 2600, Oak Park, IL 60304 Phone: 708-290-1010 | |
Pedios, Ltd. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 260 Chicago Ave, Oak Park, IL 60302 Phone: 708-383-8070 Fax: 708-383-0811 |