| Lg Healthcare, Llc | |
|
900 W Il Route 22 Ste 100 Lake Zurich IL 60047 | |
| (847) 462-1700 | |
| (847) 462-1792 |
| Full Name | Lg Healthcare, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 900 W Il Route 22 Ste 100, Lake Zurich, Illinois |
| Authorized Official Name and Position | John H Gong (OWNER) |
| Authorized Official Contact | 6303614277 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lg Healthcare, Llc 900 W Il Route 22 Ste 100 Lake Zurich IL 60047-3416 Ph: (847) 462-1700 | Lg Healthcare, Llc 900 W Il Route 22 Ste 100 Lake Zurich IL 60047 Ph: (847) 462-1700 |
| NPI Number | 1912378605 |
|---|---|
| Provider Enumeration Date | 10/07/2015 |
| Last Update Date | 04/09/2024 |
| Medicare PECOS PAC ID | 8527364405 |
|---|---|
| Medicare Enrollment ID | O20160303000906 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912378605 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 036089072 (Illinois) | Primary |
| Provider Name | Steven A Campau |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255440954 PECOS PAC ID: 2567430960 Enrollment ID: I20040923000292 |
| Provider Name | John H Gong |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962414623 PECOS PAC ID: 4183716152 Enrollment ID: I20070822000666 |
| Provider Name | Claudyn Eguia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790301331 PECOS PAC ID: 5092939439 Enrollment ID: I20201112002747 |
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