| Medcor Of Barrington, Pc | |
|
4805 Prime Pkwy Mchenry IL 60050-7002 | |
| (815) 363-9500 | |
| (815) 363-3357 |
| Full Name | Medcor Of Barrington, Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 4805 Prime Pkwy, Mchenry, Illinois |
| Authorized Official Name and Position | Thomas H Glimp (MEDICAL DIRECTOR) |
| Authorized Official Contact | 8153639500 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Medcor Of Barrington, Pc Po Box 92170 Elk Grove Village IL 60009-2170 Ph: (815) 363-9500 | Medcor Of Barrington, Pc 4805 Prime Pkwy Mchenry IL 60050-7002 Ph: (815) 363-9500 |
| NPI Number | 1225122344 |
|---|---|
| Provider Enumeration Date | 10/03/2006 |
| Last Update Date | 11/21/2007 |
| Medicare PECOS PAC ID | 4082509021 |
|---|---|
| Medicare Enrollment ID | O20040218000457 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225122344 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (Illinois) | Primary |
| Provider Name | Luanne Freer |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1891882106 PECOS PAC ID: 6204732944 Enrollment ID: I20041101000612 |
| Provider Name | Linda Haney |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093842031 PECOS PAC ID: 0749462331 Enrollment ID: I20151216002213 |
| Provider Name | Cheryl Wheeler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154460715 PECOS PAC ID: 6305872326 Enrollment ID: I20160705000858 |
| Provider Name | Jill Testerman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891174546 PECOS PAC ID: 6204144629 Enrollment ID: I20180618001961 |
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