| Medical Care Center Of Lake Villa | |
|
213 S Milwaukee Ave Lake Villa IL 60046-8551 | |
| (847) 356-9009 | |
| Not Available |
| Full Name | Medical Care Center Of Lake Villa |
|---|---|
| Speciality | Internal Medicine |
| Location | 213 S Milwaukee Ave, Lake Villa, Illinois |
| Authorized Official Name and Position | Mohamed E Nasr (PHYSICIAN AND SURGEON) |
| Authorized Official Contact | 8473569009 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Medical Care Center Of Lake Villa 213 S Milwaukee Ave Lake Villa IL 60046-8551 Ph: (847) 356-9009 | Medical Care Center Of Lake Villa 213 S Milwaukee Ave Lake Villa IL 60046-8551 Ph: (847) 356-9009 |
| NPI Number | 1811102353 |
|---|---|
| Provider Enumeration Date | 05/10/2007 |
| Last Update Date | 06/21/2018 |
| Medicare PECOS PAC ID | 3870675572 |
|---|---|
| Medicare Enrollment ID | O20080204000392 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811102353 | NPI | - | NPPES |
| Provider Name | Mohamed E Nasr |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316063399 PECOS PAC ID: 1951495522 Enrollment ID: I20080204000383 |
| Provider Name | Samuel N Grief |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821101007 PECOS PAC ID: 3870627268 Enrollment ID: I20100820000627 |
| Provider Name | Kimberly A Compton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922520154 PECOS PAC ID: 5294091344 Enrollment ID: I20171107000884 |
Eugene Pomeranets M.d.s.c., Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 500 Park Ave Ste 104, Lake Villa, IL 60046 Phone: 847-245-8700 Fax: 847-245-8771 | |
Lake Villa Internal Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 50 S Milwaukee Ave, Ste 104, Lake Villa, IL 60046 Phone: 847-356-2700 Fax: 847-356-2777 | |
Family Care Of Lake County S.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 500 Park Ave, Ste 104, Lake Villa, IL 60046 Phone: 847-245-8700 Fax: 847-245-8771 |