| Metro Family Practice Sc | |
|
250 W Kensington Rd Ste 1a Mount Prospect IL 60056-1291 | |
| (847) 305-8600 | |
| Not Available |
| Full Name | Metro Family Practice Sc |
|---|---|
| Speciality | Clinic/Center |
| Location | 250 W Kensington Rd Ste 1a, Mount Prospect, Illinois |
| Authorized Official Name and Position | Joel L Kragt (PRESIDENT) |
| Authorized Official Contact | 8473058600 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Metro Family Practice Sc 250 W Kensington Rd Ste 1a Mount Prospect IL 60056-1291 Ph: (847) 305-8600 | Metro Family Practice Sc 250 W Kensington Rd Ste 1a Mount Prospect IL 60056-1291 Ph: (847) 305-8600 |
| NPI Number | 1184144370 |
|---|---|
| Provider Enumeration Date | 06/20/2017 |
| Last Update Date | 07/21/2022 |
| Medicare PECOS PAC ID | 4789957077 |
|---|---|
| Medicare Enrollment ID | O20170908000510 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184144370 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 036-085227 (Illinois) | Primary |
| Provider Name | Joel L Kragt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891777850 PECOS PAC ID: 1557259793 Enrollment ID: I20040309000460 |
| Provider Name | Reji Ninan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144486721 PECOS PAC ID: 0042481699 Enrollment ID: I20110912000687 |
| Provider Name | Brooke Lobianco |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417469438 PECOS PAC ID: 8628336534 Enrollment ID: I20171226001883 |
| Provider Name | Lauren M Orf |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457762841 PECOS PAC ID: 1951600279 Enrollment ID: I20200827003354 |
| Provider Name | Alissa B Noeska |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710604822 PECOS PAC ID: 7416328984 Enrollment ID: I20230119001823 |
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American Picc Institute, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 601 W Golf Rd, Suite 106, Mount Prospect, IL 60056 Phone: 773-930-4538 | |
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Dr. Kania Family Care, S.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 770 E Northwest Hwy, Mount Prospect, IL 60056 Phone: 708-655-5099 Fax: 708-865-7099 | |
Banwo Wellness Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 718 E Northwest Hwy, Mount Prospect, IL 60056 Phone: 630-755-1754 | |
Family Wellness Clinic Ltd Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 410 E Northwest Hwy, Mount Prospect, IL 60056 Phone: 847-632-1680 Fax: 847-632-1681 | |
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