| Modern Health Llc | |
|
2440 Highview St Spring Grove IL 60081-9609 | |
| (815) 900-7330 | |
| (928) 268-0163 |
| Full Name | Modern Health Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 2440 Highview St, Spring Grove, Illinois |
| Authorized Official Name and Position | Nicole J Hendrickson (APRN) |
| Authorized Official Contact | 8474177987 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Modern Health Llc 6703 Broadway St Richmond IL 60071-9786 Ph: (847) 417-7987 | Modern Health Llc 2440 Highview St Spring Grove IL 60081-9609 Ph: (815) 900-7330 |
| NPI Number | 1275231276 |
|---|---|
| Provider Enumeration Date | 02/20/2023 |
| Last Update Date | 04/03/2023 |
| Medicare PECOS PAC ID | 3072971795 |
|---|---|
| Medicare Enrollment ID | O20230627003213 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275231276 | NPI | - | NPPES |
| Provider Name | Nicole Hendrickson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881242725 PECOS PAC ID: 9739411406 Enrollment ID: I20191029003523 |
| Provider Name | Beth Ann Kirby |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912652736 PECOS PAC ID: 0143615542 Enrollment ID: I20220322001700 |
Walgreens Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7880 Winn Rd, Spring Grove, IL 60081 Phone: 815-675-2408 Fax: 815-675-9067 | |
Fox Lake Grade School District #114 Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 29067 W Grass Lake Rd, Spring Grove, IL 60081 Phone: 847-973-4028 Fax: 847-973-4010 | |
Discover Integrated Medical Center, Ltd. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2207 N Us Highway 12 Ste E, Spring Grove, IL 60081 Phone: 815-675-9355 |