North Shore Medical, Ltd | |
1780 Green Bay Rd Ste 202 Highland Park IL 60035-3276 | |
(847) 433-5864 | |
(847) 433-5851 |
Full Name | North Shore Medical, Ltd |
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Speciality | Internal Medicine |
Location | 1780 Green Bay Rd Ste 202, Highland Park, Illinois |
Authorized Official Name and Position | Vern Dang (VICE PRESIDENT) |
Authorized Official Contact | 8474335864 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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North Shore Medical, Ltd 1954 1st St Ste 335 Highland Park IL 60035-3104 Ph: (847) 433-5864 | North Shore Medical, Ltd 1780 Green Bay Rd Ste 202 Highland Park IL 60035-3276 Ph: (847) 433-5864 |
NPI Number | 1972674059 |
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Provider Enumeration Date | 11/13/2006 |
Last Update Date | 07/31/2024 |
Medicare PECOS PAC ID | 6406814144 |
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Medicare Enrollment ID | O20041228000327 |
Identifier | Type | State | Issuer |
---|---|---|---|
1972674059 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Heberto Z Hernandez |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1366419194 PECOS PAC ID: 0840258588 Enrollment ID: I20041229000134 |
Provider Name | Vuong A Dang-duc |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1588630719 PECOS PAC ID: 7113985854 Enrollment ID: I20041229000150 |
Provider Name | Amit Gupta |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1205982600 PECOS PAC ID: 8426231663 Enrollment ID: I20110324000629 |
A To Z Of Health Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 767 Park Ave W, Ste 130, Highland Park, IL 60035 Phone: 847-433-1501 | |
Northshore Wellness Center, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 480 Elm Pl Ste 207, Highland Park, IL 60035 Phone: 312-600-7044 | |
Victor Levitan, Md, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 806 Central Ave Ste 103, Highland Park, IL 60035 Phone: 847-654-9667 Fax: 847-787-1315 | |
Lake Shore Gastroenterology Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 806 Central Ave, Suite 202, Highland Park, IL 60035 Phone: 847-433-9840 Fax: 847-433-9842 | |
Jeffrey J Glass Mdsc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1160 Park Ave W, Suite 3n, Highland Park, IL 60035 Phone: 847-433-6990 Fax: 847-433-8738 | |
Lake County Health Department And Community Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1840 Green Bay Rd, Highland Park, IL 60035 Phone: 847-984-5300 Fax: 847-984-8312 | |
Freshskin Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 806 Central Ave Ste 203, Highland Park, IL 60035 Phone: 847-681-8821 |