| North Suburban Medical Office, Ltd | |
|
1445 N Hunt Club Rd Suite 301 Gurnee IL 60031-2603 | |
| (847) 855-0300 | |
| (847) 855-7950 |
| Full Name | North Suburban Medical Office, Ltd |
|---|---|
| Speciality | Internal Medicine |
| Location | 1445 N Hunt Club Rd, Gurnee, Illinois |
| Authorized Official Name and Position | Joseph Mun (PRESIDENT) |
| Authorized Official Contact | 8478550300 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| North Suburban Medical Office, Ltd 1445 N Hunt Club Rd Ste 102 Gurnee IL 60031-2603 Ph: (847) 855-0300 | North Suburban Medical Office, Ltd 1445 N Hunt Club Rd Suite 301 Gurnee IL 60031-2603 Ph: (847) 855-0300 |
| NPI Number | 1629199344 |
|---|---|
| Provider Enumeration Date | 04/02/2007 |
| Last Update Date | 12/06/2024 |
| Medicare PECOS PAC ID | 1355312752 |
|---|---|
| Medicare Enrollment ID | O20040802000038 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629199344 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Joseph Mun |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588635940 PECOS PAC ID: 2163494014 Enrollment ID: I20040813000616 |
| Provider Name | Danny K Vu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518058346 PECOS PAC ID: 1052411287 Enrollment ID: I20070717000402 |
| Provider Name | Brianna M Wicinski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508415951 PECOS PAC ID: 7214269158 Enrollment ID: I20191028000203 |
M P M Family Health Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1445 N Hunt Club Rd, Suite 304, Gurnee, IL 60031 Phone: 847-383-5428 | |
Hosep H Deyrmenjian, Md, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6440 Grand Ave, Suite 205, Gurnee, IL 60031 Phone: 847-855-3150 Fax: 847-855-3143 | |
Chicago Medical Clinic Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 200 S Greenleaf St, Suite A, Gurnee, IL 60031 Phone: 847-596-4521 | |
Gurnee Stone Medical Center P.c Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7505 Grand Ave, Gurnee, IL 60031 Phone: 847-856-7615 | |
Lake Shore Gastroenterolgy Sc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 20 Tower Ct, Suite C, Gurnee, IL 60031 Phone: 847-244-6320 Fax: 847-244-5095 |