| Northshore Medical Practice Ltd | |
|
92 Riverside Dr Deerfield IL 60015-4868 | |
| (847) 573-9006 | |
| (847) 940-0843 |
| Full Name | Northshore Medical Practice Ltd |
|---|---|
| Speciality | Internal Medicine |
| Location | 92 Riverside Dr, Deerfield, Illinois |
| Authorized Official Name and Position | Fanan Nijin Falouji (OWNER) |
| Authorized Official Contact | 8475739006 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Northshore Medical Practice Ltd 870 W End Ct Ste 202 Vernon Hills IL 60061-1378 Ph: (847) 573-9006 | Northshore Medical Practice Ltd 92 Riverside Dr Deerfield IL 60015-4868 Ph: (847) 573-9006 |
| NPI Number | 1548308364 |
|---|---|
| Provider Enumeration Date | 02/02/2007 |
| Last Update Date | 03/21/2017 |
| Medicare PECOS PAC ID | 7113020736 |
|---|---|
| Medicare Enrollment ID | O20070319000629 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548308364 | NPI | - | NPPES |
| 036096519 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 036096519 (Illinois) | Primary |
| Provider Name | Fanan N Falouji |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306855481 PECOS PAC ID: 8820901325 Enrollment ID: I20031111000179 |
| Provider Name | Michael Castaneda |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114543055 PECOS PAC ID: 8527456599 Enrollment ID: I20211025000074 |
Walgreens Healthy Living Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 108 Wilmot Rd, Deerfield, IL 60015 Phone: 847-580-0002 Fax: 847-374-0207 | |
Jerome G Zwierzycki Md Sc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 420 Lake Cook Rd, Suite 106, Deerfield, IL 60015 Phone: 847-444-0486 Fax: 847-444-0487 | |
Stephen R Morse Md Sc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 400 Lake Cook Rd, Suite 221, Deerfield, IL 60015 Phone: 847-945-6430 | |
Encompass Physicians Llc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1121 Lake Cook Rd, Suite M, Deerfield, IL 60015 Phone: 847-945-4550 | |
Smriti Goel M.d. S.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 707 Lake Cook Rd, Suite 260, Deerfield, IL 60015 Phone: 224-430-2255 | |
Injurycare Limited Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 20570 Milwaukee Ave, Deerfield, IL 60015 Phone: 847-215-9200 | |
Walgreens Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 108 Wilmot Rd, Deerfield, IL 60015 Phone: 312-399-6989 |