| Oak Mill Medical Associates Sc | |
|
7900 N Milwaukee Ave Ste 18 Niles IL 60714-3159 | |
| (847) 663-9700 | |
| (847) 663-9773 |
| Full Name | Oak Mill Medical Associates Sc |
|---|---|
| Speciality | Clinic/Center |
| Location | 7900 N Milwaukee Ave, Niles, Illinois |
| Authorized Official Name and Position | Denise Alessi (OFFICE ADMINISTRATOR) |
| Authorized Official Contact | 8476639700 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Oak Mill Medical Associates Sc 7900 N Milwaukee Ave Ste 18 Niles IL 60714-3159 Ph: (847) 663-9700 | Oak Mill Medical Associates Sc 7900 N Milwaukee Ave Ste 18 Niles IL 60714-3159 Ph: (847) 663-9700 |
| NPI Number | 1295882876 |
|---|---|
| Provider Enumeration Date | 01/04/2007 |
| Last Update Date | 12/16/2010 |
| Medicare PECOS PAC ID | 1052336203 |
|---|---|
| Medicare Enrollment ID | O20051007000045 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295882876 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 042-617261 (Illinois) | Primary |
| Provider Name | Carol J Straka |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679523005 PECOS PAC ID: 6305861550 Enrollment ID: I20051007000074 |
| Provider Name | Leonard B Siedband |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992754840 PECOS PAC ID: 3678598828 Enrollment ID: I20051007000086 |
| Provider Name | Lawrence K Weiner |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508816901 PECOS PAC ID: 4587689732 Enrollment ID: I20051007000094 |
| Provider Name | Gail D Herman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457301871 PECOS PAC ID: 2860417011 Enrollment ID: I20051007000110 |
| Provider Name | Shilpa M Joglekar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225087174 PECOS PAC ID: 2567474026 Enrollment ID: I20060627000049 |
| Provider Name | Carrie N May |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437435997 PECOS PAC ID: 3577715911 Enrollment ID: I20121210000410 |
| Provider Name | Andrew M Dahlem |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205178381 PECOS PAC ID: 6800191339 Enrollment ID: I20160328002049 |
| Provider Name | Annette Fontanez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508339086 PECOS PAC ID: 0244579647 Enrollment ID: I20200107000945 |
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