| Premiere General Medicine S C | |
|
7600 W College Dr Palos Heights IL 60463-1001 | |
| (708) 334-7929 | |
| (708) 293-8789 |
| Full Name | Premiere General Medicine S C |
|---|---|
| Speciality | Internal Medicine |
| Location | 7600 W College Dr, Palos Heights, Illinois |
| Authorized Official Name and Position | Nicholas Rizzo (PRESIDENT) |
| Authorized Official Contact | 7083347929 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Premiere General Medicine S C 207 E Ohio St Ste 252 Chicago IL 60611-3238 Ph: (708) 334-7929 | Premiere General Medicine S C 7600 W College Dr Palos Heights IL 60463-1001 Ph: (708) 334-7929 |
| NPI Number | 1437584364 |
|---|---|
| Provider Enumeration Date | 09/10/2013 |
| Last Update Date | 09/11/2013 |
| Medicare PECOS PAC ID | 7719159961 |
|---|---|
| Medicare Enrollment ID | O20111011000687 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437584364 | NPI | - | NPPES |
| 1669447272 | Other | NPI, INDIVIDUAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 036095309 (Illinois) | Primary |
| Provider Name | Thomas L Waidzunas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114931862 PECOS PAC ID: 0941347462 Enrollment ID: I20091102000230 |
| Provider Name | Nicholas Rizzo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669447272 PECOS PAC ID: 7719018464 Enrollment ID: I20100624000861 |
| Provider Name | Kristin J Doyle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255874335 PECOS PAC ID: 9234413808 Enrollment ID: I20170227000653 |
| Provider Name | Matthew J Toman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750894952 PECOS PAC ID: 4688934581 Enrollment ID: I20180215000260 |
Palos Medical Care Sc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 12800 S Ridgeland Ave, Unit D, Palos Heights, IL 60463 Phone: 708-389-7663 Fax: 708-389-7664 | |
Afiz A. Taiwo, Md. Mph. S.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 309 Pinehurst Dr, Palos Heights, IL 60463 Phone: 708-334-9494 | |
Dr. Almasri And Associates Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 12632 S Harlem Ave, Palos Heights, IL 60463 Phone: 708-587-0000 Fax: 708-623-7628 | |
Fj Wall Md & William J Ruff Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7600 W College Dr, Palos Heights, IL 60463 Phone: 708-361-8449 Fax: 708-361-8469 | |
Zulfiqar H Rizvi Md Sc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6450 W College Dr, Palos Heights, IL 60463 Phone: 708-349-0055 Fax: 708-460-8031 | |
Alexander W. Kmicikewycz,md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 12622 S Harlem Ave, Palos Heights, IL 60463 Phone: 708-923-9610 | |
Chicago Health Colleagues, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 12251 S 80th Ave, Palos Heights, IL 60463 Phone: 708-923-5242 Fax: 708-923-5035 |