| Procare Medical Group Llc | |
|
3000 Dundee Rd Suite 311 Northbrook IL 60062-2422 | |
| (847) 383-6224 | |
| Not Available |
| Full Name | Procare Medical Group Llc |
|---|---|
| Speciality | General Practice |
| Location | 3000 Dundee Rd, Northbrook, Illinois |
| Authorized Official Name and Position | Alexander Green (GENERAL MANAGER) |
| Authorized Official Contact | 8474940127 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Procare Medical Group Llc 1601 Tahoe Circle Dr Wheeling IL 60090-5137 Ph: () - | Procare Medical Group Llc 3000 Dundee Rd Suite 311 Northbrook IL 60062-2422 Ph: (847) 383-6224 |
| NPI Number | 1407308752 |
|---|---|
| Provider Enumeration Date | 11/02/2016 |
| Last Update Date | 11/02/2016 |
| Medicare PECOS PAC ID | 8729360763 |
|---|---|
| Medicare Enrollment ID | O20170126001400 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407308752 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Alla Brodech |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225076953 PECOS PAC ID: 9234161753 Enrollment ID: I20050906000881 |
| Provider Name | Demetrios J Giokaris |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871501825 PECOS PAC ID: 5395933261 Enrollment ID: I20101218000021 |
| Provider Name | Maureen M Milota |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790076495 PECOS PAC ID: 8527236678 Enrollment ID: I20110718000160 |
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