| Lagrange Medical Center | |
|
3017 N Ashland Ave Apt 1n Chicago IL 60657-3143 | |
| (773) 935-1199 | |
| (773) 935-1219 |
| Full Name | Lagrange Medical Center |
|---|---|
| Speciality | Internal Medicine |
| Location | 3017 N Ashland Ave Apt 1n, Chicago, Illinois |
| Authorized Official Name and Position | Syed Akhter (PRESIDENT) |
| Authorized Official Contact | 7739351199 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lagrange Medical Center 3017 N Ashland Ave Apt 1n Chicago IL 60657-3143 Ph: (773) 935-1199 | Lagrange Medical Center 3017 N Ashland Ave Apt 1n Chicago IL 60657-3143 Ph: (773) 935-1199 |
| NPI Number | 1538179841 |
|---|---|
| Provider Enumeration Date | 08/09/2006 |
| Last Update Date | 02/02/2022 |
| Medicare PECOS PAC ID | 6608872569 |
|---|---|
| Medicare Enrollment ID | O20061017000184 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538179841 | NPI | - | NPPES |
| 036107581 | Other | IL | PPO/HMO |
| 036109110 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 036109110 (Illinois) | Secondary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Ijaz Ahmad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861538712 PECOS PAC ID: 4082645544 Enrollment ID: I20050824000478 |
| Provider Name | Syed R Akhter |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295787422 PECOS PAC ID: 7911921796 Enrollment ID: I20061017000152 |
| Provider Name | Queenester B Gray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346614260 PECOS PAC ID: 8325348899 Enrollment ID: I20170302001433 |
| Provider Name | Marie Ann G Korallus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669927893 PECOS PAC ID: 7416383690 Enrollment ID: I20200206001767 |
| Provider Name | Rebecca E Birnbaum |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124784087 PECOS PAC ID: 6103212998 Enrollment ID: I20220404001300 |
| Provider Name | Noor Q Aziz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396444972 PECOS PAC ID: 6507228699 Enrollment ID: I20230822002264 |
Pilsen Pediatrics Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1952 W Cermak Rd, Chicago, IL 60608 Phone: 773-254-6611 Fax: 773-254-8590 | |
A Kavaliunas Md Sc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5540 S Pulaski Rd, Chicago, IL 60629 Phone: 773-585-2802 | |
Doc Cam Medical Center Sc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2315 E 93rd St Ste 337, Chicago, IL 60617 Phone: 773-731-2700 Fax: 773-373-1868 | |
Excellent Eye Care Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5352 N Milwaukee Ave, Chicago, IL 60630 Phone: 773-777-7444 Fax: 773-775-4030 | |
Pediatric General Care & Research Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4527 N Pulaski Rd, Chicago, IL 60630 Phone: 773-267-7060 Fax: 773-267-4752 | |
Urban Family Health Center Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10830 S Halsted St, Chicago, IL 60628 Phone: 773-264-1400 Fax: 773-264-1401 | |
Premier Primary Care And Alternative Medicine Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1301 E 47th Street, Bldg 2 Suite B, Chicago, IL 60653 Phone: 773-891-2890 Fax: 773-891-4107 |