Reliable Visiting Physicians Inc | |
500 W Central Rd Ste 204 Mt Prospect IL 60056-2381 | |
(847) 376-8144 | |
(847) 376-8597 |
Full Name | Reliable Visiting Physicians Inc |
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Speciality | Family Medicine |
Location | 500 W Central Rd Ste 204, Mt Prospect, Illinois |
Authorized Official Name and Position | Adolf Von Ranoco (PRESIDENT) |
Authorized Official Contact | 2247233527 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Reliable Visiting Physicians Inc 7331 N Lincoln Ave Ste 15 Lincolnwood IL 60712-1766 Ph: (773) 860-9044 | Reliable Visiting Physicians Inc 500 W Central Rd Ste 204 Mt Prospect IL 60056-2381 Ph: (847) 376-8144 |
NPI Number | 1578064077 |
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Provider Enumeration Date | 02/21/2018 |
Last Update Date | 12/08/2021 |
Medicare PECOS PAC ID | 6406119247 |
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Medicare Enrollment ID | O20180410000365 |
Identifier | Type | State | Issuer |
---|---|---|---|
1578064077 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Paul C Tack |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1265446017 PECOS PAC ID: 9335129634 Enrollment ID: I20040726000381 |
Provider Name | Jason S So |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1508078643 PECOS PAC ID: 0345329405 Enrollment ID: I20080501000186 |
Provider Name | Rosaline Richardson |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1790297463 PECOS PAC ID: 5991062515 Enrollment ID: I20190718002085 |
Provider Name | Christine Deliva |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1245865906 PECOS PAC ID: 8527481209 Enrollment ID: I20200714001828 |
Provider Name | Ma Teresa Datoon Panganiban |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1558036293 PECOS PAC ID: 9537565528 Enrollment ID: I20210830002627 |
Provider Name | Keysha Shantate Askew |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1356945042 PECOS PAC ID: 0042618050 Enrollment ID: I20211006000056 |
Provider Name | Tanya Arganosa |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1134701444 PECOS PAC ID: 3779975206 Enrollment ID: I20220113000935 |
Provider Name | Cleauquita Wiley |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1528252061 PECOS PAC ID: 4587712732 Enrollment ID: I20220713002699 |
Provider Name | Michelle A Tucker |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1316657752 PECOS PAC ID: 3971973579 Enrollment ID: I20221222001633 |
Provider Name | Wunmi F Olokun |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1376287680 PECOS PAC ID: 0446613780 Enrollment ID: I20230902000015 |
Central Medical Associates, S.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 500 W Central Rd, Suite 106, Mt Prospect, IL 60056 Phone: 847-259-3383 | |
Family Medicine Specialists Of Mount Prospect S C Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 930 Mount Prospect Plz, Mt Prospect, IL 60056 Phone: 847-797-1962 Fax: 847-797-1972 | |
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Metrodocs, S.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 431 Lakeview Ct, Suite D, Mt Prospect, IL 60056 Phone: 847-296-3040 | |
Anderson Medical Transportation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 415 W Enterprise Dr Apt 112, Mt Prospect, IL 60056 Phone: 224-999-3730 |