| Rush Oak Park Physicians Group Lake Street | |
|
1011 Lake St Suite 300 Oak Park IL 60301-1148 | |
| (708) 628-0600 | |
| Not Available |
| Full Name | Rush Oak Park Physicians Group Lake Street |
|---|---|
| Speciality | Internal Medicine |
| Location | 1011 Lake St, Oak Park, Illinois |
| Authorized Official Name and Position | Scott A Halper (AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 3129427770 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rush Oak Park Physicians Group Lake Street 1011 Lake St Suite 300 Oak Park IL 60301-1148 Ph: (708) 628-0600 | Rush Oak Park Physicians Group Lake Street 1011 Lake St Suite 300 Oak Park IL 60301-1148 Ph: (708) 628-0600 |
| NPI Number | 1841531456 |
|---|---|
| Provider Enumeration Date | 03/06/2013 |
| Last Update Date | 09/26/2024 |
| Medicare PECOS PAC ID | 3678714771 |
|---|---|
| Medicare Enrollment ID | O20130801000660 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841531456 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 208000000X | Pediatrics | (* (Not Available)) | Secondary |
| Provider Name | Wendy L Foster |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396703070 PECOS PAC ID: 2961479761 Enrollment ID: I20040913000652 |
| Provider Name | Michele F Carlon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285670273 PECOS PAC ID: 4587627831 Enrollment ID: I20041108000558 |
| Provider Name | Emily Beamer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013961861 PECOS PAC ID: 6002712049 Enrollment ID: I20041108000578 |
| Provider Name | Reena Navuluri |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245527852 PECOS PAC ID: 1153636774 Enrollment ID: I20150811005908 |
| Provider Name | Niketa A Patel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427498732 PECOS PAC ID: 2860740677 Enrollment ID: I20180809004604 |
James Lo M.d., Mary Lo M.d. S.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1140 W Lake St, Suite 402, Oak Park, IL 60301 Phone: 708-848-0330 | |
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Midwest Gi And Hepatology, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 610 S Maple Ave, Suite 2600, Oak Park, IL 60304 Phone: 708-290-1010 | |
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