| Seniorcare Medical Group Llc | |
|
746 W Spring St South Elgin IL 60177-1424 | |
| (847) 697-0565 | |
| (847) 697-0568 |
| Full Name | Seniorcare Medical Group Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 746 W Spring St, South Elgin, Illinois |
| Authorized Official Name and Position | Kate Onyibor (OWNER) |
| Authorized Official Contact | 2243576997 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Seniorcare Medical Group Llc 2160 Colchester Ct Hoffman Estates IL 60192-4164 Ph: (224) 357-6997 | Seniorcare Medical Group Llc 746 W Spring St South Elgin IL 60177-1424 Ph: (847) 697-0565 |
| NPI Number | 1972070605 |
|---|---|
| Provider Enumeration Date | 10/31/2018 |
| Last Update Date | 02/23/2020 |
| Medicare PECOS PAC ID | 1254675937 |
|---|---|
| Medicare Enrollment ID | O20181206002192 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972070605 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0300X | Internal Medicine - Geriatric Medicine | (* (Not Available)) | Primary |
| Provider Name | Kate A Onyibor |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801895701 PECOS PAC ID: 2961470836 Enrollment ID: I20080317000200 |
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