| Vi Health Care Inc | |
|
3330 W. Dundee Road Ste C1 Northbrook IL 60062-2328 | |
| (224) 355-1501 | |
| (847) 957-4717 |
| Full Name | Vi Health Care Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 3330 W. Dundee Road, Northbrook, Illinois |
| Authorized Official Name and Position | Larissa Granovski (OFFICE MANAGER) |
| Authorized Official Contact | 8477915591 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Vi Health Care Inc 3330 W. Dundee Road Ste C1 Northbrook IL 60062-2328 Ph: (224) 355-1501 | Vi Health Care Inc 3330 W. Dundee Road Ste C1 Northbrook IL 60062-2328 Ph: (224) 355-1501 |
| NPI Number | 1588286108 |
|---|---|
| Provider Enumeration Date | 05/18/2020 |
| Last Update Date | 02/10/2021 |
| Medicare PECOS PAC ID | 4486072469 |
|---|---|
| Medicare Enrollment ID | O20200909000439 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588286108 | NPI | - | NPPES |
| 036-066354 | Other | IL | STATE LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Yakov Ryabov |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912909615 PECOS PAC ID: 8628021649 Enrollment ID: I20050314000589 |
| Provider Name | Demetrios J Giokaris |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871501825 PECOS PAC ID: 5395933261 Enrollment ID: I20101218000021 |
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