| Village Internal Medicine, Ltd | |
|
700 Oak St Suite 200 Winnetka IL 60093-2566 | |
| (847) 446-1066 | |
| (847) 446-1825 |
| Full Name | Village Internal Medicine, Ltd |
|---|---|
| Speciality | Internal Medicine |
| Location | 700 Oak St, Winnetka, Illinois |
| Authorized Official Name and Position | John M Wedell (BUSINESS AND OFFICE MANAGER) |
| Authorized Official Contact | 8474461066 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Village Internal Medicine, Ltd 700 Oak St Suite 200 Winnetka IL 60093 Ph: (847) 446-1066 | Village Internal Medicine, Ltd 700 Oak St Suite 200 Winnetka IL 60093-2566 Ph: (847) 446-1066 |
| NPI Number | 1881890218 |
|---|---|
| Provider Enumeration Date | 06/22/2007 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 2769575364 |
|---|---|
| Medicare Enrollment ID | O20070912000147 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881890218 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (Illinois) | Primary |
| Provider Name | Walter R Grobelny |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740275015 PECOS PAC ID: 1456444157 Enrollment ID: I20070912000086 |
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