Waukegan Clinic Corp - Medicare Primary Care in Gurnee, IL

Waukegan Clinic Corp is a medicare enrolled primary clinic (Family Medicine) in Gurnee, Illinois. The current practice location for Waukegan Clinic Corp is 200 S Greenleaf St, Suite A, Gurnee, Illinois. For appointments, you can reach them via phone at (847) 360-3000. The mailing address for Waukegan Clinic Corp is 7100 Commerce Way, Suite 180, Brentwood, Tennessee and phone number is (615) 465-7626.

Waukegan Clinic Corp is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1306937289. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (847) 360-3000.

Contact Information

Waukegan Clinic Corp
200 S Greenleaf St
Suite A
Gurnee
IL 60031-3398
(847) 360-3000
Not Available

Map and Direction


Primary Care Clinic Profile

Full NameWaukegan Clinic Corp
SpecialityFamily Medicine
Location200 S Greenleaf St, Gurnee, Illinois
Authorized Official Name and PositionDebbie Brewer (DIRECTOR OF PROVIDER ENROLLMENT)
Authorized Official Contact6154657000
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Waukegan Clinic Corp
7100 Commerce Way
Suite 180
Brentwood
TN 37027-2829

Ph: (615) 465-7626
Waukegan Clinic Corp
200 S Greenleaf St
Suite A
Gurnee
IL 60031-3398

Ph: (847) 360-3000

NPI Details:

NPI Number1306937289
Provider Enumeration Date09/27/2006
Last Update Date09/05/2007

Medicare PECOS Information:

Medicare PECOS PAC ID4284631086
Medicare Enrollment IDO20061108000240

Medical Identifiers

Medical identifiers for Waukegan Clinic Corp such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1306937289NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine (* (Not Available))Primary
207R00000XInternal Medicine (* (Not Available))Secondary
2084N0400XPsychiatry & Neurology - Neurology (* (Not Available))Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Waukegan Clinic Corp acts as a billing entity for following providers:
Provider NameNinad Dixit
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1922094655
PECOS PAC ID: 6305740507
Enrollment ID: I20031120000330
Provider NameJoyce Turley
Provider TypePractitioner - Critical Care (intensivists)
Provider IdentifiersNPI Number: 1871609677
PECOS PAC ID: 2466433180
Enrollment ID: I20040528000061
Provider NameDaisy S Andaleon
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1093723413
PECOS PAC ID: 9931185105
Enrollment ID: I20040628001014
Provider NameRakhshanda B Neelam
Provider TypePractitioner - Medical Oncology
Provider IdentifiersNPI Number: 1245217611
PECOS PAC ID: 5991764391
Enrollment ID: I20041008001394
Provider NameJoseph Craig
Provider TypePractitioner - Physical Medicine And Rehabilitation
Provider IdentifiersNPI Number: 1730193186
PECOS PAC ID: 9133178890
Enrollment ID: I20050120000031
Provider NameGalina Simkin
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1487655833
PECOS PAC ID: 6002866209
Enrollment ID: I20050126000029
Provider NameUzoma C Okoli
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1538168620
PECOS PAC ID: 5799737912
Enrollment ID: I20050216000433
Provider NameMichael G Tsinman
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1710900907
PECOS PAC ID: 1658317078
Enrollment ID: I20050707000148
Provider NameMahesh Kumar Agarwal
Provider TypePractitioner - Pulmonary Disease
Provider IdentifiersNPI Number: 1730238874
PECOS PAC ID: 4688606916
Enrollment ID: I20050910000069
Provider NameGerald A Frank
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1912043787
PECOS PAC ID: 1951325430
Enrollment ID: I20060207000138
Provider NameSheikh Muhammed Sadiq
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1164474102
PECOS PAC ID: 3971511098
Enrollment ID: I20060331000361
Provider NameMathai S Karingada
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1831125988
PECOS PAC ID: 7618971045
Enrollment ID: I20060828000041
Provider NameUday K Paul
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1982623575
PECOS PAC ID: 9133123318
Enrollment ID: I20060830000293
Provider NameJamil Abdur Rahman
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1710914189
PECOS PAC ID: 2860499506
Enrollment ID: I20061023000399
Provider NameMarina Gladson
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1588751366
PECOS PAC ID: 4688671183
Enrollment ID: I20061025000674
Provider NameCaroline E Cinquegrani
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1649353251
PECOS PAC ID: 1850399791
Enrollment ID: I20061201000191
Provider NameSteven G Sclamberg
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1538112255
PECOS PAC ID: 7113926213
Enrollment ID: I20061219000529
Provider NameAndrew Albert
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1659413656
PECOS PAC ID: 4082710561
Enrollment ID: I20070430000153
Provider NameAlan Auerbach
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1902913759
PECOS PAC ID: 6507962917
Enrollment ID: I20070501000678
Provider NameRichard A Margolin
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1528162062
PECOS PAC ID: 4486735867
Enrollment ID: I20080111000522
Provider NameAsif Anwar
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1134179450
PECOS PAC ID: 0244253714
Enrollment ID: I20080730000728
Provider NameNoura Mohamed Sharabash
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1629250501
PECOS PAC ID: 4183791403
Enrollment ID: I20080927000196
Provider NameLavanya Srinivasan
Provider TypePractitioner - Pulmonary Disease
Provider IdentifiersNPI Number: 1447452610
PECOS PAC ID: 4789751967
Enrollment ID: I20080930000608
Provider NameEvyan Jawad
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1740443506
PECOS PAC ID: 1456429984
Enrollment ID: I20081009000756
Provider NameTammy L Brown
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1972769073
PECOS PAC ID: 9133288392
Enrollment ID: I20081104000172
Provider NameNinef E Zaya
Provider TypePractitioner - Otolaryngology
Provider IdentifiersNPI Number: 1962624031
PECOS PAC ID: 1759440217
Enrollment ID: I20081112000743
Provider NameVikas Bhatara
Provider TypePractitioner - Pulmonary Disease
Provider IdentifiersNPI Number: 1811026446
PECOS PAC ID: 5496762726
Enrollment ID: I20081223000533
Provider NameSusan H Hansel
Provider TypePractitioner - Qualified Audiologist
Provider IdentifiersNPI Number: 1962530808
PECOS PAC ID: 6305909862
Enrollment ID: I20090108000717
Provider NameKimberly L Morstadt
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1639370083
PECOS PAC ID: 0042351611
Enrollment ID: I20100104000677
Provider NameNaren A Kapadia
Provider TypePractitioner - Hematology/oncology
Provider IdentifiersNPI Number: 1457307118
PECOS PAC ID: 3173615564
Enrollment ID: I20100610000881
Provider NameCatherine M Goodale
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1790938546
PECOS PAC ID: 8022149566
Enrollment ID: I20100628000901
Provider NameNilesh D Mehta
Provider TypePractitioner - Hematology/oncology
Provider IdentifiersNPI Number: 1578502159
PECOS PAC ID: 5991897381
Enrollment ID: I20100702000007
Provider NameJai J Nho
Provider TypePractitioner - General Practice
Provider IdentifiersNPI Number: 1780670018
PECOS PAC ID: 0648304774
Enrollment ID: I20100811000980
Provider NameAlpesh M Patel
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1720287378
PECOS PAC ID: 6901920446
Enrollment ID: I20100903000870
Provider NameMathangi R Sekharan
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1518959329
PECOS PAC ID: 4082800289
Enrollment ID: I20101130001186
Provider NameGini Dutt
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1316137656
PECOS PAC ID: 6901093566
Enrollment ID: I20101208000397
Provider NamePeter M Oshin
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1093732331
PECOS PAC ID: 7517154156
Enrollment ID: I20101209000038
Provider NameKarama Thiab
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1811923709
PECOS PAC ID: 3779764006
Enrollment ID: I20110221000234
Provider NameAnita Bhardwaj
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1023264819
PECOS PAC ID: 9335323302
Enrollment ID: I20110415000522
Provider NameMartin Joel Weiner
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1285629063
PECOS PAC ID: 2567360522
Enrollment ID: I20110707000304
Provider NameLaura A Murphy
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1609023068
PECOS PAC ID: 4486823283
Enrollment ID: I20110812000112
Provider NameTimothy G Stegemann
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1861557399
PECOS PAC ID: 7719159557
Enrollment ID: I20111020000344
Provider NameSulaiman Mohammad
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1407185499
PECOS PAC ID: 2264624568
Enrollment ID: I20111208000078
Provider NamePeter T Senatore
Provider TypePractitioner - General Practice
Provider IdentifiersNPI Number: 1700865656
PECOS PAC ID: 1052587227
Enrollment ID: I20120110000644
Provider NameSrikanth Davuluri
Provider TypePractitioner - Pulmonary Disease
Provider IdentifiersNPI Number: 1205034998
PECOS PAC ID: 0244493658
Enrollment ID: I20120523000139
Provider NameBrent Cutro
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1346479474
PECOS PAC ID: 1658535919
Enrollment ID: I20120618000236
Provider NameArden Davis Barnett
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1891765095
PECOS PAC ID: 5496773525
Enrollment ID: I20120627000166
Provider NameRyan M Pizinger
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1255438735
PECOS PAC ID: 5597937599
Enrollment ID: I20120807000283
Provider NameLizel Granada
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1619213618
PECOS PAC ID: 8022263425
Enrollment ID: I20130311000482
Provider NameAlla A Bodner
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1669723573
PECOS PAC ID: 8921241670
Enrollment ID: I20130827000869
Provider NameSherry A Owen
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1417047135
PECOS PAC ID: 0042446759
Enrollment ID: I20131127001698
Provider NameBinn M Jatta
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1255565115
PECOS PAC ID: 8921236340
Enrollment ID: I20140110000550
Provider NameOlga Geniyevna Kozlova
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1477997674
PECOS PAC ID: 5991924763
Enrollment ID: I20140910001963
Provider NameHythem P Shadid
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1477567394
PECOS PAC ID: 8628056827
Enrollment ID: I20150114001589
Provider NameLauren Snower
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1639459597
PECOS PAC ID: 4688812878
Enrollment ID: I20150511002096
Provider NamePoornima Pandellapalli
Provider TypePractitioner - Medical Oncology
Provider IdentifiersNPI Number: 1205933850
PECOS PAC ID: 8224129655
Enrollment ID: I20150512002975
Provider NameTimothy M Volk
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1801141726
PECOS PAC ID: 0941448773
Enrollment ID: I20150803000331
Provider NameKunal Patel
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1548600240
PECOS PAC ID: 8426342502
Enrollment ID: I20160812000267
Provider NameRushim S Bains
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1154334316
PECOS PAC ID: 3173627148
Enrollment ID: I20160909002552
Provider NameAnterpreet P Dhanoyia
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1497017230
PECOS PAC ID: 3173767795
Enrollment ID: I20160928000592
Provider NameJennifer Luzentales
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1366896631
PECOS PAC ID: 7719261718
Enrollment ID: I20170310000023
Provider NameShazia Kamran
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1992950166
PECOS PAC ID: 6507014578
Enrollment ID: I20170612003010
Provider NameHaili Campanella
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1184151193
PECOS PAC ID: 5294003158
Enrollment ID: I20170616002095
Provider NameMary Maish
Provider TypePractitioner - Thoracic Surgery
Provider IdentifiersNPI Number: 1750316774
PECOS PAC ID: 0547226789
Enrollment ID: I20181129000993
Provider NameAswin Nukala
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1093155350
PECOS PAC ID: 2466710637
Enrollment ID: I20190214002970
Provider NamePaolo P Mercado
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1447728183
PECOS PAC ID: 5496094914
Enrollment ID: I20190228000448
Provider NameCarizza Senas
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1801440045
PECOS PAC ID: 7113256660
Enrollment ID: I20190909001022
Provider NameAmin Namazi
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1821475120
PECOS PAC ID: 9537473889
Enrollment ID: I20201102001806
Provider NameMarlon Viloria
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1912514654
PECOS PAC ID: 1153515598
Enrollment ID: I20210218001249
Provider NameAnil Kumar Pattisapu
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1962765503
PECOS PAC ID: 4789820291
Enrollment ID: I20211019000095
Provider NameAaron Galbraith
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1871835124
PECOS PAC ID: 5597909945
Enrollment ID: I20220223002640
Provider NameMutsa Vollmer
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1356989032
PECOS PAC ID: 1951727155
Enrollment ID: I20220302001861
Provider NameShivon Manchanda
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1730640905
PECOS PAC ID: 2466788468
Enrollment ID: I20220903000466
Provider NameWallis Olivia Edwards
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1427676113
PECOS PAC ID: 5991174310
Enrollment ID: I20230613003783
Provider NameAlonzo Tyrone Sexton
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1780617365
PECOS PAC ID: 3173536265
Enrollment ID: I20230824001941
Provider NameAhadi Hakki
Provider TypePractitioner - Thoracic Surgery
Provider IdentifiersNPI Number: 1194816389
PECOS PAC ID: 5496800997
Enrollment ID: I20231013002708
Provider NameWilliam Keates
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1750579942
PECOS PAC ID: 3971673708
Enrollment ID: I20240528001888
Provider NameDavid Aaron Rosen
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1558458463
PECOS PAC ID: 7315974730
Enrollment ID: I20240603002104

Reviews and Comments


Family Medicine in Gurnee, IL

M P M Family Health Inc.
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 1445 N Hunt Club Rd, Suite 304, Gurnee, IL 60031
Phone: 847-383-5428    
Hosep H Deyrmenjian, Md, Pc
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 6440 Grand Ave, Suite 205, Gurnee, IL 60031
Phone: 847-855-3150    Fax: 847-855-3143
Wai Chee Cheung-o'carroll, M.d., S.c.
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 1445 N Hunt Club Rd, Suite 304, Gurnee, IL 60031
Phone: 847-855-0100    Fax: 847-855-0101
Paru K Sharma
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 7505 Grand Ave, Gurnee, IL 60031
Phone: 847-245-8448    Fax: 847-245-7070
Chicago Medical Clinic Llc
Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 200 S Greenleaf St, Suite A, Gurnee, IL 60031
Phone: 847-596-4521    
Gurnee Stone Medical Center P.c
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 7505 Grand Ave, Gurnee, IL 60031
Phone: 847-856-7615    
Lake Shore Gastroenterolgy Sc
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 20 Tower Ct, Suite C, Gurnee, IL 60031
Phone: 847-244-6320    Fax: 847-244-5095

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.