Winchester Medical Group, S.c. | |
1268 American Way Libertyville IL 60048-3936 | |
(847) 367-6400 | |
(847) 367-6888 |
Full Name | Winchester Medical Group, S.c. |
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Speciality | Internal Medicine |
Location | 1268 American Way, Libertyville, Illinois |
Authorized Official Name and Position | Vicki A Reynolds (ADMINISTRATOR) |
Authorized Official Contact | 8476801822 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Winchester Medical Group, S.c. 1268 American Way Libertyville IL 60048-3936 Ph: (847) 367-6400 | Winchester Medical Group, S.c. 1268 American Way Libertyville IL 60048-3936 Ph: (847) 367-6400 |
NPI Number | 1497983191 |
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Provider Enumeration Date | 07/01/2009 |
Last Update Date | 07/01/2009 |
Medicare PECOS PAC ID | 4587710157 |
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Medicare Enrollment ID | O20090923000376 |
Identifier | Type | State | Issuer |
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1497983191 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 036064653 (Illinois) | Primary |
Provider Name | Michael Seward Hall |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1528053972 PECOS PAC ID: 8224184890 Enrollment ID: I20090923000371 |
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