| Winnetka Avenue Physicians, Sc | |
|
525 Winnetka Ave Winnetka IL 60093-4050 | |
| (847) 501-5060 | |
| (847) 501-4063 |
| Full Name | Winnetka Avenue Physicians, Sc |
|---|---|
| Speciality | Internal Medicine |
| Location | 525 Winnetka Ave, Winnetka, Illinois |
| Authorized Official Name and Position | Thomas Stern (PHYSICIAN/OWNER) |
| Authorized Official Contact | 8475014060 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Winnetka Avenue Physicians, Sc 2215 Sanders Rd Ste 105 Northbrook IL 60062-6126 Ph: (224) 330-6300 | Winnetka Avenue Physicians, Sc 525 Winnetka Ave Winnetka IL 60093-4050 Ph: (847) 501-5060 |
| NPI Number | 1346633971 |
|---|---|
| Provider Enumeration Date | 03/06/2015 |
| Last Update Date | 01/26/2016 |
| Medicare PECOS PAC ID | 1557672334 |
|---|---|
| Medicare Enrollment ID | O20150619001560 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346633971 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Roman W Mandzij |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841239902 PECOS PAC ID: 7012927791 Enrollment ID: I20060426000343 |
| Provider Name | Thomas A Stern |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477592665 PECOS PAC ID: 6002826781 Enrollment ID: I20060426000364 |
North Shore Physicians Group, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 525 Winnetka Ave, Winnetka, IL 60093 Phone: 847-501-4060 | |
Jeanne Farley-li Md Sc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 530 Winnetka Ave, Winnetka, IL 60093 Phone: 847-441-6868 Fax: 847-441-6895 | |
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Resurrection Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 525 Winnetka Ave, Suite A, Winnetka, IL 60093 Phone: 847-501-4060 Fax: 847-501-4063 | |
Dedication Health Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 710 Oak St, Winnetka, IL 60093 Phone: 847-986-6770 | |
Winnetka Family Medicine Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 750 Green Bay Rd, Winnetka, IL 60093 Phone: 847-446-0202 Fax: 847-446-0208 |