| Winnetka Family Medicine | |
|
750 Green Bay Rd Winnetka IL 60093 | |
| (847) 446-0202 | |
| (847) 446-0208 |
| Full Name | Winnetka Family Medicine |
|---|---|
| Speciality | Family Medicine |
| Location | 750 Green Bay Rd, Winnetka, Illinois |
| Authorized Official Name and Position | Irina V Borisova (BILLING MNGR) |
| Authorized Official Contact | 8474460202 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Winnetka Family Medicine 750 Green Bay Rd Winnetka IL 60093 Ph: (847) 446-0202 | Winnetka Family Medicine 750 Green Bay Rd Winnetka IL 60093 Ph: (847) 446-0202 |
| NPI Number | 1487874988 |
|---|---|
| Provider Enumeration Date | 04/26/2007 |
| Last Update Date | 03/04/2011 |
| Medicare PECOS PAC ID | 8325220361 |
|---|---|
| Medicare Enrollment ID | O20110311000177 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487874988 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 036073154 (Illinois) | Primary |
| 207Q00000X | Family Medicine | 036078117 (Illinois) | Secondary |
| Provider Name | Angela L Martinez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386671709 PECOS PAC ID: 8921900390 Enrollment ID: I20040126000150 |
| Provider Name | Steven M Jaharis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538105861 PECOS PAC ID: 8820020571 Enrollment ID: I20050902000287 |
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 | |
Eleanor Smith Md Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 530 Winnetka Ave, Winnetka, IL 60093 Phone: 847-441-6869 Fax: 847-441-6895 | |
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 Avenue Physicians, Sc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 525 Winnetka Ave, Winnetka, IL 60093 Phone: 847-501-5060 Fax: 847-501-4063 |