<unavail> in La Grange, IL - Medicare Internal Medicine

is a medicare enrolled primary clinic (Internal Medicine - Rheumatology) in La Grange, Illinois. The current practice location for is 5201 S. Willow Springs Road, Suite 450, La Grange, Illinois. For appointments, you can reach them via phone at (716) 346-7645. The mailing address for is 1616 E 56th St Unit 707, Chicago, Illinois and phone number is (716) 346-7645.

is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1043793441. 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 (716) 346-7645.

Contact Information


	5201 S. Willow Springs Road Suite 450 La Grange IL 60525
	(716) 346-7645
	Not Available

Map and Direction

Primary Care Clinic Profile

Full Name
Speciality	Internal Medicine
Location	5201 S. Willow Springs Road, La Grange, Illinois
Authorized Official Name and Position	William Kcomt (OWNER)
Authorized Official Contact	7163467645
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
1616 E 56th St Unit 707 Chicago IL 60637-2706 Ph: (716) 346-7645	5201 S. Willow Springs Road Suite 450 La Grange IL 60525 Ph: (716) 346-7645

NPI Details:

NPI Number	1043793441
Provider Enumeration Date	09/11/2018
Last Update Date	09/17/2018

Medicare PECOS Information:

Medicare PECOS PAC ID	5294089967
Medicare Enrollment ID	O20181115000978

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1043793441	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	(* (Not Available))	Secondary
207RR0500X	Internal Medicine - Rheumatology	(* (Not Available))	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. acts as a billing entity for following providers:

Provider Name	William Antonio Kcomt
Provider Type	Practitioner - Hospitalist
Provider Identifiers	NPI Number: 1710989587 PECOS PAC ID: 1456323443 Enrollment ID: I20150904002420

Reviews and Comments

Internal Medicine in La Grange, IL

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- Medicare Primary Care in La Grange, IL