| Dr Jared Andersen Wojnicki, DO | |
| 
					453 S Vermont St Ste C, Palatine, IL 60067-6968  | |
| (913) 359-6001 | |
| (913) 359-5552 | 
| Full Name | Dr Jared Andersen Wojnicki | 
|---|---|
| Gender | Male | 
| Speciality | Family Medicine | 
| Location | 453 S Vermont St Ste C, Palatine, Illinois | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1023099256 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207Q00000X | Family Medicine | 20A8952 (California) | Secondary | 
| 207Q00000X | Family Medicine | 036.126628 (Illinois) | Primary | 
| Entity Name | Patheous Medical Pllc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1366121527 PECOS PAC ID: 8921458720 Enrollment ID: O20231229002210  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Dr Jared Andersen Wojnicki, DO 6601 College Blvd Ste 120, Overland Park, KS 66211-1504 Ph: (913) 359-6001  | Dr Jared Andersen Wojnicki, DO 453 S Vermont St Ste C, Palatine, IL 60067-6968 Ph: (913) 359-6001  | 
Luis M Davis, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1166 E Dundee Rd, Palatine, IL 60074 Phone: 847-963-8101 Fax: 847-963-8120  | |
Mukesh Kumar Kamboj, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1200 W Algonquin Rd Bldg M, Palatine, IL 60067 Phone: 847-618-0121 Fax: 847-618-0134  | |
Courtney Snyder,  Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1200 W Algonquin Rd Bldg M, Palatine, IL 60067 Phone: 847-618-0121 Fax: 847-618-0134  | |
Arshiya Khalid, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1200 W Algonquin Rd Bldg M, Palatine, IL 60067 Phone: 847-618-0121 Fax: 847-618-0134  | |
Dr. Kathleen A. Hodgman, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 453 S Vermont St Ste C, Palatine, IL 60067 Phone: 913-359-6001 Fax: 319-359-5552  | |
Dr. Shashi Saigal, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4949 Euclid, Suite C, Palatine, IL 60067 Phone: 847-303-1100 Fax: 847-303-1111  |