| Dr John S Balocki, DO | |
|
185 Heritage Drive, Suite 3, Crystal Lake, IL 60014 | |
| (815) 455-0310 | |
| (815) 455-1210 |
| Full Name | Dr John S Balocki |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 185 Heritage Drive, Crystal Lake, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801856117 | NPI | - | NPPES |
| 036073896 | Medicaid | IL | |
| 080107933 | Other | IL | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 036073896 (Illinois) | Primary |
| Entity Name | Advocate Health And Hospitals Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700824455 PECOS PAC ID: 7810800935 Enrollment ID: O20031106000064 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr John S Balocki, DO 185 Heritage Drive, Suite 3, Crystal Lake, IL 60014 Ph: (815) 455-0310 | Dr John S Balocki, DO 185 Heritage Drive, Suite 3, Crystal Lake, IL 60014 Ph: (815) 455-0310 |
Haydee Cantu-manley, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 241 Commerce Dr Ste 102, Crystal Lake, IL 60014 Phone: 815-524-2200 Fax: 877-461-6742 | |
Sana Fayyaz, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 525 E Congress Pkwy Ste 350, Crystal Lake, IL 60014 Phone: 815-479-7490 Fax: 815-455-2654 | |
Yanbing Li, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 360 Station Dr, Crystal Lake, IL 60014 Phone: 815-338-6600 Fax: 815-477-9826 | |
Heather Mechelle Cloum, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 875 S Route 31, Crystal Lake, IL 60014 Phone: 779-220-5500 | |
Dr. Racquel Norada Ramirez-dolleton V, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 781 Mchenry Ave, Crystal Lake, IL 60014 Phone: 815-459-2200 Fax: 815-459-0556 | |
Dr. Susan R Loring, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 101 N Virginia St, Ste 190, Crystal Lake, IL 60014 Phone: 815-444-1966 Fax: 815-444-8699 | |
Dr. Shruti Bahadur, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 650 Dakota St Ste A, Crystal Lake, IL 60012 Phone: 815-455-6000 Fax: 815-356-1104 |