| Dr Mark A Wargo, MD | |
|
109 E Elm St, Streator, IL 61364-2223 | |
| (815) 672-4587 | |
| (815) 673-3582 |
| Full Name | Dr Mark A Wargo |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 30 Years |
| Location | 109 E Elm St, Streator, Illinois |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457304156 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 036099987 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Saint Anthony Medical Center For Home Care | Rockford, IL | Home health agency |
| Joliet Area Community Hospice | Joliet, IL | Hospice |
| Ottawa Regional Hospital Dba Osf Saint Elizabeth Mdl Ctr | Ottawa, IL | Hospital |
| Saint James Hospital | Pontiac, IL | Hospital |
| Saint Francis Medical Center | Peoria, IL | Hospital |
| St Joseph Medical Center | Bloomington, IL | Hospital |
| Heritage Health-streator | Streator, IL | Nursing home |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Saint James Hospital | 0648187252 | 58 |
| Osf Multi-specialty Group | 3678889789 | 1848 |
| Entity Name | Osf Multi-specialty Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922445527 PECOS PAC ID: 3678889789 Enrollment ID: O20150904000279 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Mark A Wargo, MD 109 E Elm St, Streator, IL 61364-2223 Ph: (815) 672-4587 | Dr Mark A Wargo, MD 109 E Elm St, Streator, IL 61364-2223 Ph: (815) 672-4587 |
Dr. Glen L Ricca, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 109 E Elm St, Streator, IL 61364 Phone: 815-672-4587 Fax: 815-673-3582 |