| Dr Peggy Schutte Banks, DO | |
| 
					4201 W Medical Center Dr, Mchenry, IL 60050  | |
| (815) 759-3100 | |
| (815) 363-9094 | 
| Full Name | Dr Peggy Schutte Banks | 
|---|---|
| Gender | Female | 
| Speciality | Emergency Medicine | 
| Location | 4201 W Medical Center Dr, Mchenry, Illinois | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1518922962 | NPI | - | NPPES | 
| 200175310 | Medicaid | IN | |
| P00277561 | Other | IN | MEDICARE RAILROAD | 
| 000000387519 | Other | IN | ANTHEM | 
| 90001082 | Other | IL | BCBS | 
| 036105438 | Other | IL | STATE LICENSE | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207P00000X | Emergency Medicine | 02002258A (Indiana) | Secondary | 
| 207P00000X | Emergency Medicine | 036105438 (Illinois) | Primary | 
| Entity Name | Northwestern Medical Faculty Foundation | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1346235314 PECOS PAC ID: 4587576814 Enrollment ID: O20031105000541  | 
| Entity Name | Mcdonough County Hospital District | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1669420766 PECOS PAC ID: 0446140180 Enrollment ID: O20040611000228  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Dr Peggy Schutte Banks, DO 4201 W Medical Center Dr, Mchenry, IL 60050-8409 Ph: (815) 759-3100  | Dr Peggy Schutte Banks, DO 4201 W Medical Center Dr, Mchenry, IL 60050 Ph: (815) 759-3100  | 
Dr. Robert W Schwaner, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 3922 Mercy Dr, Mchenry, IL 60050 Phone: 815-344-4499  | |
Katherine Jean Savage, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 4201 W Medical Center Dr, Mchenry, IL 60050 Phone: 815-759-3100 Fax: 815-363-9094  | |
Dr. Leonard Levites, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 4201 W Medical Center Dr, Mchenry, IL 60050 Phone: 815-338-6600  | |
John Pacini, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 4201 W Medical Center Dr, Mchenry, IL 60050 Phone: 815-759-3100 Fax: 815-363-9044  | |
Neda Imam, M.D Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 4201 W Medical Center Dr, Mchenry, IL 60050 Phone: 815-759-4323 Fax: 815-759-4948  | |
Troy B Shaffer, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 4201 W Medical Center Dr, Mchenry, IL 60050 Phone: 815-338-6600  | |
Dr. Luciano Orta Iii, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 4201 W Medical Center Dr, Mchenry, IL 60050 Phone: 815-759-3100 Fax: 815-363-9094  |