| Dr Peter Thomas Georginis, MD | |
|
695 Park Ave, Lake Villa, IL 60046-6531 | |
| (224) 541-9100 | |
| Not Available |
| Full Name | Dr Peter Thomas Georginis |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Location | 695 Park Ave, Lake Villa, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629426366 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | 036.147842 (Illinois) | Secondary |
| 207R00000X | Internal Medicine | 036.147842 (Illinois) | Primary |
| Entity Name | University Of Chicago |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821048786 PECOS PAC ID: 7719899426 Enrollment ID: O20031103000094 |
| 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 |
| Entity Name | The University Of Chicago Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033218128 PECOS PAC ID: 7618880766 Enrollment ID: O20031106000203 |
| Entity Name | Signify Health Medical Associates Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750845863 PECOS PAC ID: 2163764424 Enrollment ID: O20190507001451 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Peter Thomas Georginis, MD 695 Park Ave, Lake Villa, IL 60046-6531 Ph: (224) 541-9100 | Dr Peter Thomas Georginis, MD 695 Park Ave, Lake Villa, IL 60046-6531 Ph: (224) 541-9100 |
Dr. Mohamed E Nasr, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 213 S Milwaukee Ave, Lake Villa, IL 60046 Phone: 847-356-9009 |