| Heather Mechelle Cloum, MD | |
|
875 S Route 31, Crystal Lake, IL 60014-8190 | |
| (779) 220-5500 | |
| Not Available |
| Full Name | Heather Mechelle Cloum |
|---|---|
| Gender | Female |
| Speciality | Family Practice |
| Experience | 12 Years |
| Location | 875 S Route 31, Crystal Lake, Illinois |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154701076 | NPI | - | NPPES |
| 100138777 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 73987-20 (Wisconsin) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Aurora Lakeland Medical Center | Elkhorn, WI | Hospital |
| Aurora Memorial Hospital Burlington | Burlington, WI | Hospital |
| Mercy Health System Corp | Janesville, WI | Hospital |
| Lakeland Health Care Ctr | Elkhorn, WI | Nursing home |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mercy Health System Corporation | 7416860440 | 564 |
| Entity Name | Mercy Health System Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598718603 PECOS PAC ID: 7416860440 Enrollment ID: O20031111000307 |
| Mailing Address | Practice Location Address |
|---|---|
| Heather Mechelle Cloum, MD 29624 Network Pl, Chicago, IL 60673-1296 Ph: () - | Heather Mechelle Cloum, MD 875 S Route 31, Crystal Lake, IL 60014-8190 Ph: (779) 220-5500 |
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: Accepting Medicare Assignments 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 | |
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 |