| Heather Mechelle Cloum, MD | |
|
1345 Ryan Pkwy, Algonquin, IL 60102-4530 | |
| (847) 658-9555 | |
| (847) 658-2167 |
| Full Name | Heather Mechelle Cloum |
|---|---|
| Gender | Female |
| Speciality | Family Practice |
| Experience | 12 Years |
| Location | 1345 Ryan Pkwy, Algonquin, 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 | 036173797 (Illinois) | Primary |
| 207Q00000X | Family Medicine | 73987-20 (Wisconsin) | Secondary |
| 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 29373 Network Pl, Chicago, IL 60673-1296 Ph: (847) 390-5900 | Heather Mechelle Cloum, MD 1345 Ryan Pkwy, Algonquin, IL 60102-4530 Ph: (847) 658-9555 |
Aqsa Abrar, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 600 S Randall Rd, Algonquin, IL 60102 Phone: 224-783-4365 | |
Dr. Jose L. Guevara, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1486 Merchant Dr, Algonquin, IL 60102 Phone: 847-658-6667 Fax: 847-658-6669 | |
Dr. Christine M Mueller, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1482 Merchant Dr, Algonquin, IL 60102 Phone: 224-678-9769 Fax: 224-678-9762 | |
Dr. Sameena Jawed, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1345 Ryan Pkwy, Algonquin, IL 60102 Phone: 847-658-9555 | |
Dr. Maria Jisna Kuruppath, MD Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 1345 Ryan Pkwy, Algonquin, IL 60102 Phone: 847-658-9555 Fax: 847-658-2167 | |
Philip Favia, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1340 Ryan Pkwy, Algonquin, IL 60102 Phone: 815-276-0150 Fax: 877-461-6742 |