| Michael P Viglione, MD PHD | |
|
660 North Westmoreland, Lake Forest Hospital, Lake Forest, IL 60045-1696 | |
| (847) 234-0049 | |
| (847) 234-1946 |
| Full Name | Michael P Viglione |
|---|---|
| Gender | Male |
| Speciality | Pathology - Anatomic Pathology & Clinical Pathology |
| Location | 660 North Westmoreland, Lake Forest, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073581146 | NPI | - | NPPES |
| P00067649 | Other | IL | RR MCR |
| 0361087891 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | 036108789 (Illinois) | Primary |
| Entity Name | North Shore Center For Medical Aesthetics Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508901307 PECOS PAC ID: 3072401652 Enrollment ID: O20040305000668 |
| Entity Name | Gastroenterologists Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891993606 PECOS PAC ID: 3274422886 Enrollment ID: O20040312000067 |
| Entity Name | Dermatology Partners Of The North Shore Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114063591 PECOS PAC ID: 2264427251 Enrollment ID: O20040419000918 |
| Entity Name | North Shore Urogynecology Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013021922 PECOS PAC ID: 9638124571 Enrollment ID: O20050314000959 |
| Entity Name | Schaumburg Dermatology Sc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609987171 PECOS PAC ID: 6002848496 Enrollment ID: O20050907000286 |
| Entity Name | Lake Shore Dermatology Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902977937 PECOS PAC ID: 8628001203 Enrollment ID: O20050914000606 |
| Entity Name | Deerfield Dermatology Associates, Ltd. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225127244 PECOS PAC ID: 6204841760 Enrollment ID: O20060221000021 |
| Entity Name | Fmgc Sc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578691846 PECOS PAC ID: 8325142771 Enrollment ID: O20070326000042 |
| Entity Name | Dermatology And Aesthetics Of Wicker Park Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1386777241 PECOS PAC ID: 1052410081 Enrollment ID: O20070615000457 |
| Entity Name | Advanced Dermatology,llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528273505 PECOS PAC ID: 7719161223 Enrollment ID: O20110407000439 |
| Entity Name | Christina G Steil Dermatology Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437404951 PECOS PAC ID: 5294974937 Enrollment ID: O20130610000592 |
| Entity Name | Ab Dermatology Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285043646 PECOS PAC ID: 4789906322 Enrollment ID: O20141209002201 |
| Entity Name | Dermatology Specialists Of Illinois, Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144610080 PECOS PAC ID: 7517288236 Enrollment ID: O20150608000017 |
| Mailing Address | Practice Location Address |
|---|---|
| Michael P Viglione, MD PHD 75 Remittance Drive, Ste 1895, Chicago, IL 60675-1895 Ph: (847) 234-0049 | Michael P Viglione, MD PHD 660 North Westmoreland, Lake Forest Hospital, Lake Forest, IL 60045-1696 Ph: (847) 234-0049 |
Dr. John Chongwon Lee, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 660 N Westmoreland Rd, Lake Forest, IL 60045 Phone: 847-535-6217 | |
Ricardo S Cajulis, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 660 North Westmoreland, Lake Forest Hospital, Lake Forest, IL 60045 Phone: 847-234-0049 Fax: 847-234-1946 | |
Richard J Clatch, MD PHD Pathology Medicare: Not Enrolled in Medicare Practice Location: 660 North Westmoreland, Lake Forest Hospital, Lake Forest, IL 60045 Phone: 847-234-0049 Fax: 847-234-1946 | |
Cherise Meyerson, Pathology Medicare: Accepting Medicare Assignments Practice Location: 1000 N Westmoreland Rd # Ll0519, Lake Forest, IL 60045 Phone: 847-535-6218 Fax: 847-535-6237 | |
Dr. Manuel Raul Montez, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 1261 Oak Knoll Dr, Lake Forest, IL 60045 Phone: 847-337-4752 | |
Dr. Amalia B Digan, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 660 N Westmoreland Rd, Lake Forest, IL 60045 Phone: 847-234-0049 |