| Michelle Dianne Willis, DO | |
|
12151 Regency Pkwy Ste 155, Huntley, IL 60142-7644 | |
| (847) 506-4400 | |
| Not Available |
| Full Name | Michelle Dianne Willis |
|---|---|
| Gender | Female |
| Speciality | Family Medicine |
| Location | 12151 Regency Pkwy Ste 155, Huntley, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255567574 | NPI | - | NPPES |
| 036130518 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 036130518 (Illinois) | Primary |
| Entity Name | Cornerstone Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194807370 PECOS PAC ID: 8224082086 Enrollment ID: O20050304000516 |
| Mailing Address | Practice Location Address |
|---|---|
| Michelle Dianne Willis, DO 12151 Regency Pkwy Ste 155, Huntley, IL 60142-7644 Ph: (847) 506-4400 | Michelle Dianne Willis, DO 12151 Regency Pkwy Ste 155, Huntley, IL 60142-7644 Ph: (847) 506-4400 |
Dr. Laura Haley Tommaso, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 10350 Haligus Rd Ste A, Huntley, IL 60142 Phone: 847-802-7500 Fax: 847-802-7162 | |
Dr. Anita N Szeto, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 10350 Haligus Rd Ste 200, Huntley, IL 60142 Phone: 815-338-6600 Fax: 847-802-7203 | |
Dr. Pooja Srinivas Dewilde, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 10350 Haligus Rd Ste 200, Huntley, IL 60142 Phone: 815-338-6600 Fax: 847-802-7203 | |
Lisa Djinis, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 10350 Haligus Rd Ste 200b, Huntley, IL 60142 Phone: 847-669-3880 Fax: 847-669-2980 | |
Faryal Khan, MD Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 10350 Haligus Rd Ste 200b, Huntley, IL 60142 Phone: 847-669-3880 Fax: 847-669-2980 | |
Marietta P Abraham, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 10350 Haligus Rd, Huntley, IL 60142 Phone: 815-338-6600 Fax: 847-802-7162 |