| Mr Clarence D Engstrom, MD | |
|
3115 Lewis Ave, Zion, IL 60099-3099 | |
| (847) 746-3752 | |
| (847) 746-9144 |
| Full Name | Mr Clarence D Engstrom |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 61 Years |
| Location | 3115 Lewis Ave, Zion, Illinois |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356327514 | NPI | - | NPPES |
| 036040526 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 036040526 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Advocate Home Health Care Serv | Lombard, IL | Home health agency |
| Aurora Medical Center Kenosha | Kenosha, WI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Amg Illinois Ltd | 8527117027 | 29 |
| Advantage Physical Therapy And Sports Rehab, Llc | 8022016336 | 178 |
| Entity Name | Amg Illinois Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972741759 PECOS PAC ID: 8527117027 Enrollment ID: O20090512000348 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Clarence D Engstrom, MD 3115 Lewis Ave, Zion, IL 60099-3099 Ph: (847) 746-3752 | Mr Clarence D Engstrom, MD 3115 Lewis Ave, Zion, IL 60099-3099 Ph: (847) 746-3752 |
Anuvesha Samala, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 2723 Sheridan Rd, Suite # C, Zion, IL 60099 Phone: 847-360-4260 | |
Mr. Dennis E Mccreary, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3115 Lewis Ave, Zion, IL 60099 Phone: 847-746-3752 Fax: 847-746-9144 | |
Pedro Palu-ay, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2606 Elisha Ave, Zion, IL 60099 Phone: 847-872-4558 Fax: 847-872-9334 | |
Dr. Neel Gopal Bhalala, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2024 Lewis Ave, Zion, IL 60099 Phone: 847-872-5911 Fax: 847-872-7202 |