| Mr Guy R Abderholden, MD | |
|
543 Orchard St, Antioch, IL 60002-3107 | |
| (847) 395-3322 | |
| (847) 395-0921 |
| Full Name | Mr Guy R Abderholden |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 37 Years |
| Location | 543 Orchard St, Antioch, 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 |
|---|---|---|---|
| 1902899792 | NPI | - | NPPES |
| 0360848531 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 33453020 (Wisconsin) | Secondary |
| 207Q00000X | Family Medicine | 036-084853 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Advocate Home Health Care Serv | Lombard, IL | Home health agency |
| Advocate Condell Medical Center | Libertyville, IL | Hospital |
| Vista Medical Center East | Waukegan, IL | Hospital |
| Northwestern Lake Forest Hospital | Lake forest, IL | Hospital |
| Northwestern Medicine Mchenry Hospital | Mchenry, IL | Hospital |
| Advocate Illinois Masonic Medical Center | Chicago, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Orchard Medical Center Sc | 9133154610 | 4 |
| Entity Name | Orchard Medical Center Sc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306835491 PECOS PAC ID: 9133154610 Enrollment ID: O20051004000283 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Guy R Abderholden, MD 543 Orchard St, Antioch, IL 60002-3107 Ph: (847) 395-3322 | Mr Guy R Abderholden, MD 543 Orchard St, Antioch, IL 60002-3107 Ph: (847) 395-3322 |
Elizabeth Soifer, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 543 Orchard St, Antioch, IL 60002 Phone: 847-395-3322 Fax: 847-395-0921 | |
Mr. John J Devaney Jr., MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 543 Orchard St, Antioch, IL 60002 Phone: 847-395-3322 Fax: 847-395-0921 |