| Nickole A Dooley, DO | |
|
103 S Greenleaf St, Suite J, Gurnee, IL 60031-3380 | |
| (847) 599-8899 | |
| (847) 599-8897 |
| Full Name | Nickole A Dooley |
|---|---|
| Gender | Female |
| Speciality | Family Practice |
| Experience | 22 Years |
| Location | 103 S Greenleaf St, Gurnee, 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 |
|---|---|---|---|
| 1720203789 | NPI | - | NPPES |
| 036-116737 | Other | IL | IL STATE LIC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 036-116737 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Residential Home Health | Northbrook, IL | Home health agency |
| Advocate Home Health Care Serv | Oakbrook, IL | Home health agency |
| Endeavor Health Clinical Operations | Evanston, IL | Hospital |
| Northwestern Lake Forest Hospital | Lake forest, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Endeavor Health Medical Group | 2163334699 | 3330 |
| Entity Name | Endeavor Health Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497701882 PECOS PAC ID: 2163334699 Enrollment ID: O20040524000118 |
| Mailing Address | Practice Location Address |
|---|---|
| Nickole A Dooley, DO 2650 Ridge Ave, Evanston Hospital, Evanston, IL 60201-1718 Ph: (847) 570-1206 | Nickole A Dooley, DO 103 S Greenleaf St, Suite J, Gurnee, IL 60031-3380 Ph: (847) 599-8899 |
Dr. Soha Omar Bauomy Abotaleb, DO Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 15 Tower Ct, Gurnee, IL 60031 Phone: 847-599-8899 Fax: 847-599-8897 |
Manfred P. Man, D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 1445 N Hunt Club Rd, Suite 304, Gurnee, IL 60031 Phone: 847-588-0100 |
Esther Yi-hsiu Liu, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 7900 Rollins Rd Ste 1100, Gurnee, IL 60031 Phone: 847-356-3680 |
Thomas E Ritter, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 6155 Grand Ave Ste 200, Gurnee, IL 60031 Phone: 847-535-7157 Fax: 224-271-3202 |
Jeevan Chechakunnil Abraham, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 6155 Grand Ave Ste 200, Gurnee, IL 60031 Phone: 847-535-7157 Fax: 224-271-3202 |
Wai C. Cheung-o'carroll, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 1445 N Hunt Club Rd, Suite 304, Gurnee, IL 60031 Phone: 847-855-0100 Fax: 847-855-0101 |
Scott A Levin, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 6155 Grand Ave Ste 200, Gurnee, IL 60031 Phone: 847-535-7157 Fax: 224-271-3202 |