| Warren G Kruckmeyer, MD | |
|
224 Brown St, Wauconda, IL 60084-1747 | |
| (847) 795-3350 | |
| (847) 487-2841 |
| Full Name | Warren G Kruckmeyer |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 44 Years |
| Location | 224 Brown St, Wauconda, 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 |
|---|---|---|---|
| 1023002383 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 036067571 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Advocate Home Health Care Serv | Lombard, IL | Home health agency |
| Advocate Good Shepherd Hospital | Barrington, IL | Hospital |
| Advocate Lutheran General Hospital | Park ridge, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Advocate Health And Hospitals Corporation | 7810800935 | 2682 |
| Entity Name | Advocate Health And Hospitals Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700824455 PECOS PAC ID: 7810800935 Enrollment ID: O20031106000064 |
| Mailing Address | Practice Location Address |
|---|---|
| Warren G Kruckmeyer, MD 29373 Network Pl, Chicago, IL 60673-1293 Ph: (847) 390-5900 | Warren G Kruckmeyer, MD 224 Brown St, Wauconda, IL 60084-1747 Ph: (847) 795-3350 |
David J Alengo, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 431 W Liberty St, Wauconda, IL 60084 Phone: 847-526-2151 Fax: 847-526-2017 | |
Jennifer M Bellucci Jackson, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 431 W Liberty St, Wauconda, IL 60084 Phone: 847-526-2151 Fax: 847-526-2017 | |
Anthony Cipolla, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 224 Brown St Ste A, Wauconda, IL 60084 Phone: 847-795-3350 Fax: 847-487-2841 | |
Kathleen Marie Mariani, P.A. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 431 W Liberty St, Wauconda, IL 60084 Phone: 847-526-2151 Fax: 847-526-2017 |