| Absolutecare Of Illinois, Pllc | |
|
2627 W Cermak Rd Chicago IL 60608-3514 | |
| (667) 400-0048 | |
| Not Available |
| Full Name | Absolutecare Of Illinois, Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 2627 W Cermak Rd, Chicago, Illinois |
| Authorized Official Name and Position | Gregory P. Foti (PRESIDENT) |
| Authorized Official Contact | 4437380225 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Absolutecare Of Illinois, Pllc 10175 Little Patuxent Pkwy Ste 800 Columbia MD 21044-3401 Ph: () - | Absolutecare Of Illinois, Pllc 2627 W Cermak Rd Chicago IL 60608-3514 Ph: (667) 400-0048 |
| NPI Number | 1407674104 |
|---|---|
| Provider Enumeration Date | 10/01/2024 |
| Last Update Date | 11/05/2024 |
| Certification Date | 11/05/2024 |
| Medicare PECOS PAC ID | 4880112259 |
|---|---|
| Medicare Enrollment ID | O20250519003570 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407674104 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | Constance J Scholp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518199553 PECOS PAC ID: 2860715612 Enrollment ID: I20141231000027 |
| Provider Name | Michael Richman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033452966 PECOS PAC ID: 3274827217 Enrollment ID: I20160812002256 |
| Provider Name | Marius Commodore |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568660652 PECOS PAC ID: 2668564188 Enrollment ID: I20170306001235 |
| Provider Name | Erin Craft-otterbacher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457903593 PECOS PAC ID: 6901236520 Enrollment ID: I20200423000385 |
| Provider Name | Anoop Raman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770825242 PECOS PAC ID: 9436414661 Enrollment ID: I20250610002957 |
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