| John A Lavaccare Md Sc | |
|
1555 Barrington Rd 205 Hoffman Estates IL 60169-1019 | |
| (847) 939-5169 | |
| (847) 939-5169 |
| Full Name | John A Lavaccare Md Sc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1555 Barrington Rd, Hoffman Estates, Illinois |
| Authorized Official Name and Position | John Lavaccare (PRESIDENT) |
| Authorized Official Contact | 8479395169 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| John A Lavaccare Md Sc Po Box 419 Park Ridge IL 60068-0419 Ph: (847) 939-5169 | John A Lavaccare Md Sc 1555 Barrington Rd 205 Hoffman Estates IL 60169-1019 Ph: (847) 939-5169 |
| NPI Number | 1356589345 |
|---|---|
| Provider Enumeration Date | 01/28/2009 |
| Last Update Date | 01/28/2009 |
| Medicare PECOS PAC ID | 8628134756 |
|---|---|
| Medicare Enrollment ID | O20090225000540 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356589345 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | 036099823 (Illinois) | Primary |
| Provider Name | John A Lavaccare |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1073588802 PECOS PAC ID: 3476441650 Enrollment ID: I20040309000628 |
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