| Vernon Hills Medical Center, Ltd | |
|
800 S Milwaukee Ave Ste 180 Libertyville IL 60048-3200 | |
| (847) 680-2200 | |
| (847) 680-6256 |
| Full Name | Vernon Hills Medical Center, Ltd |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 800 S Milwaukee Ave Ste 180, Libertyville, Illinois |
| Authorized Official Name and Position | Elen Tylkin (PSYCHIATRIST) |
| Authorized Official Contact | 8476802200 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Vernon Hills Medical Center, Ltd 800 S Milwaukee Ave Ste 180 Libertyville IL 60048-3200 Ph: (847) 680-2200 | Vernon Hills Medical Center, Ltd 800 S Milwaukee Ave Ste 180 Libertyville IL 60048-3200 Ph: (847) 680-2200 |
| NPI Number | 1104944776 |
|---|---|
| Provider Enumeration Date | 03/26/2007 |
| Last Update Date | 03/14/2014 |
| Medicare PECOS PAC ID | 5193820090 |
|---|---|
| Medicare Enrollment ID | O20070423000190 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104944776 | NPI | - | NPPES |
| 036100108 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 036-100108 (Illinois) | Primary |
| Provider Name | Elen Tylkin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1043306111 PECOS PAC ID: 7719947647 Enrollment ID: I20041015000050 |
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