| Thomas Schaefer, | |
|
1324 N Sheridan Rd, Waukegan, IL 60085-2161 | |
| (847) 360-4181 | |
| Not Available |
| Full Name | Thomas Schaefer |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 5 Years |
| Location | 1324 N Sheridan Rd, Waukegan, 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 |
|---|---|---|---|
| 1629718879 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 209.025276 (Illinois) | Primary |
| 163W00000X | Registered Nurse | 041.471722 (Illinois) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Vista Medical Center East | Waukegan, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Waukegan Clinic Corp | 4284631086 | 66 |
| Entity Name | Waukegan Clinic Corp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306937289 PECOS PAC ID: 4284631086 Enrollment ID: O20061108000240 |
| Entity Name | App Of Illinois Ed Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053860080 PECOS PAC ID: 7517245384 Enrollment ID: O20161028001650 |
| Mailing Address | Practice Location Address |
|---|---|
| Thomas Schaefer, 475 Johelia Trl, Antioch, IL 60002-2507 Ph: (847) 502-2376 | Thomas Schaefer, 1324 N Sheridan Rd, Waukegan, IL 60085-2161 Ph: (847) 360-4181 |
Evelyn H Chou, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3010 Grand Ave, Waukegan, IL 60085 Phone: 847-377-8800 | |
Wendy Jahayra Miralda, RN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3010 Grand Ave, Waukegan, IL 60085 Phone: 847-377-8296 | |
Brandon Barrios, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3010 Grand Ave, Waukegan, IL 60085 Phone: 847-377-8800 | |
Ms. Amy Ruth Morton-miller, PHD, RN, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3010 Grand Ave, Waukegan, IL 60085 Phone: 847-377-8808 | |
Rochelle A Johnson, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3210 Grand Ave, Waukegan, IL 60085 Phone: 847-440-7339 | |
Mankaa Vifansi, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3010 Grand Ave Fl 1, Waukegan, IL 60085 Phone: 847-377-8950 Fax: 847-984-5602 | |
Samantha Williams, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1324 N Sheridan Rd, Waukegan, IL 60085 Phone: 847-360-3000 |