| C&r Medical Group Sc | |
|
1890 Silver Cross Blvd Ste 570 New Lenox IL 60451-9606 | |
| (815) 463-3700 | |
| (815) 463-3701 |
| Full Name | C&r Medical Group Sc |
|---|---|
| Speciality | Family Medicine |
| Location | 1890 Silver Cross Blvd Ste 570, New Lenox, Illinois |
| Authorized Official Name and Position | Corinne Nawrocki (PHYSICIAN) |
| Authorized Official Contact | 8154633700 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| C&r Medical Group Sc Po Box 66542 Chicago IL 60666-0542 Ph: (815) 774-0548 | C&r Medical Group Sc 1890 Silver Cross Blvd Ste 570 New Lenox IL 60451-9606 Ph: (815) 463-3700 |
| NPI Number | 1487854006 |
|---|---|
| Provider Enumeration Date | 07/22/2007 |
| Last Update Date | 11/05/2019 |
| Medicare PECOS PAC ID | 0143387431 |
|---|---|
| Medicare Enrollment ID | O20090401000429 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487854006 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 036100791 (Illinois) | Primary |
| Provider Name | Deirdra Greathouse Williams |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871549238 PECOS PAC ID: 2163440884 Enrollment ID: I20051115001029 |
| Provider Name | Kerry A Marcheschi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346288354 PECOS PAC ID: 8628071883 Enrollment ID: I20060809000251 |
| Provider Name | Corrine Nawrocki |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063523025 PECOS PAC ID: 1052405016 Enrollment ID: I20070920000851 |
| Provider Name | Jitinder Singh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194812602 PECOS PAC ID: 7315859956 Enrollment ID: I20070927000387 |
| Provider Name | Catherine A Mcdoniel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245240662 PECOS PAC ID: 6507872702 Enrollment ID: I20091119000109 |
| Provider Name | Delaney Koehler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649464652 PECOS PAC ID: 3274712997 Enrollment ID: I20110127000601 |
| Provider Name | Anna Melissa Pacis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891016580 PECOS PAC ID: 3072754050 Enrollment ID: I20130802000718 |
| Provider Name | Amy Hansen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629491543 PECOS PAC ID: 4284925850 Enrollment ID: I20160629001293 |
| Provider Name | Andrew Hatfield |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346775574 PECOS PAC ID: 7315224912 Enrollment ID: I20170509001433 |
| Provider Name | Jeffrey Peyton Webb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558826735 PECOS PAC ID: 1658610332 Enrollment ID: I20190223000085 |
| Provider Name | Sarah Kristina Galick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346887684 PECOS PAC ID: 8022442193 Enrollment ID: I20191224000001 |
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