| Carole P Prete MD | |
|
530 Winnetka Ave Winnetka IL 60093-4023 | |
| (847) 441-6867 | |
| (847) 441-6895 |
| Full Name | Carole P Prete MD |
|---|---|
| Speciality | Internal Medicine |
| Location | 530 Winnetka Ave, Winnetka, Illinois |
| Authorized Official Name and Position | Carole P Prete (OWNER) |
| Authorized Official Contact | 8474416867 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Carole P Prete MD 530 Winnetka Ave Winnetka IL 60093-4023 Ph: (847) 441-6867 | Carole P Prete MD 530 Winnetka Ave Winnetka IL 60093-4023 Ph: (847) 441-6867 |
| NPI Number | 1851002604 |
|---|---|
| Provider Enumeration Date | 12/12/2022 |
| Last Update Date | 12/29/2022 |
| Certification Date | 12/29/2022 |
| Medicare PECOS PAC ID | 1850764523 |
|---|---|
| Medicare Enrollment ID | O20230228000215 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851002604 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (NU) | Primary |
| Provider Name | Carole P Prete |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831258391 PECOS PAC ID: 5698707404 Enrollment ID: I20050901000064 |
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