| The Center For Internal Medicine And Preventive Care Sc | |
|
501 N Riverside Dr Suite 216 Gurnee IL 60031-5918 | |
| (847) 625-8300 | |
| (847) 625-8862 |
| Full Name | The Center For Internal Medicine And Preventive Care Sc |
|---|---|
| Speciality | Internal Medicine |
| Location | 501 N Riverside Dr, Gurnee, Illinois |
| Authorized Official Name and Position | Paul Carter Tack (PRESIDENT) |
| Authorized Official Contact | 8476258300 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Center For Internal Medicine And Preventive Care Sc Po Box 436 Highland Park IL 60035-0436 Ph: (847) 625-8300 | The Center For Internal Medicine And Preventive Care Sc 501 N Riverside Dr Suite 216 Gurnee IL 60031-5918 Ph: (847) 625-8300 |
| NPI Number | 1770770919 |
|---|---|
| Provider Enumeration Date | 10/02/2007 |
| Last Update Date | 01/26/2024 |
| Medicare PECOS PAC ID | 2163478652 |
|---|---|
| Medicare Enrollment ID | O20050328001035 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770770919 | NPI | - | NPPES |
| 110241112 | Other | IL | PALMETTO GBA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 036097015 (Illinois) | Primary |
| Provider Name | Paul C Tack |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265446017 PECOS PAC ID: 9335129634 Enrollment ID: I20040726000381 |
M P M Family Health Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1445 N Hunt Club Rd, Suite 304, Gurnee, IL 60031 Phone: 847-383-5428 | |
Hosep H Deyrmenjian, Md, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6440 Grand Ave, Suite 205, Gurnee, IL 60031 Phone: 847-855-3150 Fax: 847-855-3143 | |
Wai Chee Cheung-o'carroll, M.d., S.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1445 N Hunt Club Rd, Suite 304, Gurnee, IL 60031 Phone: 847-855-0100 Fax: 847-855-0101 | |
Paru K Sharma Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7505 Grand Ave, Gurnee, IL 60031 Phone: 847-245-8448 Fax: 847-245-7070 | |
Chicago Medical Clinic Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 200 S Greenleaf St, Suite A, Gurnee, IL 60031 Phone: 847-596-4521 | |
Gurnee Stone Medical Center P.c Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7505 Grand Ave, Gurnee, IL 60031 Phone: 847-856-7615 | |
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