| Dr. Susan Rife Family Medicine Sc | |
|
10755 W 163 Place Orland Park IL 60467 | |
| (708) 873-1187 | |
| (708) 873-1204 |
| Full Name | Dr. Susan Rife Family Medicine Sc |
|---|---|
| Speciality | Family Medicine |
| Location | 10755 W 163 Place, Orland Park, Illinois |
| Authorized Official Name and Position | Susan Barbara Rife (PHYSICIAN OWNER) |
| Authorized Official Contact | 7088731187 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Susan Rife Family Medicine Sc 10755 W 163 Place Orland Park IL 60467 Ph: (708) 873-1187 | Dr. Susan Rife Family Medicine Sc 10755 W 163 Place Orland Park IL 60467 Ph: (708) 873-1187 |
| NPI Number | 1184602880 |
|---|---|
| Provider Enumeration Date | 01/04/2006 |
| Last Update Date | 04/04/2012 |
| Medicare PECOS PAC ID | 9931099363 |
|---|---|
| Medicare Enrollment ID | O20040318000635 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184602880 | NPI | - | NPPES |
| 036077841 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 036077841 (Illinois) | Primary |
| Provider Name | Susan B Rife |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720067234 PECOS PAC ID: 5799678108 Enrollment ID: I20040207000130 |
| Provider Name | Marianne H Laff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215916788 PECOS PAC ID: 6901799303 Enrollment ID: I20040207000383 |
| Provider Name | Mark E Mckeigue |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962480657 PECOS PAC ID: 1850281056 Enrollment ID: I20040319000777 |
| Provider Name | Kimberly M Mckinnon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124257241 PECOS PAC ID: 1456502285 Enrollment ID: I20121103000047 |
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