| Family Medicine Specialists Of Mount Prospect S C | |
|
930 Mount Prospect Plz Mt Prospect IL 60056-2652 | |
| (847) 797-1962 | |
| (847) 797-1972 |
| Full Name | Family Medicine Specialists Of Mount Prospect S C |
|---|---|
| Speciality | Family Medicine |
| Location | 930 Mount Prospect Plz, Mt Prospect, Illinois |
| Authorized Official Name and Position | Jason Bellucci (CFO) |
| Authorized Official Contact | 8475262151 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Medicine Specialists Of Mount Prospect S C Po Box 6037 Wauconda IL 60084-2452 Ph: (847) 526-2151 | Family Medicine Specialists Of Mount Prospect S C 930 Mount Prospect Plz Mt Prospect IL 60056-2652 Ph: (847) 797-1962 |
| NPI Number | 1437389475 |
|---|---|
| Provider Enumeration Date | 07/24/2009 |
| Last Update Date | 07/09/2015 |
| Medicare PECOS PAC ID | 8224166566 |
|---|---|
| Medicare Enrollment ID | O20100507000184 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437389475 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 036083207 (Illinois) | Primary |
| Provider Name | David J Alengo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356335996 PECOS PAC ID: 5193711323 Enrollment ID: I20040422001572 |
| Provider Name | Jennifer M Bellucci Jackson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689669293 PECOS PAC ID: 5698817542 Enrollment ID: I20100115000334 |
| Provider Name | Kerry Jean Ehlert-donovan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720373731 PECOS PAC ID: 7416129150 Enrollment ID: I20110930000574 |
| Provider Name | Kristine M Redmond |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023424389 PECOS PAC ID: 5890915649 Enrollment ID: I20140930001899 |
| Provider Name | Richard J.a. Villaceran |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245649862 PECOS PAC ID: 9931320470 Enrollment ID: I20141024002083 |
| Provider Name | Rebecca A Lambo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144626995 PECOS PAC ID: 8820310204 Enrollment ID: I20141215001516 |
| Provider Name | Michele R Frese |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700271459 PECOS PAC ID: 7113247024 Enrollment ID: I20150515002001 |
| Provider Name | Mallory J Iverson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366818692 PECOS PAC ID: 4880904168 Enrollment ID: I20151117002365 |
| Provider Name | Nicole I Wagner |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1194968602 PECOS PAC ID: 9133418577 Enrollment ID: I20160525000945 |
| Provider Name | Nneka Osude |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295198661 PECOS PAC ID: 7719270081 Enrollment ID: I20160725000508 |
| Provider Name | Shency Varughese |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598207375 PECOS PAC ID: 4284901836 Enrollment ID: I20170601002266 |
| Provider Name | Michelle Naurecki |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841718087 PECOS PAC ID: 4183999287 Enrollment ID: I20170928002817 |
| Provider Name | Erika Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508216540 PECOS PAC ID: 9335405018 Enrollment ID: I20171113003605 |
| Provider Name | Corrie Mcmahon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104423094 PECOS PAC ID: 4587074018 Enrollment ID: I20201111002419 |
| Provider Name | Marguerite Ann Kuthe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144897547 PECOS PAC ID: 5799173399 Enrollment ID: I20211101003089 |
| Provider Name | Davinder K Dhillon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780331033 PECOS PAC ID: 9830578152 Enrollment ID: I20220616001771 |
| Provider Name | Katarina Nicole Treiber |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477132728 PECOS PAC ID: 9032514849 Enrollment ID: I20220826000840 |
| Provider Name | Rose Henry Mariette Eboh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841948932 PECOS PAC ID: 9032595921 Enrollment ID: I20220929002544 |
| Provider Name | Hazel Acacio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205471679 PECOS PAC ID: 5294160016 Enrollment ID: I20221212001650 |
| Provider Name | Melissa Pinney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407569627 PECOS PAC ID: 9133591225 Enrollment ID: I20230220000615 |
| Provider Name | Juan Armando Chavez Duarte |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215642368 PECOS PAC ID: 4486099926 Enrollment ID: I20240223003348 |
| Provider Name | Ileana A Schropp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043085301 PECOS PAC ID: 2466890983 Enrollment ID: I20240403002006 |
| Provider Name | Amanda Anne Lefeve |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649035833 PECOS PAC ID: 1759720592 Enrollment ID: I20240412003155 |
| Provider Name | Megan Elizabeth Copeland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497587851 PECOS PAC ID: 2163962499 Enrollment ID: I20240912002595 |
| Provider Name | Michael Mosquera |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487460952 PECOS PAC ID: 1456872100 Enrollment ID: I20250311000033 |
Central Medical Associates, S.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 500 W Central Rd, Suite 106, Mt Prospect, IL 60056 Phone: 847-259-3383 | |
Gallup Family Practice,ltd. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 250 W Kensington Rd, Suite 1 A, Mt Prospect, IL 60056 Phone: 847-483-0200 Fax: 847-483-0201 | |
Metrodocs, S.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 431 Lakeview Ct, Suite D, Mt Prospect, IL 60056 Phone: 847-296-3040 | |
Anderson Medical Transportation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 415 W Enterprise Dr Apt 112, Mt Prospect, IL 60056 Phone: 224-999-3730 |