| Fenix Family Health Center Inc. | |
|
130 Washington Ave Highwood IL 60040-1122 | |
| (847) 909-2004 | |
| (847) 266-0961 |
| Full Name | Fenix Family Health Center Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 130 Washington Ave, Highwood, Illinois |
| Authorized Official Name and Position | Louise Berner-holmberg (DIRECTOR) |
| Authorized Official Contact | 8479092004 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Fenix Family Health Center Inc. 130 Washington Ave Highwood IL 60040-1122 Ph: (847) 909-2004 | Fenix Family Health Center Inc. 130 Washington Ave Highwood IL 60040-1122 Ph: (847) 909-2004 |
| NPI Number | 1124356431 |
|---|---|
| Provider Enumeration Date | 11/24/2009 |
| Last Update Date | 04/05/2011 |
| Medicare PECOS PAC ID | 8224266390 |
|---|---|
| Medicare Enrollment ID | O20140117000376 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124356431 | NPI | - | NPPES |
| 1679788772 | Other | IL | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 336-044483 (* (Not Available)) | Primary |
| 261QP2300X | Clinic/center - Primary Care | 036082171 (Illinois) | Secondary |
| Provider Name | Marjorie A Kozlowski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760466379 PECOS PAC ID: 4981602190 Enrollment ID: I20061127000121 |
| Provider Name | Louise B Berner-holmberg |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679788772 PECOS PAC ID: 1658509732 Enrollment ID: I20140128000329 |
| Provider Name | Gladis Soriano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164091617 PECOS PAC ID: 6002275450 Enrollment ID: I20230704000433 |
Diabetes Health & Wellness Center, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 103 Highwood Ave, Highwood, IL 60040 Phone: 734-658-6685 | |
Medintel Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 532 Lockard Ln, Highwood, IL 60040 Phone: 773-750-9696 Fax: 224-848-6296 |