| Forever Care Home Visiting Physicians Inc | |
|
2200 E Devon Ave Ste 100 Des Plaines IL 60018-4523 | |
| (847) 962-7267 | |
| Not Available |
| Full Name | Forever Care Home Visiting Physicians Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 2200 E Devon Ave Ste 100, Des Plaines, Illinois |
| Authorized Official Name and Position | Bianca Chalokwu (MANAGING DIRECTOR) |
| Authorized Official Contact | 8479627267 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Forever Care Home Visiting Physicians Inc 9061 Ridge Ct Willow Springs IL 60480-1190 Ph: (847) 962-7267 | Forever Care Home Visiting Physicians Inc 2200 E Devon Ave Ste 100 Des Plaines IL 60018-4523 Ph: (847) 962-7267 |
| NPI Number | 1851865364 |
|---|---|
| Provider Enumeration Date | 01/17/2019 |
| Last Update Date | 01/24/2019 |
| Medicare PECOS PAC ID | 1850631912 |
|---|---|
| Medicare Enrollment ID | O20190327002314 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851865364 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | Cesar Augusto Carranza |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447207022 PECOS PAC ID: 3779473996 Enrollment ID: I20040319000180 |
| Provider Name | Amelia Conte Russian |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851338792 PECOS PAC ID: 7416904271 Enrollment ID: I20050405000038 |
| Provider Name | Jose Mario R Flores |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568530400 PECOS PAC ID: 0143231175 Enrollment ID: I20060505000358 |
| Provider Name | Olusoji A Peter |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225018203 PECOS PAC ID: 2264514561 Enrollment ID: I20080726000013 |
| Provider Name | Rolando S Sajor |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1649347881 PECOS PAC ID: 8022183516 Enrollment ID: I20080818000729 |
| Provider Name | Alejandro M Rarang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063534121 PECOS PAC ID: 8527191782 Enrollment ID: I20100809000828 |
| Provider Name | Asantewah F Daniels |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083076871 PECOS PAC ID: 7719285840 Enrollment ID: I20160406000452 |
| Provider Name | Sherree Mccool |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104354257 PECOS PAC ID: 5799041059 Enrollment ID: I20171102002562 |
| Provider Name | Folarin Opakunle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952879777 PECOS PAC ID: 7719025469 Enrollment ID: I20190514003122 |
| Provider Name | Chakika Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770047615 PECOS PAC ID: 1355676974 Enrollment ID: I20190718000300 |
| Provider Name | Sylvere Roland Malonga |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497311104 PECOS PAC ID: 1557272796 Enrollment ID: I20200529000009 |
| Provider Name | Ismail Adebayo Oyebode |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669079018 PECOS PAC ID: 0547673220 Enrollment ID: I20210120000584 |
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Susana C Lapid Mdsc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 380 E Northwest Hwy, 3rd Floor, Des Plaines, IL 60016 Phone: 847-296-4447 Fax: 847-398-4779 | |
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