| Lake County Immediate Care, Llc | |
|
724 N Green Bay Rd Waukegan IL 60085-2236 | |
| (312) 753-5167 | |
| Not Available |
| Full Name | Lake County Immediate Care, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 724 N Green Bay Rd, Waukegan, Illinois |
| Authorized Official Name and Position | John V. Jurica (MEDICAL DIRECTOR) |
| Authorized Official Contact | 8152633486 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lake County Immediate Care, Llc 65 E Monroe St Suite 4726 Chicago IL 60603-5717 Ph: (312) 753-5167 | Lake County Immediate Care, Llc 724 N Green Bay Rd Waukegan IL 60085-2236 Ph: (312) 753-5167 |
| NPI Number | 1285048975 |
|---|---|
| Provider Enumeration Date | 06/20/2014 |
| Last Update Date | 06/22/2026 |
| Medicare PECOS PAC ID | 6204158280 |
|---|---|
| Medicare Enrollment ID | O20141202000857 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285048975 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 261QU0200X | Clinic/center - Urgent Care | (* (Not Available)) | Primary |
| Provider Name | John V Jurica |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669556593 PECOS PAC ID: 3072403708 Enrollment ID: I20040318000701 |
| Provider Name | Kristina B Passarelli |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942445234 PECOS PAC ID: 1355407982 Enrollment ID: I20090306000322 |
| Provider Name | Patrycja C Mazur |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922422328 PECOS PAC ID: 0547583767 Enrollment ID: I20141219000789 |
| Provider Name | Julie Vicencio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356739452 PECOS PAC ID: 7113243882 Enrollment ID: I20170726000045 |
| Provider Name | Haydee Cantu-manley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043638042 PECOS PAC ID: 3678878204 Enrollment ID: I20170829004406 |
| Provider Name | Sandra B Collins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629592258 PECOS PAC ID: 2961399456 Enrollment ID: I20200205000146 |
| Provider Name | Heather Monge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841819000 PECOS PAC ID: 3375974645 Enrollment ID: I20200521000399 |
| Provider Name | Ann Marie Robles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679247423 PECOS PAC ID: 6709282353 Enrollment ID: I20210907001008 |
| Provider Name | Hannah Reser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619482965 PECOS PAC ID: 8921369497 Enrollment ID: I20211014000633 |
| Provider Name | Hazel Acacio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205471679 PECOS PAC ID: 5294160016 Enrollment ID: I20221212001650 |
| Provider Name | Diesawit T Hansom |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689391633 PECOS PAC ID: 8820462849 Enrollment ID: I20230314002620 |
Family Health Services S.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 935 Glen Flora Ave, Ste 201, Waukegan, IL 60085 Phone: 847-249-3322 Fax: 847-249-3381 | |
Integra Healthcare Sc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2504 Washington St Ste 102, Waukegan, IL 60085 Phone: 847-623-7590 Fax: 847-623-7591 | |
County Of Lake Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2400 Belvidere Rd, Waukegan, IL 60085 Phone: 847-377-8400 | |
Fkleung, Md, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2504 Washington St, Suite 102, Waukegan, IL 60085 Phone: 847-623-7590 Fax: 847-623-7591 | |
County Of Lake Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3010 Grand Ave, Waukegan, IL 60085 Phone: 847-377-8000 | |
Towee Inpatient Services Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1324 N Sheridan Rd, Waukegan, IL 60085 Phone: 847-360-3000 | |
Alpesh Corporation Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1075 N Green Bay Rd, Waukegan, IL 60085 Phone: 941-315-6194 Fax: 941-209-5322 |