| Medfuse Illinois Pllc | |
|
4711 Golf Rd Ste 900 Skokie IL 60076-1247 | |
| (847) 324-6800 | |
| (224) 251-7141 |
| Full Name | Medfuse Illinois Pllc |
|---|---|
| Speciality | General Practice |
| Location | 4711 Golf Rd Ste 900, Skokie, Illinois |
| Authorized Official Name and Position | Matthew Dube (MEDICAL DIRECTOR) |
| Authorized Official Contact | 7733832042 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Medfuse Illinois Pllc 4711 Golf Rd Ste 900 Skokie IL 60076-1247 Ph: (847) 324-6800 | Medfuse Illinois Pllc 4711 Golf Rd Ste 900 Skokie IL 60076-1247 Ph: (847) 324-6800 |
| NPI Number | 1558123257 |
|---|---|
| Provider Enumeration Date | 01/29/2024 |
| Last Update Date | 03/20/2026 |
| Medicare PECOS PAC ID | 7113369745 |
|---|---|
| Medicare Enrollment ID | O20240528001687 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558123257 | NPI | - | NPPES |
| 1558123257 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| 261QI0500X | Clinic/center - Infusion Therapy | (* (Not Available)) | Secondary |
| Provider Name | Matthew D Dube |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1710125976 PECOS PAC ID: 4789861303 Enrollment ID: I20110608000525 |
| Provider Name | Roxana Mihaela Citu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356031199 PECOS PAC ID: 1658713292 Enrollment ID: I20240528002123 |
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