| Medovate Llc | |
|
1450 Busch Pkwy Ste 145 Buffalo Grove IL 60089-4541 | |
| (847) 499-5500 | |
| Not Available |
| Full Name | Medovate Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1450 Busch Pkwy Ste 145, Buffalo Grove, Illinois |
| Authorized Official Name and Position | David Mann (OWNER) |
| Authorized Official Contact | 8475301215 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Medovate Llc 1237 Country Ln Deerfield IL 60015-4722 Ph: (847) 530-1215 | Medovate Llc 1450 Busch Pkwy Ste 145 Buffalo Grove IL 60089-4541 Ph: (847) 499-5500 |
| NPI Number | 1053816835 |
|---|---|
| Provider Enumeration Date | 03/26/2018 |
| Last Update Date | 10/27/2022 |
| Medicare PECOS PAC ID | 0941552277 |
|---|---|
| Medicare Enrollment ID | O20181015000916 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053816835 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (Illinois) | Primary |
| Provider Name | Sheryl L Hoyer |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1760474928 PECOS PAC ID: 6507959764 Enrollment ID: I20070904000280 |
| Provider Name | David J Mann |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1912223322 PECOS PAC ID: 8820285026 Enrollment ID: I20101214001078 |
| Provider Name | Elizabeth A Springer |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1841273513 PECOS PAC ID: 7416991492 Enrollment ID: I20200529000059 |
| Provider Name | Elizabeth Labuz Noble |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1568606572 PECOS PAC ID: 3870733298 Enrollment ID: I20211011001407 |
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