| North Suburban Family Medicine Ltd | |
|
150 N River Rd Suite 310 Des Plaines IL 60016-1272 | |
| (847) 795-0900 | |
| (847) 795-0955 |
| Full Name | North Suburban Family Medicine Ltd |
|---|---|
| Speciality | Family Medicine |
| Location | 150 N River Rd, Des Plaines, Illinois |
| Authorized Official Name and Position | Beth Holly Samuelsohn (PRESIDENT) |
| Authorized Official Contact | 8477950900 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| North Suburban Family Medicine Ltd 950 Cedar Ln Northbrook IL 60062-3540 Ph: (847) 795-0900 | North Suburban Family Medicine Ltd 150 N River Rd Suite 310 Des Plaines IL 60016-1272 Ph: (847) 795-0900 |
| NPI Number | 1104195809 |
|---|---|
| Provider Enumeration Date | 12/26/2011 |
| Last Update Date | 04/26/2019 |
| Medicare PECOS PAC ID | 8022270412 |
|---|---|
| Medicare Enrollment ID | O20120501000426 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104195809 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 042-619911 (Illinois) | Primary |
| Provider Name | Beth Holly Samuelsohn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184774671 PECOS PAC ID: 8628036035 Enrollment ID: I20041230000411 |
| Provider Name | Carmen L Griza |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861658460 PECOS PAC ID: 9830360908 Enrollment ID: I20110921000299 |
| Provider Name | Tina Fruscione Blachut |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174785588 PECOS PAC ID: 9032372339 Enrollment ID: I20120524000314 |
| Provider Name | Denise Patel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255068060 PECOS PAC ID: 0446628309 Enrollment ID: I20221125000451 |
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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 | |
Medplus Physician Partners I, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9680 Golf Rd, 2nd Floor, Des Plaines, IL 60016 Phone: 847-699-0801 Fax: 847-296-5686 | |
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