| Oaklund Medical Group, Ltd | |
|
12151 Regency Pkwy # 12173 Huntley IL 60142-7644 | |
| (847) 515-2200 | |
| (847) 515-2328 |
| Full Name | Oaklund Medical Group, Ltd |
|---|---|
| Speciality | Internal Medicine |
| Location | 12151 Regency Pkwy # 12173, Huntley, Illinois |
| Authorized Official Name and Position | Gilbert N Egekeze (PRESIDENT) |
| Authorized Official Contact | 8475152200 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Oaklund Medical Group, Ltd 5480 Alexandria Dr Lake In The Hills IL 60156-6211 Ph: (815) 477-7800 | Oaklund Medical Group, Ltd 12151 Regency Pkwy # 12173 Huntley IL 60142-7644 Ph: (847) 515-2200 |
| NPI Number | 1609886860 |
|---|---|
| Provider Enumeration Date | 08/09/2006 |
| Last Update Date | 12/15/2021 |
| Medicare PECOS PAC ID | 2163517103 |
|---|---|
| Medicare Enrollment ID | O20071004000822 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609886860 | NPI | - | NPPES |
| 036100558 | Medicaid | IL | |
| 04532115 | Other | IL | BLUE CROSS/SHIELD |
| DG3054 | Other | IL | RAIL ROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 036100558 (Illinois) | Primary |
| Provider Name | Gilbert N Egekeze |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1548361959 PECOS PAC ID: 1850378803 Enrollment ID: I20040707000710 |
| Provider Name | Hillery M Higginbotham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275220857 PECOS PAC ID: 2365890555 Enrollment ID: I20231129000306 |
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