| Preventive Health Partners Il S.c. | |
|
10 E Scranton Ave Ste 303 Lake Bluff IL 60044-2561 | |
| (847) 816-3434 | |
| Not Available |
| Full Name | Preventive Health Partners Il S.c. |
|---|---|
| Speciality | Family Medicine |
| Location | 10 E Scranton Ave Ste 303, Lake Bluff, Illinois |
| Authorized Official Name and Position | Scott Mackay Morcott (OWNER) |
| Authorized Official Contact | 8477578686 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Preventive Health Partners Il S.c. 10 E. Scranton Avenue Suite 303 Lake Bluff IL 60061-1582 Ph: (847) 816-3434 | Preventive Health Partners Il S.c. 10 E Scranton Ave Ste 303 Lake Bluff IL 60044-2561 Ph: (847) 816-3434 |
| NPI Number | 1700297520 |
|---|---|
| Provider Enumeration Date | 05/14/2014 |
| Last Update Date | 07/21/2022 |
| Medicare PECOS PAC ID | 5698095834 |
|---|---|
| Medicare Enrollment ID | O20150529000258 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700297520 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 36099609 (Illinois) | Primary |
| Provider Name | Scott Mackay Morcott |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386638708 PECOS PAC ID: 5294733150 Enrollment ID: I20061201000312 |
North Suburban Medical Associates, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 71 Waukegan Road, Suite 700, Lake Bluff, IL 60044 Phone: 847-295-8500 |