Prospect Healthcare Sc - Medicare Primary Care in Lombard, IL

Prospect Healthcare Sc is a medicare enrolled primary clinic (Family Medicine) in Lombard, Illinois. The current practice location for Prospect Healthcare Sc is 2 E 22nd St, Suite 110, Lombard, Illinois. For appointments, you can reach them via phone at (630) 376-6317. The mailing address for Prospect Healthcare Sc is 2 E 22nd St, Suite 110, Lombard, Illinois and phone number is (630) 376-6317.

Prospect Healthcare Sc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1194044743. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (630) 376-6317.

Contact Information

Prospect Healthcare Sc
2 E 22nd St
Suite 110
Lombard
IL 60148-6106
(630) 376-6317
(630) 376-6319

Primary Care Clinic Profile

Full NameProspect Healthcare Sc
SpecialityFamily Medicine
Location2 E 22nd St, Lombard, Illinois
Authorized Official Name and PositionGartrell King (PHYSICIAN)
Authorized Official Contact6303766317
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Prospect Healthcare Sc
2 E 22nd St
Suite 110
Lombard
IL 60148-6106

Ph: (630) 376-6317
Prospect Healthcare Sc
2 E 22nd St
Suite 110
Lombard
IL 60148-6106

Ph: (630) 376-6317

NPI Details:

NPI Number1194044743
Provider Enumeration Date05/21/2010
Last Update Date09/13/2016

Medicare PECOS Information:

Medicare PECOS PAC ID4486841053
Medicare Enrollment IDO20101208000638

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Medical Identifiers

Medical identifiers for Prospect Healthcare Sc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1194044743NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine (* (Not Available))Primary
207RC0000XInternal Medicine - Cardiovascular Disease (* (Not Available))Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Prospect Healthcare Sc acts as a billing entity for following providers:
Provider NameGeoffrey R Sebastian
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1114991163
PECOS PAC ID: 1951298967
Enrollment ID: I20040303001034

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Provider NameJohn A Stoner
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1922193994
PECOS PAC ID: 8022001171
Enrollment ID: I20040406000165

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Provider NameBruce Avram Blacker
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1982603924
PECOS PAC ID: 9537122783
Enrollment ID: I20041109000046

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Provider NameMohammad A Toor
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1841289691
PECOS PAC ID: 2264426212
Enrollment ID: I20050628000341

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Provider NameMarcia Radja
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1164776670
PECOS PAC ID: 9335389113
Enrollment ID: I20130628000530

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Family Medicine in Lombard, IL

Thrive Life Wellness Center Inc
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 246 E Janata Blvd Ste 340, Lombard, IL 60148
Phone: 331-300-1440    Fax: 949-655-5827
Castello Wellness
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Medicare: Not Enrolled in Medicare
Practice Location: 2340 S Highland Ave, Suite 370, Lombard, IL 60148
Phone: 630-620-9500    Fax: 630-620-6541
Schaumburg Primary Medical Center
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 2200 S Main St, Suite 105, Lombard, IL 60148
Phone: 773-744-7864    
Amazehealth Weight Loss & Wellness, Sc
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 2340 S Highland Ave, Suite 370, Lombard, IL 60148
Phone: 630-873-5245    
Illinois Home Physicians Llc
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 124 E Harrison Rd, Lombard, IL 60148
Phone: 630-212-5338    
Ravi Medical Group Sc
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 2340 S Highland Ave, Suite 260, Lombard, IL 60148
Phone: 630-889-2000    Fax: 630-889-2299
Chicago Midwest Geriatrics Physicians Inc
Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 2s633 Briarcliff Ct, Lombard, IL 60148
Phone: 630-981-7250    

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