NPIMap

County of Dupage Department of Health

A Medicare group practice based in Lombard, IL: 11 NPIs enrolled under one PECOS associate control ID (PAC ID 4981695103), with 64 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
4981695103The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part B Supplier - Clinic/Group Practice
Enrolled in
IL
Enrollments
1
Group size
30 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
5In 5 places

Enrollment records 1

Enrollment IDStateProvider typeNPI
O20040518001117 IL Part B Supplier - Clinic/Group Practice 1134110786

NPIs in this group 11

NPPES NPI Registry

These NPI records belong to the same enrolled organization. Each has its own page.

Practice locations

Locations on the Medicare enrollment

Clinicians 64

Clinicians who reassign their Medicare benefits to this group (64) or whom Care Compare lists as members (30).

Sources for this page