Julie E Prombo (NPI# 1114441011, PAC ID# 2668748963) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1114441011 |
| PAC ID by PECOS | 2668748963 |
| Professional Enrollment ID | I20171031002099 |
| Full Name | Julie E Prombo |
| Organization Legal Name | LAKE COUNTY IMMEDIATE CARE, LLC |
| Address |
420 E Il Route 173 Suite 101 Antioch IL 60002-7284 |
| Phone Number | 8476529700 |
| Gender | F |
| Graduation Year | 2017 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 6204158280 |
| Number of Group Practice Members | 6 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140242 | CENTRAL DUPAGE HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 420 E Il Route 173, Suite 101, Antioch, IL 60002-7284 | 8476529700 | LAKE COUNTY IMMEDIATE CARE, LLC |
| 724 N Green Bay Rd, Waukegan, IL 60085-2236 | 8479018400 | LAKE COUNTY IMMEDIATE CARE, LLC |
| Organization Legal Name | LAKE COUNTY IMMEDIATE CARE, LLC |
| Physicians | 6 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John V Jurica | Family Medicine | Lake County Immediate Care, LLC | 724 N Green Bay Rd, Waukegan, IL 60085-2236 |
| Heidi Barnes | Physician Assistant | Lake County Immediate Care, LLC | 420 E Il Route 173, Suite 101, Antioch, IL 60002-7284 |
| Donna J Klingler | Physician Assistant | Lake County Immediate Care, LLC | 420 E Il Route 173, Suite 101, Antioch, IL 60002-7284 |
| Melissa N Sell | Physician Assistant | Lake County Immediate Care, LLC | 420 E Il Route 173, Suite 101, Antioch, IL 60002-7284 |
| Kristina B Passarelli | Nurse Practitioner | Lake County Immediate Care, LLC | 724 N Green Bay Rd, Waukegan, IL 60085-2236 |
| Street Address |
420 E IL ROUTE 173 SUITE 101 |
| City | ANTIOCH |
| State | IL |
| Zip | 60002-7284 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Heidi Barnes | Physician Assistant | Lake County Immediate Care, LLC | 420 E Il Route 173, Suite 101, Antioch, IL 60002-7284 |
| Donna J Klingler | Physician Assistant | Lake County Immediate Care, LLC | 420 E Il Route 173, Suite 101, Antioch, IL 60002-7284 |
| Melissa N Sell | Physician Assistant | Lake County Immediate Care, LLC | 420 E Il Route 173, Suite 101, Antioch, IL 60002-7284 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Karen Anne Fermin Violago | Nurse Practitioner | Family Medicine Specialists, Incorporated | 494 Orchard St, Antioch, IL 60002-1237 |
| Jaimie Salise | Nurse Practitioner | Family Medicine Specialists, Incorporated | 494 Orchard St, Antioch, IL 60002-1237 |
| Rebecca A Lambo | Nurse Practitioner | Family Medicine Specialists, Incorporated | 494 Orchard St, Antioch, IL 60002-1237 |
| David J Alengo | Family Medicine | Family Medicine Specialists, Incorporated | 494 Orchard St, Antioch, IL 60002-1237 |
| Kenneth L Degner | Physician Assistant | Family Medicine Specialists, Incorporated | 494 Orchard St, Antioch, IL 60002-1237 |
| Inna Hoffman | Nurse Practitioner | Family Medicine Specialists, Incorporated | 494 Orchard St, Antioch, IL 60002-1237 |
| Jennifer M Bellucci Jackson | Family Medicine | Family Medicine Specialists, Incorporated | 494 Orchard St, Antioch, IL 60002-1237 |
| Julie A Zamora | Nurse Practitioner | Family Medicine Specialists, Incorporated | 494 Orchard St, Antioch, IL 60002-1237 |
| Pamela Basas Malda | Nurse Practitioner | Family Medicine Specialists, Incorporated | 494 Orchard St, Antioch, IL 60002-1237 |
| Diana Martil | Nurse Practitioner | Family Medicine Specialists, Incorporated | 494 Orchard St, Antioch, IL 60002-1237 |
| Find all physicians in zip 60002 | |||
| City | ANTIOCH |
| Zip Code | 60002 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | ANTIOCH + PHYSICIAN ASSISTANT |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.