Richard A Margolin (NPI# 1528162062, PAC ID# 4486735867) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
Nation Provider ID (NPI) | 1528162062 |
PAC ID by PECOS | 4486735867 |
Professional Enrollment ID | I20080111000522 |
Full Name | Richard A Margolin |
Organization Legal Name | WAUKEGAN CLINIC CORP |
Address |
15 Commerce Dr Suite 113 Grayslake IL 60030-7807 |
Phone Number | 8472315300 |
Gender | M |
Medical School | COLLEGE OF OSTEOPATHIC PHYSICIANS AND SURGEONS OF LOS ANGELES |
Graduation Year | 1988 |
Primary Specialty | FAMILY MEDICINE |
Group Practice PAC ID | 4284631086 |
Number of Group Practice Members | 27 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
140202 | ADVOCATE CONDELL MEDICAL CENTER |
140084 | VISTA MEDICAL CENTER EAST |
140010 | NORTHSHORE UNIVERSITY HEALTHSYSTEM - EVANSTON HOSPITAL |
140130 | NORTHWESTERN LAKE FOREST HOSPITAL |
Address | Phone | Organization |
---|---|---|
15 Commerce Dr, Suite 113, Grayslake, IL 60030-7807 | 8472315300 | WAUKEGAN CLINIC CORP |
150 Jamestown Ln, Lincolnshire, IL 60069-2119 | 2245437100 | ADVANCED INPATIENT CONSULTANTS LLC |
Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
---|---|---|---|
ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
MIPS_EC_047_overall | Care Plan | 33% | |
MIPS_EC_333_overall | Adult Sinusitis: Computerized Tomography (CT) for Acute Sinusitis (Overuse) (100%: worst, 0% best) | 0% |
Organization Legal Name | WAUKEGAN CLINIC CORP |
Physicians | 30 |
Name | Specialty | Organization | Address |
---|---|---|---|
Jennifer Luzentales | Nurse Practitioner | Waukegan Clinic Corp | 1616 Grand Ave, Suite A, Waukegan, IL 60085-3676 |
Sherry A Owen | Nurse Practitioner | Waukegan Clinic Corp | 3 S Greenleaf St, Suite A, Gurnee, IL 60031-3377 |
Anita Bhardwaj | Family Medicine | Waukegan Clinic Corp | 200 S Greenleaf St, Gurnee, IL 60031-3398 |
Mathangi R Sekharan | Internal Medicine | Waukegan Clinic Corp | 103 S Greenleaf St A, Gurnee, IL 60031-3380 |
Daisy S Andaleon | Family Medicine | Waukegan Clinic Corp | 1616 Grand Ave B, Waukegan, IL 60085-3676 |
Asif Anwar | Internal Medicine | Waukegan Clinic Corp | 15 Tower Ct, Suite 265, Gurnee, IL 60031-3340 |
Srikanth Davuluri | Pulmonary Disease | Waukegan Clinic Corp | 200 S Greenleaf St, Gurnee, IL 60031-3398 |
Ralph A Seymoure | Physician Assistant | Waukegan Clinic Corp | 200 S Greenleaf St, Gurnee, IL 60031-3398 |
Lavanya Srinivasan | Pulmonary Disease | Waukegan Clinic Corp | 200 S Greenleaf St, Gurnee, IL 60031-3398 |
Kunal Patel | Internal Medicine | Waukegan Clinic Corp | 15 Tower Ct, Suite 265, Gurnee, IL 60031-3340 |
Street Address |
15 COMMERCE DR SUITE 113 |
City | GRAYSLAKE |
State | IL |
Zip | 60030-7807 |
Name | Specialty | Organization | Address |
---|---|---|---|
Diane E Petersen | Clinical Social Worker | Community Youth Network Inc | 18640 W Belvidere Rd, Suite 120, Grayslake, IL 60030 |
Gail M Weil | Clinical Social Worker | Community Youth Network Inc | 18640 W Belvidere Rd, Suite 120, Grayslake, IL 60030 |
Andrea Bercos | Clinical Social Worker | Community Youth Network Inc | 18640 W Belvidere Rd, Grayslake, IL 60030 |
Marty J Ziemer | Clinical Social Worker | 34140 N Hickory Ave, Grayslake, IL 60030-1016 | |
Griff J Winters | Podiatry | 770 Barron Blvd, Grayslake, IL 60030-1330 | |
Scott Damon Pouyat | Optometry | 661 N Lake St, Grayslake Eyecare, Grayslake, IL 60030-1471 | |
Daniel S Tresley | Ophthalmology | 661 Lake St, Grayslake, IL 60030-1471 | |
Leah Pendarvis | Psychologist, Clinical | 11 N Slusser St, Grayslake, IL 60030-1524 | |
Charles E Hutchcraft | Clinical Social Worker | Counseling Center of Grayslake Ltd | 106 Ctr St, Grayslake, IL 60030-1533 |
Julie A Pettinato | Clinical Social Worker | Counseling Center of Grayslake Ltd | 106 Ctr St, Grayslake, IL 60030-1533 |
Find all physicians in zip 60030 |
City | GRAYSLAKE |
Zip Code | 60030 |
Specialty | FAMILY MEDICINE |
City + Specialty | GRAYSLAKE + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Richard A Margolin.
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.