Richard J Clatch (NPI# 1306815238, PAC ID# 4688721012) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PATHOLOGY.
Nation Provider ID (NPI) | 1306815238 |
PAC ID by PECOS | 4688721012 |
Professional Enrollment ID | I20100722000475 |
Full Name | Richard J Clatch |
Organization Legal Name | CONSOLIDATED PATHOLOGY CONSULTANTS SC |
Address |
28100 N Ashley Cir Suite 106 Libertyville IL 60048-9478 |
Phone Number | 8479961030 |
Gender | M |
Medical School | NORTHWESTERN UNIVERSITY MEDICAL SCHOOL |
Graduation Year | 1989 |
Primary Specialty | PATHOLOGY |
Group Practice PAC ID | 9133025349 |
Number of Group Practice Members | 5 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
140130 | NORTHWESTERN LAKE FOREST HOSPITAL |
Address | Phone | Organization |
---|---|---|
28100 N Ashley Cir, Suite 106, Libertyville, IL 60048-9478 | 8479961030 | CONSOLIDATED PATHOLOGY CONSULTANTS SC |
Organization Legal Name | CONSOLIDATED PATHOLOGY CONSULTANTS SC |
Physicians | 3 |
Name | Specialty | Organization | Address |
---|---|---|---|
John Lee | Pathology | Consolidated Pathology Consultants Sc | 660 N Westmoreland Rd, Lake Forest, IL 60045-1659 |
Shreenath Bishu | Pathology | Consolidated Pathology Consultants Sc | 28100 N Ashley Cir, Suite 106, Libertyville, IL 60048-9478 |
Street Address |
28100 N ASHLEY CIR SUITE 106 |
City | LIBERTYVILLE |
State | IL |
Zip | 60048-9478 |
Name | Specialty | Organization | Address |
---|---|---|---|
Shreenath Bishu | Pathology | Consolidated Pathology Consultants Sc | 28100 N Ashley Cir, Suite 106, Libertyville, IL 60048-9478 |
Name | Specialty | Organization | Address |
---|---|---|---|
Bharathi Swaminathan | Physical Medicine and Rehabilitation | 1419 Peterson Rd, Libertyville, IL 60048-1001 | |
Svetlana F Pikus | Optometry | 1449 Peterson Rd, Libertyville, IL 60048-1001 | |
Kerri A Kulovitz | Hand Surgery | Chicago Hand and Orthopedic Surgery Centers Sc | 1419 Peterson Rd, Libertyville, IL 60048-1001 |
Dan M Young | Chiropractic | 283 Peterson Rd, Libertyville, IL 60048-1005 | |
Danny Mclane | Chiropractic | Adio Chiropractic Clinic Sc | 316 Peterson Rd, Libertyville, IL 60048-1008 |
Thomas L Conzelman | Chiropractic | Adio Chiropractic Clinic Sc | 316 Peterson Rd, Libertyville, IL 60048-1008 |
Sara J Meline | Chiropractic | Adio Chiropractic Clinic Sc | 316 Peterson Rd, Libertyville, IL 60048-1008 |
Elizabeth Nodine | Family Medicine | County of Lake | 18698 W Peterson Rd, Libertyville, IL 60048-1052 |
Robin A Mathew | Nurse Practitioner | County of Lake | 18698 W Peterson Rd, Libertyville, IL 60048-1052 |
Joshua B Nathan | Psychiatry | County of Lake | 18698 W Peterson Rd, Libertyville, IL 60048-1052 |
Find all physicians in zip 60048 |
City | LIBERTYVILLE |
Zip Code | 60048 |
Specialty | PATHOLOGY |
City + Specialty | LIBERTYVILLE + PATHOLOGY |
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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.