Scott M Detloff (NPI# 1639651060, PAC ID# 5395080022) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1639651060 |
| PAC ID by PECOS | 5395080022 |
| Professional Enrollment ID | I20181227000506 |
| Full Name | Scott M Detloff |
| Organization Legal Name | MERCY HEALTH SYSTEM CORPORATION |
| Address |
390 Congress Pkwy Crystal Lake Med Ctr East Crystal Lake IL 60014-6207 |
| Phone Number | 8154550850 |
| Gender | M |
| Graduation Year | 2018 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 7416860440 |
| Number of Group Practice Members | 496 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 390 Congress Pkwy, Crystal Lake Med Ctr East, Crystal Lake, IL 60014-6207 | 8154550850 | MERCY HEALTH SYSTEM CORPORATION |
| 348 S Division St, Harvard Clinic South, Harvard, IL 60033-3247 | 8159431122 | MERCY HEALTH SYSTEM CORPORATION |
| Organization Legal Name | MERCY HEALTH SYSTEM CORPORATION |
| Physicians | 476 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jennifer C Finch | Nurse Practitioner | Mercy Health System Corporation | 901 Grant St, Harvard, IL 60033-1898 |
| Shannon R Vokac | Qualified Audiologist | Mercy Health System Corporation | 390 Congress Pkwy, Crystal Lake Med Ctr East, Crystal Lake, IL 60014-6207 |
| Amy Sosa | Psychologist, Clinical | Mercy Health System Corporation | N2846 State Rd, Suite 67, Williams Bay, WI 53191-3771 |
| David M Francis | Radiation Oncology | Mercy Health System Corporation | 1000 Mineral Point Ave, Janesville, WI 53548-2940 |
| Andrew J Bridge | Family Medicine | Mercy Health System Corporation | 3524 E Milwaukee St, Janesville, WI 53546-1626 |
| Imad M Aziz | Family Medicine | Mercy Health System Corporation | 2825 Prairie Ave, Beloit, WI 53511-1844 |
| Corinne M Hansen | Physician Assistant | Mercy Health System Corporation | 3400 Deerfield Dr, Janesville, WI 53546-3557 |
| Karina L Quinn | Plastic and Reconstructive Surgery | Mercy Health System Corporation | N2950 State Rd, Suite 67, Lake Geneva, WI 53147-2655 |
| Baby Min Than | Family Medicine | Mercy Health System Corporation | 2000 Lake Ave, Woodstock, IL 60098-7401 |
| Syed Hassan | Family Medicine | Mercy Health System Corporation | 3922 Mercy Dr, Mchenry, IL 60050-3151 |
| Street Address |
390 CONGRESS PKWY CRYSTAL LAKE MED CTR EAST |
| City | CRYSTAL LAKE |
| State | IL |
| Zip | 60014-6207 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Shannon R Vokac | Qualified Audiologist | Mercy Health System Corporation | 390 Congress Pkwy, Crystal Lake Med Ctr East, Crystal Lake, IL 60014-6207 |
| Caitlin S Rock | Qualified Audiologist | Mercy Health System Corporation | 390 Congress Pkwy, Crystal Lake Med Ctr East, Crystal Lake, IL 60014-6207 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael Socha | Chiropractic | 435 Angela Ln, Suite 19, Crystal Lake, IL 60014-1074 | |
| Mark D Lagerkvist | Chiropractic | Chiro One Wellness Center of Crystal Lake Sc | 435 Angela Ln, Suite 19, Crystal Lake, IL 60014-1074 |
| Michael T Burns | Psychologist, Clinical | 610 Crystal Point Dr, Suite 3, Crystal Lake, IL 60014-1400 | |
| Kenneth E Heinrichs | Psychologist, Clinical | 755 E Mcardle Dr, Suite E, Crystal Lake, IL 60014-1717 | |
| Katherine A Galias | Nurse Practitioner | Family Medicine for Mchenry County | 1095 Pingree Rd, Suite 108, Crystal Lake, IL 60014-1726 |
| Susan G Swanson | Nurse Practitioner | Family Medicine for Mchenry County | 1095 Pingree Rd, Suite 108, Crystal Lake, IL 60014-1726 |
| Christy A Benton | Nurse Practitioner | Family Medicine for Mchenry County | 1095 Pingree Rd, Suite 108, Crystal Lake, IL 60014-1726 |
| Roseann C Iverson | Nurse Practitioner | Family Medicine for Mchenry County | 1095 Pingree Rd, Suite 108, Crystal Lake, IL 60014-1726 |
| Cynthia G Macdonald | Nurse Practitioner | Family Medicine for Mchenry County | 1095 Pingree Rd, Suite 108, Crystal Lake, IL 60014-1726 |
| Michael S Lesser | Family Medicine | Family Medicine for Mchenry County | 1095 Pingree Rd, Suite 108, Crystal Lake, IL 60014-1726 |
| Find all physicians in zip 60014 | |||
| City | CRYSTAL LAKE |
| Zip Code | 60014 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | CRYSTAL LAKE + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Scott M Detloff.
| 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.