Eberechukwu O Ibe (NPI# 1841258043, PAC ID# 5395648406) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1841258043 |
| PAC ID by PECOS | 5395648406 |
| Professional Enrollment ID | I20040128000176 |
| Full Name | Eberechukwu O Ibe |
| Organization Legal Name | LAKE IMMEDIATE CARE AND CLINIC S C |
| Address |
452 W State Rd Suite D Island Lake IL 60042-8438 |
| Phone Number | 8474696971 |
| Gender | M |
| Credential | MD |
| Graduation Year | 1987 |
| Primary Specialty | INTERNAL MEDICINE |
| Secondary Specialties | EMERGENCY MEDICINE |
| Group Practice PAC ID | 4183881899 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140202 | ADVOCATE CONDELL MEDICAL CENTER |
| 140291 | ADVOCATE GOOD SHEPHERD HOSPITAL |
| 140116 | CENTEGRA HOSPITAL-MCHENRY |
| Address | Phone | Organization |
|---|---|---|
| 150 W Half Day Rd, Buffalo Grove, IL 60089-6591 | 8472150000 | LAKE COUNTY ACUTE CARE, LLP |
| 1445 Hunt Club Rd, Suite 101, Gurnee, IL 60031-5257 | 8472492800 | LAKE COUNTY ACUTE CARE, LLP |
| 6440 Grand Ave, Gurnee, IL 60031-5257 | 8478550550 | LAKE COUNTY ACUTE CARE, LLP |
| 452 W State Rd, Suite D, Island Lake, IL 60042-8438 | 8474696971 | LAKE IMMEDIATE CARE AND CLINIC S C |
| 521 Kora Ln, Island Lake, IL 60042-9101 | 8474696971 | ISLAND LAKE URGENT CARE INC |
| 2 E Rollins Rd, Round Lake, IL 60073-3808 | 8477402500 | LAKE COUNTY ACUTE CARE, LLP |
| 6 E Phillip Rd, Vernon Hills, IL 60061-1700 | 8476800500 | LAKE COUNTY ACUTE CARE, LLP |
| Organization Legal Name | LAKE IMMEDIATE CARE AND CLINIC S C |
| Physicians | 1 |
| Street Address |
452 W STATE RD SUITE D |
| City | ISLAND LAKE |
| State | IL |
| Zip | 60042-8438 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Marie F Behm | Chiropractic | Lindsey Chiropractic Clinic PC | 28070 Route 176, Island Lake, IL 60042 |
| Kathleen M Lindsey | Chiropractic | Lindsey Chiropractic Clinic PC | 28070 Route 176, Island Lake, IL 60042 |
| Debra Kay Wenneman | Physical Therapy | Accelerated Rehabilitation Center of Kenosha Ltd | 510 Auburn Dr B, Island Lake, IL 60042-9105 |
| Lynn M. Maloney | Physical Therapy | Accelerated Rehabilitation Center of Kenosha Ltd | 510 Auburn Dr B, Island Lake, IL 60042-9105 |
| Rachel A Weida | Physical Therapy | Accelerated Rehabilitation Center of Kenosha Ltd | 510 Auburn Dr B, Island Lake, IL 60042-9105 |
| Stacey Ann Prokopec | Chiropractic | 533 Auburn Dr, Island Lake, IL 60042-9134 | |
| Kenneth J Tomchik | Internal Medicine | 125 E State Rd, Suite 6, Island Lake, IL 60042-9603 |
| City | ISLAND LAKE |
| Zip Code | 60042 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | ISLAND LAKE + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Eberechukwu O Ibe.
| 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.