Michael H Street (NPI# 1093872095, PAC ID# 9739327008) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CLINICAL SOCIAL WORKER.
| Nation Provider ID (NPI) | 1093872095 |
| PAC ID by PECOS | 9739327008 |
| Professional Enrollment ID | I20130528000242 |
| Full Name | Michael H Street |
| Organization Legal Name | COUNTY OF LAKE |
| Address |
6302 13th Ave Lucerne CA 95458 |
| Phone Number | 7072749101 |
| Gender | M |
| Graduation Year | 1992 |
| Primary Specialty | CLINICAL SOCIAL WORKER |
| Group Practice PAC ID | 2466495429 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 6302 13th Ave, Lucerne, CA 95458 | 7072749101 | COUNTY OF LAKE |
| Organization Legal Name | COUNTY OF LAKE |
| Physicians | 55 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brianne C Brown | Nurse Practitioner | County of Lake | 1819 27th St, Zion, IL 60099-2541 |
| Christina Nyree Harmon | Clinical Social Worker | County of Lake | 1911 27th St, Zion, IL 60099-2542 |
| Nagham Al-bana | Family Medicine | County of Lake | 1840 Greenbay Rd, Highland Park, IL 60035-3110 |
| Michael Fletcher | Psychologist, Clinical | County of Lake | 2400 Belvidere Rd, Waukegan, IL 60085-6165 |
| Kokeela R Rathi | Internal Medicine | County of Lake | 3004 Grand Ave, Waukegan, IL 60085-2321 |
| Wendy A Powell | Clinical Social Worker | County of Lake | 3010 Grand Ave, Waukegan, IL 60085-2321 |
| Joanna E Caban | Psychiatry | County of Lake | 3012 Grand Ave, Waukegan, IL 60085-2321 |
| Elizabeth Nodine | Family Medicine | County of Lake | 18698 W Peterson Rd, Libertyville, IL 60048-1052 |
| Shehwar Khan | Family Medicine | County of Lake | 2215 14th St, North Chicago, IL 60064-1618 |
| Ayesha A Ali | Family Medicine | County of Lake | 224 E Clarendon Dr, Round Lake Beach, IL 60073-2006 |
| Street Address |
6302 13TH AVE |
| City | LUCERNE |
| State | CA |
| Zip | 95458 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mindy L Crookham | Nurse Practitioner | County of Lake | 6302 13th Ave, Lucerne, CA 95458 |
| Rita Estanol | Physician Assistant | County of Lake | 6302 13th Ave, Lucerne, CA 95458 |
| City | LUCERNE |
| Zip Code | 95458 |
| Specialty | CLINICAL SOCIAL WORKER |
| City + Specialty | LUCERNE + CLINICAL SOCIAL WORKER |
Please comment or provide details below to improve the information on Michael H Street.
| 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.