Jeriann Collymore, MD, MPH
Family Medicine in Grayslake, IL. Individual provider (NPI-1).
NPI number1992400329
StatusActive
Last updated in NPPESMay 29, 2024
Details
- NPI
- 1992400329
- Entity type
- Individual (NPI-1)
- Name
- Jeriann Collymore
- Credential
- MD, MPH
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 4, 2023
- Certification date
- May 29, 2024
- Last updated
- May 29, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · ORDER AND REFERRING ONLY - FAMILY PRACTICE
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 125.083767 | IL | Yes |
Practice location
1475 E Belvidere Rd Unit 385Grayslake, IL 60030-2026
Phone 847-535-7157
Mailing address
1475 E Belvidere Rd Unit 385Grayslake, IL 60030-2026
Phone 847-535-7157
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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