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Karole A Lakota Treese

Family Medicine

Allopathic & Osteopathic Physicians

PECOS Enrollment

This provider is enrolled in PECOS as KAROLE LAKOTA TREESE.

Based on the most recent information from CMS, provider Karole A Lakota Treese is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records yesterday at 12:57 PM.

Profile Details

Provider ID
1952365488
Provider Type
Individual
Full Name
Lakota Treese, Karole A
Credential
MD

Gender
Female
Sole Proprietor
No
Enumeration Date
4/13/2006
Last Updated
12/24/2019

Contact Information

Practice Location

14 W Lake St, Oak Park, IL 60302-2606

(708) 383-0113

(708) 383-9911

Mailing Location

14 W Lake St, Oak Park, IL 60302-2606

(708) 383-0113

(708) 383-9911

Provider Taxonomies

Code	Description	License
Code 207Q00000X Primary	Description Family Medicine Allopathic & Osteopathic Physicians	License 036103349 Illinois

Provider Identifiers

ID	Description	Issuer
ID 036103349	Description Medicaid	Issuer Unlisted Illinois

Karole A Lakota Treese

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

Khan, Humaira

Fitzpatrick, Carolyn Elaine

Bielanski, Thomas Eugene

Alemayehu, Abel Abebaw

Carreon, Sarah Maria

Johnson, Carl C.

West Suburban Medical Center

Schulte, Emily R

Milik, Sherif A

Connolly, Maureen