| Hartgrove Hospitalists | |
|
5730 W Roosevelt Road Chicago IL 60644-1580 | |
| (773) 413-1700 | |
| (773) 413-1805 |
| Full Name | Hartgrove Hospitalists |
|---|---|
| Speciality | Psychiatric Hospital |
| Location | 5730 W Roosevelt Road, Chicago, Illinois |
| Authorized Official Name and Position | Steve Filton (SR VP CFO) |
| Authorized Official Contact | 6107683300 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hartgrove Hospitalists 5730 W Roosevelt Road Chicago IL 60644-1580 Ph: (773) 413-1700 | Hartgrove Hospitalists 5730 W Roosevelt Road Chicago IL 60644-1580 Ph: (773) 413-1700 |
| NPI Number | 1396012951 |
|---|---|
| Provider Enumeration Date | 11/28/2011 |
| Last Update Date | 06/20/2016 |
| Medicare PECOS PAC ID | 3173611738 |
|---|---|
| Medicare Enrollment ID | O20120817000145 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396012951 | NPI | - | NPPES |
| Provider Name | Meh J Hussain |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1881685071 PECOS PAC ID: 0941106918 Enrollment ID: I20031217000415 |
| Provider Name | Martins A Adeoye |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1962431726 PECOS PAC ID: 0143204206 Enrollment ID: I20040616000276 |
| Provider Name | Elizabeth W Canelas |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1376761080 PECOS PAC ID: 2567418882 Enrollment ID: I20050329001217 |
| Provider Name | Paula M Karnick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649252420 PECOS PAC ID: 0143327015 Enrollment ID: I20070530000107 |
| Provider Name | Mohammed T Ali |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1033215868 PECOS PAC ID: 1456432160 Enrollment ID: I20080121000069 |
| Provider Name | Johnny Williamson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1144310509 PECOS PAC ID: 9335277631 Enrollment ID: I20100506000811 |
| Provider Name | Richard S Goldberg |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1356431720 PECOS PAC ID: 6002097854 Enrollment ID: I20110225000885 |
| Provider Name | Amy M Bergholtz |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1124159454 PECOS PAC ID: 6103098744 Enrollment ID: I20111004000495 |
| Provider Name | Michelle L Akan |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1376808683 PECOS PAC ID: 7719138106 Enrollment ID: I20121112000627 |
| Provider Name | Ghouse Mohiuddin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1447413919 PECOS PAC ID: 7911143813 Enrollment ID: I20130419000391 |
| Provider Name | Ivelina Toncheva Ivanova |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578805503 PECOS PAC ID: 7012157829 Enrollment ID: I20130627000799 |
| Provider Name | Shuja M Uddin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1871832790 PECOS PAC ID: 0840425831 Enrollment ID: I20131029000596 |
| Provider Name | Mofoluwa Amiyan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558787960 PECOS PAC ID: 6103058565 Enrollment ID: I20140417000552 |
| Provider Name | Veronica R Hiltscher |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932386679 PECOS PAC ID: 3173843141 Enrollment ID: I20150515000680 |
| Provider Name | Kim Mccoy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568858223 PECOS PAC ID: 7214248673 Enrollment ID: I20150625002163 |
| Provider Name | Lynda Eileen Pettigrew |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174869994 PECOS PAC ID: 1254634314 Enrollment ID: I20160122001498 |
| Provider Name | Anne Leinart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902209737 PECOS PAC ID: 1052614138 Enrollment ID: I20160122002225 |
| Provider Name | Karen A Kindervater |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1306915806 PECOS PAC ID: 8921100926 Enrollment ID: I20160505000591 |
| Provider Name | Daniel Z Chapters |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336501550 PECOS PAC ID: 3072803469 Enrollment ID: I20160525002731 |
| Provider Name | Johnathan Coleman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1619267572 PECOS PAC ID: 9537479688 Enrollment ID: I20160816002856 |
| Provider Name | Saurabh Gupta |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1972884856 PECOS PAC ID: 6103111992 Enrollment ID: I20160817003256 |
| Provider Name | Melissa Musec |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1093072274 PECOS PAC ID: 6507156460 Enrollment ID: I20160901002553 |
| Provider Name | Alexander Chevalier |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1780941013 PECOS PAC ID: 5496065062 Enrollment ID: I20170125002386 |
| Provider Name | Jade Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447771787 PECOS PAC ID: 4880965912 Enrollment ID: I20170807003444 |
| Provider Name | Nadine Y Wengroff |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1700024767 PECOS PAC ID: 5799042503 Enrollment ID: I20171204002038 |
| Provider Name | Yolanta Kreklow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750804167 PECOS PAC ID: 2860489291 Enrollment ID: I20171213001985 |
| Provider Name | Krushen Pillay |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1568812253 PECOS PAC ID: 7911299870 Enrollment ID: I20181002003264 |
| Provider Name | Hao Cheng |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1932630993 PECOS PAC ID: 0941571772 Enrollment ID: I20191112001797 |
| Provider Name | Jessica M Burnette |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508393562 PECOS PAC ID: 3274965900 Enrollment ID: I20191118001639 |
| Provider Name | Mabel A Avilas |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1245670207 PECOS PAC ID: 0941580401 Enrollment ID: I20191217001229 |
| Provider Name | Mariyah Z Hussain |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1285083931 PECOS PAC ID: 9234422882 Enrollment ID: I20200219002936 |
| Provider Name | Andrea L Saunders |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679121743 PECOS PAC ID: 8921435223 Enrollment ID: I20200226002168 |
| Provider Name | Kristen L Suing |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1205362977 PECOS PAC ID: 6002244423 Enrollment ID: I20200319000026 |
| Provider Name | Teresa Poprawski |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1861611345 PECOS PAC ID: 5496847063 Enrollment ID: I20200507000603 |
| Provider Name | Jayson Takeji Masaki |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1972985588 PECOS PAC ID: 3577811314 Enrollment ID: I20200520003342 |
| Provider Name | Tomas A Torres |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881224921 PECOS PAC ID: 6800217134 Enrollment ID: I20200522000350 |
| Provider Name | Sanjaya Dharmapuri |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1528473170 PECOS PAC ID: 5799109674 Enrollment ID: I20200724001152 |
| Provider Name | Maria Siena H May |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760018733 PECOS PAC ID: 2062832033 Enrollment ID: I20201013000311 |
| Provider Name | Irina Salabai |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194324053 PECOS PAC ID: 1355754466 Enrollment ID: I20210111001385 |
| Provider Name | Autumn J Henze |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851982250 PECOS PAC ID: 5991113748 Enrollment ID: I20210416001187 |
| Provider Name | Nicole A Coffey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396347019 PECOS PAC ID: 9234547514 Enrollment ID: I20210427000452 |
| Provider Name | Leslie M Pell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699176800 PECOS PAC ID: 1254551260 Enrollment ID: I20220322002292 |
| Provider Name | Olukemi Ajayi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265187520 PECOS PAC ID: 8123494622 Enrollment ID: I20221025002935 |
| Provider Name | Lauren S Stern |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336823962 PECOS PAC ID: 9638532344 Enrollment ID: I20230829001606 |
| Provider Name | Ashley L Kuhl Piwowarski |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1417296492 PECOS PAC ID: 5597089722 Enrollment ID: I20231006001164 |
| Provider Name | Bridget E. Paoletti |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1558061564 PECOS PAC ID: 5294172300 Enrollment ID: I20240326000224 |
| Provider Name | Gina M Smith |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538874938 PECOS PAC ID: 7517304637 Enrollment ID: I20240326002054 |
| Provider Name | Nadjeh Awadallah |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1952790768 PECOS PAC ID: 2163863762 Enrollment ID: I20240514002638 |
Philip K Mccullough Md Sc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 201 E Huron St, Suite 11-100, Chicago, IL 60611 Phone: 312-695-3680 Fax: 312-926-3709 | |
Amy Lynn, Lcpc, Atr Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3020 N Lincoln Ave, Flourish Studios, Chicago, IL 60657 Phone: 773-746-7429 | |
K.a.m Alliance, Inc. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 2215 W 95th St Ste 100, Chicago, IL 60643 Phone: 773-239-9600 Fax: 773-239-9601 | |
King Community Mental Health Center Corp Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4455 S King Drive, Suite 101, Chicago, IL 60653 Phone: 773-536-2700 Fax: 773-751-2250 | |
Young Adult Program Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4219 N Lincoln Ave, Chicago, IL 60618 Phone: 773-572-5500 Fax: 773-537-3488 | |
Professional Diagnostic Service, S.c. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 821 W Van Buren St, Chicago, IL 60607 Phone: 312-491-0404 Fax: 312-491-0505 | |
Universal Medical Group Ltd. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 809 E 42nd Pl, Chicago, IL 60653 Phone: 773-285-3422 |