| Insight Hospital & Medical Center Chicago | |
|
2525 S Michigan Ave Chicago IL 60616-2315 | |
| (312) 567-2000 | |
| (312) 638-8320 |
| Full Name | Insight Hospital & Medical Center Chicago |
|---|---|
| Speciality | Internal Medicine |
| Location | 2525 S Michigan Ave, Chicago, Illinois |
| Authorized Official Name and Position | Nadir Ijaz (CEO) |
| Authorized Official Contact | 8102759333 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Insight Hospital & Medical Center Chicago 2525 S Michigan Ave Chicago IL 60616-2315 Ph: (312) 567-2000 | Insight Hospital & Medical Center Chicago 2525 S Michigan Ave Chicago IL 60616-2315 Ph: (312) 567-2000 |
| NPI Number | 1881261006 |
|---|---|
| Provider Enumeration Date | 06/07/2021 |
| Last Update Date | 06/25/2021 |
| Certification Date | 06/25/2021 |
| Medicare PECOS PAC ID | 2860894706 |
|---|---|
| Medicare Enrollment ID | O20210714002059 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881261006 | NPI | - | NPPES |
| Provider Name | Muhammad A Shahzad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033107685 PECOS PAC ID: 8123925849 Enrollment ID: I20031218000894 |
| Provider Name | Dheeraj Mahajan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831133693 PECOS PAC ID: 3779476197 Enrollment ID: I20040207000226 |
| Provider Name | Zewdu Haile |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639150121 PECOS PAC ID: 1850386418 Enrollment ID: I20040415000051 |
| Provider Name | Juan E Lerma |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1841279981 PECOS PAC ID: 6507847506 Enrollment ID: I20040526001119 |
| Provider Name | Tam V Thai |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1972503563 PECOS PAC ID: 9739162082 Enrollment ID: I20040609000507 |
| Provider Name | Yousuf Sayeed |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1932155926 PECOS PAC ID: 6901889823 Enrollment ID: I20040621001385 |
| Provider Name | Tawfik Barakat |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1306895644 PECOS PAC ID: 3476531955 Enrollment ID: I20040712000077 |
| Provider Name | William W Lin |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1396776209 PECOS PAC ID: 9638069529 Enrollment ID: I20040719001362 |
| Provider Name | Matthew Aaron Meadows |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1275599219 PECOS PAC ID: 6103898143 Enrollment ID: I20040810000701 |
| Provider Name | Maria R Devries |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1124028279 PECOS PAC ID: 3971579111 Enrollment ID: I20040908001295 |
| Provider Name | Robert A Maxey |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1639165954 PECOS PAC ID: 1658334198 Enrollment ID: I20041105000815 |
| Provider Name | Richard Vesely |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1255457784 PECOS PAC ID: 2163487570 Enrollment ID: I20041124000840 |
| Provider Name | Sajid Mehmood |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1467444950 PECOS PAC ID: 2860450095 Enrollment ID: I20041220001082 |
| Provider Name | Rasha S Jabri |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1275569840 PECOS PAC ID: 0446200398 Enrollment ID: I20050127000838 |
| Provider Name | April R Kennedy |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1487738639 PECOS PAC ID: 3577505056 Enrollment ID: I20050525000225 |
| Provider Name | Naveed K Mallick |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033275615 PECOS PAC ID: 6305889114 Enrollment ID: I20050602000911 |
| Provider Name | Adam T Dickler |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1053387274 PECOS PAC ID: 2567407208 Enrollment ID: I20050623000367 |
| Provider Name | Daniel S Merrick |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1184680654 PECOS PAC ID: 3072585017 Enrollment ID: I20050916000458 |
| Provider Name | John J Cudecki |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1053397851 PECOS PAC ID: 4789617119 Enrollment ID: I20050919000201 |
| Provider Name | Neil Mehta |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1588605695 PECOS PAC ID: 0244257640 Enrollment ID: I20051025000776 |
| Provider Name | Rashid F Kysia |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1225141005 PECOS PAC ID: 4183646698 Enrollment ID: I20051228000089 |
| Provider Name | Patrick Malik |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1942247135 PECOS PAC ID: 5193732808 Enrollment ID: I20060321000210 |
| Provider Name | Mohammed T Hussain |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1356427256 PECOS PAC ID: 9739180589 Enrollment ID: I20070123000231 |
| Provider Name | Kierre R Honore |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1942221890 PECOS PAC ID: 7517969918 Enrollment ID: I20070214000253 |
| Provider Name | Nasir A Syed |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1942330576 PECOS PAC ID: 2769587468 Enrollment ID: I20070424000577 |
| Provider Name | Lisa Sokol Rome |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1659596864 PECOS PAC ID: 5597863738 Enrollment ID: I20070612000086 |
| Provider Name | Sanjay Magan Patel |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1326240623 PECOS PAC ID: 2668573817 Enrollment ID: I20070718000623 |
| Provider Name | Olfa Najar |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1619099959 PECOS PAC ID: 4789776634 Enrollment ID: I20070822001510 |
| Provider Name | Kiran K Chekka |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1356543235 PECOS PAC ID: 8820182769 Enrollment ID: I20070921000655 |
| Provider Name | Michael Racenstein |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1154314912 PECOS PAC ID: 1850486861 Enrollment ID: I20071005000545 |
| Provider Name | Sabir M Rahmanny |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1558356071 PECOS PAC ID: 8325069693 Enrollment ID: I20071010000437 |
| Provider Name | Wakas N Ahmad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447446521 PECOS PAC ID: 1456449925 Enrollment ID: I20071116000156 |
| Provider Name | Michael G Maday |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1902859341 PECOS PAC ID: 7315906880 Enrollment ID: I20071126000346 |
| Provider Name | Arthur Moswin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023120094 PECOS PAC ID: 8426122813 Enrollment ID: I20080802000105 |
| Provider Name | Syed N Ghani |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1205877396 PECOS PAC ID: 4880607142 Enrollment ID: I20081104000480 |
| Provider Name | Keith D Tatka |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1518112267 PECOS PAC ID: 9931256575 Enrollment ID: I20090416000426 |
| Provider Name | Michael Gomez |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1922277268 PECOS PAC ID: 5496805582 Enrollment ID: I20090611000205 |
| Provider Name | Shadi Nabieh Marina |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1972764041 PECOS PAC ID: 5496809428 Enrollment ID: I20090811000120 |
| Provider Name | Imran Akbar |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1073710299 PECOS PAC ID: 9133266505 Enrollment ID: I20091019000054 |
| Provider Name | Carl M Ferraro |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1407873979 PECOS PAC ID: 7416097548 Enrollment ID: I20091221000300 |
| Provider Name | Ajit N Kumar |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1609818558 PECOS PAC ID: 9133252356 Enrollment ID: I20100809000313 |
| Provider Name | William A Heller |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1730132945 PECOS PAC ID: 7315906872 Enrollment ID: I20101201000123 |
| Provider Name | Jay M Brooker |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1235180894 PECOS PAC ID: 5991984999 Enrollment ID: I20110124000297 |
| Provider Name | Theodosios P Patras |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1376503771 PECOS PAC ID: 2860672201 Enrollment ID: I20110221000781 |
| Provider Name | Eduardo J Navarrete |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1033368774 PECOS PAC ID: 3476745605 Enrollment ID: I20110622000514 |
| Provider Name | Haider Ali Shirazi |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1821254731 PECOS PAC ID: 5698953073 Enrollment ID: I20110707000497 |
| Provider Name | Gunar G Subieta Benito |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1629242524 PECOS PAC ID: 0648436493 Enrollment ID: I20120723000560 |
| Provider Name | Fadi M Kara |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1942519533 PECOS PAC ID: 2264684018 Enrollment ID: I20121130000581 |
| Provider Name | Mussarat J Bukhari |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1225266422 PECOS PAC ID: 6901058460 Enrollment ID: I20121206000602 |
| Provider Name | Laeeq S Shamsuddin |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1568524312 PECOS PAC ID: 0244322360 Enrollment ID: I20130413000027 |
| Provider Name | Katrina Mattingly |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1942440961 PECOS PAC ID: 5496933772 Enrollment ID: I20130507000121 |
| Provider Name | Steven Koopman |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1811199573 PECOS PAC ID: 0446438261 Enrollment ID: I20130723000750 |
| Provider Name | Sakib S. Khan |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1235387085 PECOS PAC ID: 9133361785 Enrollment ID: I20130809000426 |
| Provider Name | Owais Iqbal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184911695 PECOS PAC ID: 7810136769 Enrollment ID: I20131014001711 |
| Provider Name | Hamid K Nazeer |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1215148002 PECOS PAC ID: 0648441543 Enrollment ID: I20131118000870 |
| Provider Name | Frank W Hsu |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1104069277 PECOS PAC ID: 6204062854 Enrollment ID: I20131204000514 |
| Provider Name | Youshay Humayun |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1093010423 PECOS PAC ID: 6709015621 Enrollment ID: I20140218001193 |
| Provider Name | Hilary Wagner |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1093139131 PECOS PAC ID: 0648401877 Enrollment ID: I20140401000302 |
| Provider Name | Samson M Chan |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1801168224 PECOS PAC ID: 6002039435 Enrollment ID: I20140603001239 |
| Provider Name | Nathan H Sandalow |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1922399476 PECOS PAC ID: 7214151000 Enrollment ID: I20140618000342 |
| Provider Name | Ehab El-khabiry |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1023306230 PECOS PAC ID: 7113148131 Enrollment ID: I20141016000609 |
| Provider Name | Sunnie Khan |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1457648628 PECOS PAC ID: 7416279427 Enrollment ID: I20141202001918 |
| Provider Name | Raghu Shantan R Marri |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1841511573 PECOS PAC ID: 4880916709 Enrollment ID: I20141204000837 |
| Provider Name | Asim M Saeed |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1033421953 PECOS PAC ID: 6901029222 Enrollment ID: I20150112000402 |
| Provider Name | Bryan H Lassner |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1871859884 PECOS PAC ID: 4385887769 Enrollment ID: I20150707001712 |
| Provider Name | David Garcia |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1871892448 PECOS PAC ID: 4880906650 Enrollment ID: I20150708000451 |
| Provider Name | Tariq Mubarak |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811254303 PECOS PAC ID: 1951614478 Enrollment ID: I20150713002318 |
| Provider Name | Maajid M Ekkiswala |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1104110436 PECOS PAC ID: 5890912224 Enrollment ID: I20150723009302 |
| Provider Name | Samer R Rajjoub |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1891920120 PECOS PAC ID: 2567694664 Enrollment ID: I20160818002317 |
| Provider Name | Margaret Ann Kress |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811344096 PECOS PAC ID: 5092094516 Enrollment ID: I20161128000052 |
| Provider Name | Wasay A Humayun |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1013154327 PECOS PAC ID: 5193996528 Enrollment ID: I20161223000142 |
| Provider Name | Waseema Tajammul |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790128502 PECOS PAC ID: 1355624149 Enrollment ID: I20170201000544 |
| Provider Name | Dali Yin |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1437566783 PECOS PAC ID: 2961706569 Enrollment ID: I20170605001941 |
| Provider Name | Bobby Diniotis |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1215348149 PECOS PAC ID: 1456622844 Enrollment ID: I20170803000455 |
| Provider Name | Waleed Mansour |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1043628589 PECOS PAC ID: 1557661980 Enrollment ID: I20170814000395 |
| Provider Name | Avanee S Peel |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1164591616 PECOS PAC ID: 3173554441 Enrollment ID: I20170927000050 |
| Provider Name | Jawad Hussain |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1154620771 PECOS PAC ID: 4688838733 Enrollment ID: I20171017000005 |
| Provider Name | Dillon J Bannis |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1124360425 PECOS PAC ID: 0143596825 Enrollment ID: I20171025000000 |
| Provider Name | Ronak Ramakant Kedia |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1801280888 PECOS PAC ID: 6406152099 Enrollment ID: I20171120000007 |
| Provider Name | Kelly M Dugan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528580065 PECOS PAC ID: 9931469574 Enrollment ID: I20180130003030 |
| Provider Name | Veeda O Landeras |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1306045646 PECOS PAC ID: 7911093026 Enrollment ID: I20180215000866 |
| Provider Name | Rashad Sayeed |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1871909382 PECOS PAC ID: 0749541506 Enrollment ID: I20180219002878 |
| Provider Name | Yusuf Salah |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1922413327 PECOS PAC ID: 8123321551 Enrollment ID: I20180404000779 |
| Provider Name | Jaime Torres |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699193383 PECOS PAC ID: 4486945607 Enrollment ID: I20180612000923 |
| Provider Name | Ayham Alagha |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1851779151 PECOS PAC ID: 0749598209 Enrollment ID: I20180619002540 |
| Provider Name | Sameer Ahmed |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1104191444 PECOS PAC ID: 7810138245 Enrollment ID: I20180619003294 |
| Provider Name | John D Lund |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1578977500 PECOS PAC ID: 9234490848 Enrollment ID: I20180829004131 |
| Provider Name | Rakesh Doshetty |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1174906515 PECOS PAC ID: 7113278482 Enrollment ID: I20180925004039 |
| Provider Name | Lana Akkari |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1154702082 PECOS PAC ID: 6103178280 Enrollment ID: I20181018000899 |
| Provider Name | Taofik Nasrat |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1275962243 PECOS PAC ID: 9133472897 Enrollment ID: I20181025001986 |
| Provider Name | Mazen Kherallah |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1922025691 PECOS PAC ID: 6406905322 Enrollment ID: I20181228000141 |
| Provider Name | Kristina Lacplesis |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1619448461 PECOS PAC ID: 1759629090 Enrollment ID: I20190213000291 |
| Provider Name | Madeline S Lubenow |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1265996631 PECOS PAC ID: 6204176860 Enrollment ID: I20190318001082 |
| Provider Name | Anita V Goyal |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1578911756 PECOS PAC ID: 3274829346 Enrollment ID: I20190613001551 |
| Provider Name | Neha Jayprakash Patel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1720460744 PECOS PAC ID: 7315271467 Enrollment ID: I20190625000425 |
| Provider Name | Salil Kalra |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1275983744 PECOS PAC ID: 6002109329 Enrollment ID: I20190730003568 |
| Provider Name | Usama Bukhari |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568818128 PECOS PAC ID: 8527352459 Enrollment ID: I20190820002240 |
| Provider Name | Fabiola Adriana Nava-lopez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053962340 PECOS PAC ID: 3274967369 Enrollment ID: I20191224000614 |
| Provider Name | Waseem Alfahel |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1467959031 PECOS PAC ID: 0143551390 Enrollment ID: I20200127002046 |
| Provider Name | Nazar Golewale |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1851548127 PECOS PAC ID: 7416135850 Enrollment ID: I20200129002691 |
| Provider Name | Khurram Khan |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1417164062 PECOS PAC ID: 9133227275 Enrollment ID: I20200506000945 |
| Provider Name | Ahmed Muhammad S Ghadai |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1447504402 PECOS PAC ID: 1254573884 Enrollment ID: I20200626000748 |
| Provider Name | Samran Haider |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1982023396 PECOS PAC ID: 1153623392 Enrollment ID: I20200727003191 |
| Provider Name | Muhammad F Ahsan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225491095 PECOS PAC ID: 7012248487 Enrollment ID: I20200813001109 |
| Provider Name | Marvi Bikak |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1548600380 PECOS PAC ID: 4688816432 Enrollment ID: I20200825001163 |
| Provider Name | Wendy June Chen |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1164943726 PECOS PAC ID: 2668892951 Enrollment ID: I20201027001223 |
| Provider Name | Scott Hunter Coppel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801326681 PECOS PAC ID: 1557630571 Enrollment ID: I20201112002291 |
| Provider Name | Oluwakemi Omotayo Aregbesola |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568065514 PECOS PAC ID: 7810300480 Enrollment ID: I20201229001748 |
| Provider Name | Ryan P Mckillip |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1528550084 PECOS PAC ID: 0143636886 Enrollment ID: I20210304001055 |
| Provider Name | Habtamu Tamiru Abebe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649872367 PECOS PAC ID: 5496163651 Enrollment ID: I20210428000920 |
| Provider Name | Harsh Rawal |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1164804670 PECOS PAC ID: 3779815196 Enrollment ID: I20210617002714 |
| Provider Name | Siva Kumar Sripada |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1174586267 PECOS PAC ID: 6103812441 Enrollment ID: I20210714002113 |
| Provider Name | Kelly Mae Atassi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871026856 PECOS PAC ID: 1951670637 Enrollment ID: I20210720001244 |
| Provider Name | Salman F Sagarwala |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1518311422 PECOS PAC ID: 5890089056 Enrollment ID: I20210805002543 |
| Provider Name | Joshua Michael Aizen |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1730568007 PECOS PAC ID: 3476856311 Enrollment ID: I20210819001112 |
| Provider Name | Jawad Shah |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1427020452 PECOS PAC ID: 3678565314 Enrollment ID: I20210820003098 |
| Provider Name | Bradley Dickson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1801317110 PECOS PAC ID: 3375949183 Enrollment ID: I20210902000898 |
| Provider Name | David Karlin |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1477552016 PECOS PAC ID: 5395630438 Enrollment ID: I20210907000763 |
| Provider Name | Archana C Lucchesi |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1225108533 PECOS PAC ID: 6709871346 Enrollment ID: I20210907002224 |
| Provider Name | Xavier Garcia-rojas |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1083895379 PECOS PAC ID: 1355529744 Enrollment ID: I20210908000292 |
| Provider Name | Max Pollock |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1427210855 PECOS PAC ID: 5294057303 Enrollment ID: I20210910000190 |
| Provider Name | Zachary S Roeder |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1326305483 PECOS PAC ID: 4688802655 Enrollment ID: I20210913000284 |
| Provider Name | Jonathan P Coll |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1679803977 PECOS PAC ID: 3779776539 Enrollment ID: I20210913000630 |
| Provider Name | John H Hotchkiss |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1720259476 PECOS PAC ID: 3678880416 Enrollment ID: I20210913001108 |
| Provider Name | Robert S Farrell |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1952386476 PECOS PAC ID: 8628971801 Enrollment ID: I20210913001253 |
| Provider Name | Richard K Hollis |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1831119254 PECOS PAC ID: 1153368725 Enrollment ID: I20210913001372 |
| Provider Name | Michael V Klein |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1205826237 PECOS PAC ID: 5698708998 Enrollment ID: I20210913001464 |
| Provider Name | Roi M Lotan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1518175637 PECOS PAC ID: 2668572439 Enrollment ID: I20210913002655 |
| Provider Name | Shota Yamamoto |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1609165356 PECOS PAC ID: 6901170067 Enrollment ID: I20210913002980 |
| Provider Name | Shareef M Riad |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1417111477 PECOS PAC ID: 0042353336 Enrollment ID: I20210914002931 |
| Provider Name | Matthew J Thomson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1134163314 PECOS PAC ID: 9032153234 Enrollment ID: I20210916000779 |
| Provider Name | Matthew Benedict |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1528008125 PECOS PAC ID: 4789627803 Enrollment ID: I20210916001804 |
| Provider Name | Kambrie Y Kato |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1235424284 PECOS PAC ID: 7911290069 Enrollment ID: I20210916002826 |
| Provider Name | Andy Akira Aoki |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1558326629 PECOS PAC ID: 2860495041 Enrollment ID: I20210917001151 |
| Provider Name | Sarabjeet Singh |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1881919397 PECOS PAC ID: 0941484240 Enrollment ID: I20210917002016 |
| Provider Name | Andrew Martin |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1104883693 PECOS PAC ID: 0547249393 Enrollment ID: I20210917002438 |
| Provider Name | Neil Anand |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1508271149 PECOS PAC ID: 8325380900 Enrollment ID: I20210920001696 |
| Provider Name | James Wolff |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1134268006 PECOS PAC ID: 0749369577 Enrollment ID: I20210920002692 |
| Provider Name | Khaled Hammoud |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1174962187 PECOS PAC ID: 1456582212 Enrollment ID: I20210922001314 |
| Provider Name | Ahmad Elakil |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1417438631 PECOS PAC ID: 6305271164 Enrollment ID: I20210923002952 |
| Provider Name | Nasim Nourmohammadi |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1881049286 PECOS PAC ID: 0143627604 Enrollment ID: I20210927000146 |
| Provider Name | Anthony A Bennett |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1801866397 PECOS PAC ID: 0749176394 Enrollment ID: I20210927000228 |
| Provider Name | Johan Joseph Valle |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1942760418 PECOS PAC ID: 1850623869 Enrollment ID: I20211026000941 |
| Provider Name | Jason W Burns |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1255484283 PECOS PAC ID: 6103924782 Enrollment ID: I20211201003200 |
| Provider Name | Dustin L Simpson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1710285630 PECOS PAC ID: 7911290077 Enrollment ID: I20220105001878 |
| Provider Name | Uzma Ferheen Ahmad |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1902398019 PECOS PAC ID: 4587056148 Enrollment ID: I20220112000819 |
| Provider Name | Asad Khan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1528564374 PECOS PAC ID: 0749535722 Enrollment ID: I20220120000743 |
| Provider Name | Margaret Chung |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1518132083 PECOS PAC ID: 8426180753 Enrollment ID: I20220127002156 |
| Provider Name | Sameera Azad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487831061 PECOS PAC ID: 0345432233 Enrollment ID: I20220131000570 |
| Provider Name | Christine Youngin Kwon |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1396249751 PECOS PAC ID: 3577813443 Enrollment ID: I20220131001709 |
| Provider Name | Jeffrey Sears |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1568406247 PECOS PAC ID: 2466341250 Enrollment ID: I20220311001893 |
| Provider Name | Mario C Giudici |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1558341073 PECOS PAC ID: 8527967710 Enrollment ID: I20220404001698 |
| Provider Name | Hassan Ahmad |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1851772057 PECOS PAC ID: 0244500783 Enrollment ID: I20220406001659 |
| Provider Name | Rany Aburashed |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1790909711 PECOS PAC ID: 9739371188 Enrollment ID: I20220517000537 |
| Provider Name | Umar Bhatti |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558802751 PECOS PAC ID: 3577897529 Enrollment ID: I20220524000935 |
| Provider Name | Umar Shakur |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1982799854 PECOS PAC ID: 9032301775 Enrollment ID: I20220613001087 |
| Provider Name | G Bradley Bookatz |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1134449952 PECOS PAC ID: 3779899133 Enrollment ID: I20220712003415 |
| Provider Name | Jeremiah John Locquiao |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1902369689 PECOS PAC ID: 9335472950 Enrollment ID: I20220722002879 |
| Provider Name | Maria Khalil |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770143893 PECOS PAC ID: 1658753868 Enrollment ID: I20220804002777 |
| Provider Name | Noelle Hurks |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1689982621 PECOS PAC ID: 5092949248 Enrollment ID: I20220805001554 |
| Provider Name | Conor Kevin Salvino |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1871055145 PECOS PAC ID: 3678905064 Enrollment ID: I20220809003602 |
| Provider Name | Matthew Hermann |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1477990521 PECOS PAC ID: 0345482212 Enrollment ID: I20220825002684 |
| Provider Name | Waddah Malas |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1386107225 PECOS PAC ID: 9335523042 Enrollment ID: I20220830002004 |
| Provider Name | Jehad Bittar |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1174029847 PECOS PAC ID: 1052644515 Enrollment ID: I20220913000831 |
| Provider Name | Priya George |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356802102 PECOS PAC ID: 7618373473 Enrollment ID: I20220914003773 |
| Provider Name | Vera Tolova |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1518222181 PECOS PAC ID: 5193018026 Enrollment ID: I20220921002223 |
| Provider Name | Michelle Ann Kuruvilla |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104489251 PECOS PAC ID: 1850629619 Enrollment ID: I20221010002510 |
| Provider Name | Menar Wahood |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1033578190 PECOS PAC ID: 7416241732 Enrollment ID: I20221019001621 |
| Provider Name | Syed Abdur-rahman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538658729 PECOS PAC ID: 2961806005 Enrollment ID: I20221020002753 |
| Provider Name | Furqan Rajput |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649832767 PECOS PAC ID: 7618207200 Enrollment ID: I20221118002328 |
| Provider Name | Ammar Hasan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1215596523 PECOS PAC ID: 4688059397 Enrollment ID: I20221220002534 |
| Provider Name | Baldassare D Pipitone |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1861703589 PECOS PAC ID: 0244472785 Enrollment ID: I20221227001144 |
| Provider Name | Allen Stone Hollingsworth |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1992290159 PECOS PAC ID: 9739424060 Enrollment ID: I20230103000701 |
| Provider Name | Ryan Jean Baptiste |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1497997050 PECOS PAC ID: 4587789326 Enrollment ID: I20230104001870 |
| Provider Name | Irfan Babariya |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225755523 PECOS PAC ID: 1557732203 Enrollment ID: I20230117002874 |
| Provider Name | Valerie Yu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831811991 PECOS PAC ID: 8426429861 Enrollment ID: I20230124000320 |
| Provider Name | Evan Peskin |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1669904959 PECOS PAC ID: 4688055817 Enrollment ID: I20230207000061 |
| Provider Name | Manpreet Singh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659089274 PECOS PAC ID: 8224400981 Enrollment ID: I20230207002270 |
| Provider Name | Nadija M Rieser |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1346878923 PECOS PAC ID: 3274905658 Enrollment ID: I20230213000520 |
| Provider Name | Faizan Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417478280 PECOS PAC ID: 1355612862 Enrollment ID: I20230303001374 |
| Provider Name | Lincoln Rameshbhai Patel |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1639130198 PECOS PAC ID: 5395821193 Enrollment ID: I20230307001995 |
| Provider Name | Mohsen Nasir |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1528287240 PECOS PAC ID: 4587832837 Enrollment ID: I20230310002536 |
| Provider Name | Ahmed Ayoub |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1922045921 PECOS PAC ID: 4789573254 Enrollment ID: I20230315001692 |
| Provider Name | Edward A Hobart |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1942390687 PECOS PAC ID: 9335140276 Enrollment ID: I20230414001894 |
| Provider Name | James T Frencher |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1386039758 PECOS PAC ID: 8022449941 Enrollment ID: I20230420001315 |
| Provider Name | Ajay Kumar Singh |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1215927579 PECOS PAC ID: 4880659689 Enrollment ID: I20230424001770 |
| Provider Name | Theresa Yuh |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1265523930 PECOS PAC ID: 3173576154 Enrollment ID: I20230425003009 |
| Provider Name | Leonard Morneau |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1376937722 PECOS PAC ID: 5193125219 Enrollment ID: I20230524001608 |
| Provider Name | Gregory L Thalken |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1861547317 PECOS PAC ID: 9830333541 Enrollment ID: I20230525000848 |
| Provider Name | Joshua T Kyle |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1407142193 PECOS PAC ID: 9032408026 Enrollment ID: I20230526000239 |
| Provider Name | Nooreen Hussain |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1710349261 PECOS PAC ID: 3173815263 Enrollment ID: I20230608000401 |
| Provider Name | Manal M Schoellerman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1821060724 PECOS PAC ID: 6608773361 Enrollment ID: I20230615003433 |
| Provider Name | Karim Al Sabek |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609258458 PECOS PAC ID: 3870841307 Enrollment ID: I20230630002216 |
| Provider Name | Stacey Kratky |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649859521 PECOS PAC ID: 4486014933 Enrollment ID: I20230717001159 |
| Provider Name | Syed Imad Hussaini |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417570268 PECOS PAC ID: 7517328297 Enrollment ID: I20230727001411 |
| Provider Name | Evelyn M Lorents |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1003176710 PECOS PAC ID: 4880963024 Enrollment ID: I20230801001197 |
| Provider Name | Yasir M M Farah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023539913 PECOS PAC ID: 0547534174 Enrollment ID: I20230808000926 |
| Provider Name | Adrienne B Mejia |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1043701485 PECOS PAC ID: 6305195314 Enrollment ID: I20230815003935 |
| Provider Name | Nathan S Ledeaux |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1306201363 PECOS PAC ID: 2365777927 Enrollment ID: I20230821003823 |
| Provider Name | Philip A Eisinger |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1750371852 PECOS PAC ID: 4587636584 Enrollment ID: I20230829002111 |
| Provider Name | Gary A Mally |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1770518367 PECOS PAC ID: 4183645377 Enrollment ID: I20230829004363 |
| Provider Name | Tonguc Pinar |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1992025001 PECOS PAC ID: 0244621381 Enrollment ID: I20230830001960 |
| Provider Name | Blake Sterling Sanford |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1306308408 PECOS PAC ID: 3577897446 Enrollment ID: I20230901003539 |
| Provider Name | Timothy A Soo |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1689178899 PECOS PAC ID: 6901141878 Enrollment ID: I20230926001334 |
| Provider Name | Sunil K Gujrathi |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1982706974 PECOS PAC ID: 6406953165 Enrollment ID: I20231002002279 |
| Provider Name | Vivian H Diep |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1093344913 PECOS PAC ID: 9335561943 Enrollment ID: I20231009002709 |
| Provider Name | Michael J Connolly |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1861889909 PECOS PAC ID: 2062792542 Enrollment ID: I20231010001261 |
| Provider Name | Marcin Adam Kopec |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1407147044 PECOS PAC ID: 5799065454 Enrollment ID: I20231028000284 |
| Provider Name | Sanjay K Narotam |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1306966007 PECOS PAC ID: 3971676750 Enrollment ID: I20231106002396 |
| Provider Name | Jenna Zineddin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861276255 PECOS PAC ID: 8921454711 Enrollment ID: I20231109003619 |
| Provider Name | Anthony Tharpe |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376323592 PECOS PAC ID: 1052769429 Enrollment ID: I20231122002841 |
| Provider Name | Rebecca J Rohrer |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1225300346 PECOS PAC ID: 9133579501 Enrollment ID: I20231227001910 |
| Provider Name | Dajana Marin |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1083311039 PECOS PAC ID: 7517305360 Enrollment ID: I20240329001781 |
| Provider Name | Danielle S Williams |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1578829669 PECOS PAC ID: 1456628403 Enrollment ID: I20240405002893 |
| Provider Name | Heather Shay West |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629828728 PECOS PAC ID: 5395185557 Enrollment ID: I20240504000230 |
| Provider Name | Neil G Thayil |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1144591801 PECOS PAC ID: 7012130305 Enrollment ID: I20240504000249 |
| Provider Name | Mohammed Alagha |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1356981302 PECOS PAC ID: 3476981051 Enrollment ID: I20240607003467 |
| Provider Name | Chaudhry Hamood Ahmed Dhillon |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1306331277 PECOS PAC ID: 5193075778 Enrollment ID: I20240614003044 |
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 |