| Midwest Post Acute Care Pllc | |
|
200 N La Salle St Ste 1550 Chicago IL 60601-1034 | |
| (888) 705-8722 | |
| (888) 705-8722 |
| Full Name | Midwest Post Acute Care Pllc |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 200 N La Salle St Ste 1550, Chicago, Illinois |
| Authorized Official Name and Position | Sean Cannone (OWNER) |
| Authorized Official Contact | 8886604425 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Midwest Post Acute Care Pllc Po Box 75525 Chicago IL 60675-5525 Ph: (888) 705-8722 | Midwest Post Acute Care Pllc 200 N La Salle St Ste 1550 Chicago IL 60601-1034 Ph: (888) 705-8722 |
| NPI Number | 1083012074 |
|---|---|
| Provider Enumeration Date | 12/08/2014 |
| Last Update Date | 04/09/2024 |
| Certification Date | 03/05/2024 |
| Medicare PECOS PAC ID | 0143547117 |
|---|---|
| Medicare Enrollment ID | O20150401000634 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083012074 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
| 363L00000X | Nurse Practitioner | (Illinois) | Primary |
| Provider Name | D Jeanine Hinshaw |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336396811 PECOS PAC ID: 4880686443 Enrollment ID: I20040401001579 |
| Provider Name | Annie W Hudson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710185764 PECOS PAC ID: 7113989294 Enrollment ID: I20041101000566 |
| Provider Name | Mary K Stech |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902849789 PECOS PAC ID: 0840203790 Enrollment ID: I20060720000057 |
| Provider Name | Nkechi Onyeukwu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023031978 PECOS PAC ID: 5890697726 Enrollment ID: I20081229000616 |
| Provider Name | Julie A Austin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144430323 PECOS PAC ID: 2567514235 Enrollment ID: I20090710000566 |
| Provider Name | Diane Baboulas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538480132 PECOS PAC ID: 9335338797 Enrollment ID: I20110117000036 |
| Provider Name | Kayla R Althoff |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1760792550 PECOS PAC ID: 5890920565 Enrollment ID: I20131105001257 |
| Provider Name | Marcy S Minshall |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689092348 PECOS PAC ID: 0345463329 Enrollment ID: I20140520000952 |
| Provider Name | Toi Juana R Murray |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275764730 PECOS PAC ID: 2062636798 Enrollment ID: I20140618002195 |
| Provider Name | Aileen G Macato |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528461878 PECOS PAC ID: 6103148382 Enrollment ID: I20141124002339 |
| Provider Name | Margaret Gallagher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609270859 PECOS PAC ID: 6507183050 Enrollment ID: I20150323001449 |
| Provider Name | Zivile Calderon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083005268 PECOS PAC ID: 1153648134 Enrollment ID: I20150401001053 |
| Provider Name | Christian De Guia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720478829 PECOS PAC ID: 6406173491 Enrollment ID: I20150401001196 |
| Provider Name | Frances Walker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033507975 PECOS PAC ID: 5395062210 Enrollment ID: I20150402000320 |
| Provider Name | Maria Rubio Moore |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801280052 PECOS PAC ID: 0840518262 Enrollment ID: I20150415002085 |
| Provider Name | Diana Kotis Harber |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1609136100 PECOS PAC ID: 3577870856 Enrollment ID: I20150918001164 |
| Provider Name | Brittany Edward |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750799920 PECOS PAC ID: 0345545067 Enrollment ID: I20160217002434 |
| Provider Name | Tristan Talua |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508239963 PECOS PAC ID: 6103124854 Enrollment ID: I20160412002750 |
| Provider Name | Oluseun Osinowo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548614431 PECOS PAC ID: 6507164803 Enrollment ID: I20160420001307 |
| Provider Name | Telva T Urban |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477735884 PECOS PAC ID: 1355630328 Enrollment ID: I20160513001134 |
| Provider Name | Mary A Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720433048 PECOS PAC ID: 5799078028 Enrollment ID: I20160725002282 |
| Provider Name | Rebecca M Feiler |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154787182 PECOS PAC ID: 4183918469 Enrollment ID: I20160809002349 |
| Provider Name | Shanda Jones |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861849515 PECOS PAC ID: 0143516641 Enrollment ID: I20160909000965 |
| Provider Name | Susan Pastor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174075204 PECOS PAC ID: 8820378961 Enrollment ID: I20161207002756 |
| Provider Name | Shawna M Sapp |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619356540 PECOS PAC ID: 9436430683 Enrollment ID: I20161229001072 |
| Provider Name | Ireen Evangelista |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447704135 PECOS PAC ID: 2163791674 Enrollment ID: I20170627000138 |
| Provider Name | Colleen Monks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588194419 PECOS PAC ID: 9234409244 Enrollment ID: I20170725001132 |
| Provider Name | Senait Gebretsadik |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053843110 PECOS PAC ID: 0749550762 Enrollment ID: I20170725001952 |
| Provider Name | Allan Boquiren |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457896920 PECOS PAC ID: 1759653892 Enrollment ID: I20170823004368 |
| Provider Name | Ashley Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053834804 PECOS PAC ID: 4385917145 Enrollment ID: I20170830002618 |
| Provider Name | Carolyn A Kelly |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316399421 PECOS PAC ID: 9537432521 Enrollment ID: I20170914000197 |
| Provider Name | Stacy Schmidt |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538597828 PECOS PAC ID: 5890051536 Enrollment ID: I20171113001296 |
| Provider Name | Lynn Reisberg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356850416 PECOS PAC ID: 4981962818 Enrollment ID: I20171221001850 |
| Provider Name | Amit S Parkhe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538676424 PECOS PAC ID: 9335400902 Enrollment ID: I20180221002533 |
| Provider Name | Lauren M Rosenfeldt |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699802363 PECOS PAC ID: 6800157132 Enrollment ID: I20180302000257 |
| Provider Name | Megan Stefani |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235635269 PECOS PAC ID: 0547523607 Enrollment ID: I20180424002304 |
| Provider Name | James R Hallberg |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518373281 PECOS PAC ID: 6709131659 Enrollment ID: I20180615002412 |
| Provider Name | Liliana Martinez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346608510 PECOS PAC ID: 5991050494 Enrollment ID: I20180625003510 |
| Provider Name | Jennifer Anne Hohenadel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376022244 PECOS PAC ID: 7113278615 Enrollment ID: I20180921002694 |
| Provider Name | Maria M Daly |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780165993 PECOS PAC ID: 8820341696 Enrollment ID: I20181024001239 |
| Provider Name | Manal Khashan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588172480 PECOS PAC ID: 5294079752 Enrollment ID: I20181211000007 |
| Provider Name | Jennifer M Alamillo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235603713 PECOS PAC ID: 4183963119 Enrollment ID: I20190308000503 |
| Provider Name | Carmen Perez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639634876 PECOS PAC ID: 8224377189 Enrollment ID: I20190312000210 |
| Provider Name | Amy Lynn Rosinski |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952869091 PECOS PAC ID: 2769723717 Enrollment ID: I20190401001861 |
| Provider Name | Tammy Andes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639635972 PECOS PAC ID: 3971844853 Enrollment ID: I20190402000883 |
| Provider Name | Alyssa S Harrison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922560481 PECOS PAC ID: 9032451877 Enrollment ID: I20190429000196 |
| Provider Name | Edna M Rios |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982145967 PECOS PAC ID: 7012250996 Enrollment ID: I20190516000591 |
| Provider Name | Martynas Aukstuolis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1790346526 PECOS PAC ID: 5294060802 Enrollment ID: I20190718000207 |
| Provider Name | Lori Thomason |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992362651 PECOS PAC ID: 6608102702 Enrollment ID: I20190726002816 |
| Provider Name | Amber M Pendegraft |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710549613 PECOS PAC ID: 3678800315 Enrollment ID: I20190803000034 |
| Provider Name | Ashley Yardley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962056853 PECOS PAC ID: 2668701798 Enrollment ID: I20190913003005 |
| Provider Name | Kimberly Sparenberg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891345518 PECOS PAC ID: 9234460635 Enrollment ID: I20191016002603 |
| Provider Name | Kimberly Danner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043860299 PECOS PAC ID: 1355776386 Enrollment ID: I20200121000146 |
| Provider Name | Renee Marie Hill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487287397 PECOS PAC ID: 2163850447 Enrollment ID: I20200319002882 |
| Provider Name | Kimberly Mitchell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700350170 PECOS PAC ID: 6507293792 Enrollment ID: I20200330001071 |
| Provider Name | Lauren Leigh Saia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922595412 PECOS PAC ID: 5092070607 Enrollment ID: I20200403001438 |
| Provider Name | Cheryl Elizabeth Gonska |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700406741 PECOS PAC ID: 1052742822 Enrollment ID: I20200511002681 |
| Provider Name | Christine Deliva |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245865906 PECOS PAC ID: 8527481209 Enrollment ID: I20200714001828 |
| Provider Name | Sara Elizabeth Yant |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578752465 PECOS PAC ID: 6709200603 Enrollment ID: I20200724002007 |
| Provider Name | Thomas Cicero |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1609492933 PECOS PAC ID: 5294150694 Enrollment ID: I20200801000006 |
| Provider Name | Daniel Stewart Meadows |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306049358 PECOS PAC ID: 2961536222 Enrollment ID: I20200804003627 |
| Provider Name | Shelbi N Birch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811530868 PECOS PAC ID: 8325468481 Enrollment ID: I20201012002330 |
| Provider Name | Dawyn Marie Jenkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083258008 PECOS PAC ID: 5193145464 Enrollment ID: I20201027000399 |
| Provider Name | Rachael Beth Waldman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215530100 PECOS PAC ID: 7416369509 Enrollment ID: I20201214003149 |
| Provider Name | Kate Priya Myles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376153825 PECOS PAC ID: 8527470368 Enrollment ID: I20201218001516 |
| Provider Name | Rockie Vanga |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104473784 PECOS PAC ID: 9436563285 Enrollment ID: I20210206000033 |
| Provider Name | Rachel Lehr |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497313316 PECOS PAC ID: 3274948799 Enrollment ID: I20210319000020 |
| Provider Name | Olumide Samson Fagbemi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013163765 PECOS PAC ID: 3577972488 Enrollment ID: I20210505002273 |
| Provider Name | Bryan Young |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922580562 PECOS PAC ID: 6608113873 Enrollment ID: I20210630003458 |
| Provider Name | Natalia Katarzyna Buron |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508436502 PECOS PAC ID: 6507269024 Enrollment ID: I20210721003192 |
| Provider Name | Jennifer Buggeln |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1659877876 PECOS PAC ID: 6901296094 Enrollment ID: I20211203001390 |
| Provider Name | Kelly Argo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275203051 PECOS PAC ID: 1456741206 Enrollment ID: I20211209001364 |
| Provider Name | Melanie Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952065880 PECOS PAC ID: 5799177358 Enrollment ID: I20220112000692 |
| Provider Name | Kelsey Stallter |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114500840 PECOS PAC ID: 7012300890 Enrollment ID: I20220201000511 |
| Provider Name | Anna Rybak |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245999747 PECOS PAC ID: 7315330909 Enrollment ID: I20220202002858 |
| Provider Name | Lindsay E Crawford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033889761 PECOS PAC ID: 4385037209 Enrollment ID: I20220216002576 |
| Provider Name | Immaculee Nyirasuku |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568942092 PECOS PAC ID: 8224422019 Enrollment ID: I20220221000948 |
| Provider Name | Timi Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265184634 PECOS PAC ID: 3375937964 Enrollment ID: I20220224001251 |
| Provider Name | Karl Roi Fontelo Calingacion |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598410375 PECOS PAC ID: 4789079450 Enrollment ID: I20220315002347 |
| Provider Name | Yoand Urquia Mora |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699360891 PECOS PAC ID: 8820485204 Enrollment ID: I20220504000806 |
| Provider Name | Delaina Michelle Swiney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285374728 PECOS PAC ID: 9234516931 Enrollment ID: I20220518002800 |
| Provider Name | Oyeyemi Anthony Shodiya |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841946944 PECOS PAC ID: 2961882527 Enrollment ID: I20220629002129 |
| Provider Name | Randi D Bryan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871241018 PECOS PAC ID: 5395125637 Enrollment ID: I20220705002428 |
| Provider Name | Cleauquita Wiley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528252061 PECOS PAC ID: 4587712732 Enrollment ID: I20220713002699 |
| Provider Name | Donzell Lampkins |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982112173 PECOS PAC ID: 7517348816 Enrollment ID: I20220718003321 |
| Provider Name | Chelsea Caye Pugh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356078646 PECOS PAC ID: 2860877347 Enrollment ID: I20220920001299 |
| Provider Name | Rebecca L. Hallaron |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992426829 PECOS PAC ID: 7719363761 Enrollment ID: I20220929000501 |
| Provider Name | Amanda Jo Grant |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790396273 PECOS PAC ID: 1557739679 Enrollment ID: I20221122000524 |
| Provider Name | Taleatha Welch |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194315234 PECOS PAC ID: 6002285947 Enrollment ID: I20221215000465 |
| Provider Name | Sarah E Lamie |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306023320 PECOS PAC ID: 1951771625 Enrollment ID: I20221221003259 |
| Provider Name | Brinderjit Benipal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205552379 PECOS PAC ID: 2264803584 Enrollment ID: I20230125001205 |
| Provider Name | Tiffany Zelek |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447927579 PECOS PAC ID: 9436521085 Enrollment ID: I20230208002688 |
| Provider Name | Haina Irish Ramos |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841636578 PECOS PAC ID: 2062886708 Enrollment ID: I20230321001799 |
| Provider Name | Tyra Storey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073210183 PECOS PAC ID: 0648645739 Enrollment ID: I20230403001105 |
| Provider Name | Stephanie Calderas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649867003 PECOS PAC ID: 4082079124 Enrollment ID: I20230425002385 |
| Provider Name | Marla Lichterman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003510579 PECOS PAC ID: 7517322035 Enrollment ID: I20230504002327 |
| Provider Name | Andrea Moore |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578010435 PECOS PAC ID: 1052778602 Enrollment ID: I20230613001873 |
| Provider Name | Ashley Okoroigwe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447949854 PECOS PAC ID: 3678933421 Enrollment ID: I20230712002497 |
| Provider Name | Charlene Hall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891484366 PECOS PAC ID: 0941660104 Enrollment ID: I20230719002420 |
| Provider Name | Sheree Lachelle Lamprecht |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588379788 PECOS PAC ID: 7113388729 Enrollment ID: I20230730000113 |
| Provider Name | Jessica Nicole Thomas |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932848934 PECOS PAC ID: 5799146841 Enrollment ID: I20230804002651 |
| Provider Name | Kayla Shillcutt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427735687 PECOS PAC ID: 2668832841 Enrollment ID: I20230818002338 |
| Provider Name | Cassie Ann Abendroth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063103547 PECOS PAC ID: 3072976208 Enrollment ID: I20230905003778 |
| Provider Name | Stacy A Kissamis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437935699 PECOS PAC ID: 1355795063 Enrollment ID: I20230929000597 |
| Provider Name | Karissa Yu |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184268351 PECOS PAC ID: 9537513932 Enrollment ID: I20231003001668 |
| Provider Name | Natasha Nicole Allen |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1336865120 PECOS PAC ID: 3577914290 Enrollment ID: I20240108000574 |
| Provider Name | Elizabeth Uhlig |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598533515 PECOS PAC ID: 9739532854 Enrollment ID: I20240125000493 |
| Provider Name | Andrea Anita Cambray |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982477295 PECOS PAC ID: 1850744319 Enrollment ID: I20240131003338 |
| Provider Name | Paul Ninnemann |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1760863542 PECOS PAC ID: 1658714670 Enrollment ID: I20240207000680 |
| Provider Name | Mark Mederich |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700648045 PECOS PAC ID: 1355784836 Enrollment ID: I20240212003701 |
| Provider Name | Diane Marie Thomas |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1538926027 PECOS PAC ID: 4082053251 Enrollment ID: I20240419003610 |
| Provider Name | Lindsey Danielle Rahn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780434175 PECOS PAC ID: 0749621936 Enrollment ID: I20240520001108 |
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 |