| Millennium Building | |
|
1340 S Damen Ave Chicago IL 60608-1169 | |
| (773) 484-1000 | |
| Not Available |
| Full Name | Millennium Building |
|---|---|
| Speciality | Clinic/Center |
| Location | 1340 S Damen Ave, Chicago, Illinois |
| Authorized Official Name and Position | Rose Rosario (AUTHORIZED OFFICIAL, DTR RCM & PFS) |
| Authorized Official Contact | 7734841000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Millennium Building 1340 S Damen Ave Chicago IL 60608-1169 Ph: (773) 484-1000 | Millennium Building 1340 S Damen Ave Chicago IL 60608-1169 Ph: (773) 484-1000 |
| NPI Number | 1881086064 |
|---|---|
| Provider Enumeration Date | 02/25/2015 |
| Last Update Date | 08/28/2024 |
| Certification Date | 08/28/2024 |
| Medicare PECOS PAC ID | 1254321474 |
|---|---|
| Medicare Enrollment ID | O20040518000419 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881086064 | NPI | - | NPPES |
| Provider Name | Kamran Heydarpour |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1093764193 PECOS PAC ID: 4981691078 Enrollment ID: I20040521000215 |
| Provider Name | Roueen Rafeyan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1003891458 PECOS PAC ID: 5991693921 Enrollment ID: I20040601001325 |
| Provider Name | William W Lin |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1396776209 PECOS PAC ID: 9638069529 Enrollment ID: I20040719001362 |
| Provider Name | Nawar Hatoum |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1679549299 PECOS PAC ID: 2567433030 Enrollment ID: I20040805001543 |
| Provider Name | Matthew Aaron Meadows |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1275599219 PECOS PAC ID: 6103898143 Enrollment ID: I20040810000701 |
| Provider Name | Ashish Mukherjee |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1710997259 PECOS PAC ID: 3476513615 Enrollment ID: I20041013000342 |
| Provider Name | Andrew S Kulik |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1245360411 PECOS PAC ID: 2668434838 Enrollment ID: I20041029000876 |
| Provider Name | Steven M Nydick |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1144267162 PECOS PAC ID: 7719944727 Enrollment ID: I20041210000870 |
| Provider Name | Siddiq Hasan |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1679549356 PECOS PAC ID: 8729036850 Enrollment ID: I20050105000941 |
| Provider Name | Gopal G Lalmalani |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1942221981 PECOS PAC ID: 6507768603 Enrollment ID: I20050208000964 |
| Provider Name | Gary G Wiesman |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1821191404 PECOS PAC ID: 4688614431 Enrollment ID: I20050511000267 |
| Provider Name | Yvonne M Curran |
|---|---|
| Provider Type | Practitioner - Neuropsychiatry |
| Provider Identifiers | NPI Number: 1518950039 PECOS PAC ID: 2769418102 Enrollment ID: I20050715001118 |
| Provider Name | Mohamed Dahodwala |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1043230857 PECOS PAC ID: 2860394962 Enrollment ID: I20050727000086 |
| Provider Name | Deborah A Boyle |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1104857499 PECOS PAC ID: 0244269660 Enrollment ID: I20050805000744 |
| Provider Name | Micheal P Macken |
|---|---|
| Provider Type | Practitioner - Neuropsychiatry |
| Provider Identifiers | NPI Number: 1336110550 PECOS PAC ID: 9830129121 Enrollment ID: I20050816001060 |
| 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 | Imran Qureshi |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1487604161 PECOS PAC ID: 2062446461 Enrollment ID: I20050926000030 |
| Provider Name | Javwaud A Zafar |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1891745816 PECOS PAC ID: 6305866765 Enrollment ID: I20051130000238 |
| Provider Name | Mutazz H Darweesh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205934395 PECOS PAC ID: 6901827716 Enrollment ID: I20051208000295 |
| Provider Name | Kenneth I Oriordan |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1912075649 PECOS PAC ID: 3577586239 Enrollment ID: I20060112000077 |
| Provider Name | Mani Mahdavian |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1992873624 PECOS PAC ID: 3072536309 Enrollment ID: I20060112000291 |
| Provider Name | Eden Takhsh |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1881677730 PECOS PAC ID: 9537174909 Enrollment ID: I20060207000715 |
| Provider Name | Mohsen Anwar |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1346290368 PECOS PAC ID: 7719870153 Enrollment ID: I20060303000299 |
| Provider Name | Calin I Caluser |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1063454478 PECOS PAC ID: 4981614856 Enrollment ID: I20060424000209 |
| Provider Name | Mukesh C Patel |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1396739223 PECOS PAC ID: 8729098124 Enrollment ID: I20060502000098 |
| Provider Name | Stephan U Schuele |
|---|---|
| Provider Type | Practitioner - Neuropsychiatry |
| Provider Identifiers | NPI Number: 1427047000 PECOS PAC ID: 6507850161 Enrollment ID: I20061004000430 |
| Provider Name | Michele A Bucciero |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1255441275 PECOS PAC ID: 7618974981 Enrollment ID: I20061030000162 |
| Provider Name | John H Doumanian |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1477640399 PECOS PAC ID: 1456358365 Enrollment ID: I20061106000496 |
| Provider Name | Rajeswari Chandran |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1841353174 PECOS PAC ID: 4284737487 Enrollment ID: I20070308000250 |
| Provider Name | Subhash C Goyal |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1386617694 PECOS PAC ID: 8022113075 Enrollment ID: I20070419000303 |
| Provider Name | Howard N Sankary |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1366481871 PECOS PAC ID: 3678475779 Enrollment ID: I20070426000094 |
| Provider Name | Yetunde Johnson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1164622361 PECOS PAC ID: 3779675996 Enrollment ID: I20070817000343 |
| Provider Name | Niranjan C Shah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871700096 PECOS PAC ID: 7416014428 Enrollment ID: I20090318000611 |
| Provider Name | Bolanle O Soyannwo Balogun |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316122468 PECOS PAC ID: 6103973557 Enrollment ID: I20090422000167 |
| Provider Name | Michael Gomez |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1922277268 PECOS PAC ID: 5496805582 Enrollment ID: I20090611000205 |
| Provider Name | Mary-kay Ayers |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1760552582 PECOS PAC ID: 1951455344 Enrollment ID: I20090819000759 |
| Provider Name | Elizabeth E Gerard |
|---|---|
| Provider Type | Practitioner - Neuropsychiatry |
| Provider Identifiers | NPI Number: 1548380702 PECOS PAC ID: 7214081322 Enrollment ID: I20090824000374 |
| Provider Name | Molly K Kirkwood |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1336211093 PECOS PAC ID: 0840334967 Enrollment ID: I20100212000436 |
| Provider Name | Magdy M Michael |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750346011 PECOS PAC ID: 9537296488 Enrollment ID: I20100423000614 |
| Provider Name | Ngozi Nduka |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1902137201 PECOS PAC ID: 3476682246 Enrollment ID: I20100603000955 |
| Provider Name | Robert A Palmer |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1942401021 PECOS PAC ID: 2668524679 Enrollment ID: I20101029001147 |
| Provider Name | Michelle Korzec |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1114071735 PECOS PAC ID: 4688853302 Enrollment ID: I20110127000550 |
| Provider Name | Mahesh C Patel |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1023191145 PECOS PAC ID: 6103007679 Enrollment ID: I20110217000232 |
| Provider Name | Chukwudozie Ezeokoli |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881838159 PECOS PAC ID: 2567644818 Enrollment ID: I20110308001023 |
| Provider Name | Marek Rudnicki |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1801810338 PECOS PAC ID: 5395929616 Enrollment ID: I20110412000363 |
| Provider Name | Sami Sibai |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1740478494 PECOS PAC ID: 4880848910 Enrollment ID: I20130125000232 |
| Provider Name | Katarzyna A Koziol |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710222344 PECOS PAC ID: 9234384918 Enrollment ID: I20130302000005 |
| Provider Name | Dorenda L Lewis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407197841 PECOS PAC ID: 2264671148 Enrollment ID: I20130626000109 |
| Provider Name | Nicole S Nettgen |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1730212309 PECOS PAC ID: 0648411538 Enrollment ID: I20130718000174 |
| Provider Name | Steven Koopman |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1811199573 PECOS PAC ID: 0446438261 Enrollment ID: I20130723000750 |
| Provider Name | Richard Doyle |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1154563146 PECOS PAC ID: 7315171493 Enrollment ID: I20131002000650 |
| Provider Name | Majed Dalloul |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1922328426 PECOS PAC ID: 4880835578 Enrollment ID: I20140418000072 |
| Provider Name | Umesh Dyamenahalli |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1659461150 PECOS PAC ID: 2860483815 Enrollment ID: I20140613001540 |
| Provider Name | Sarah Hoque |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1013238310 PECOS PAC ID: 7315164910 Enrollment ID: I20140805001829 |
| Provider Name | Stephen A Vanhaerents |
|---|---|
| Provider Type | Practitioner - Neuropsychiatry |
| Provider Identifiers | NPI Number: 1629203328 PECOS PAC ID: 0941429419 Enrollment ID: I20140915002543 |
| Provider Name | Leslie Sanchez |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1508282302 PECOS PAC ID: 4981824612 Enrollment ID: I20141001001672 |
| Provider Name | Michelle E Lindgren |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1861652455 PECOS PAC ID: 7719202233 Enrollment ID: I20150204001028 |
| Provider Name | Mario Masrur |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1811254568 PECOS PAC ID: 4284950221 Enrollment ID: I20150310000512 |
| Provider Name | Nelli Khallak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871922740 PECOS PAC ID: 9234359738 Enrollment ID: I20150316002062 |
| Provider Name | Pamela J Kohlenberg |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1548330103 PECOS PAC ID: 6002136710 Enrollment ID: I20150520002324 |
| Provider Name | Jessica W Templer |
|---|---|
| Provider Type | Practitioner - Neuropsychiatry |
| Provider Identifiers | NPI Number: 1629399571 PECOS PAC ID: 5597078790 Enrollment ID: I20150716002918 |
| Provider Name | Alfredo J Mena Lora |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1639307283 PECOS PAC ID: 2163736208 Enrollment ID: I20150803000469 |
| Provider Name | Shilpa R Singh |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1184927121 PECOS PAC ID: 3577877349 Enrollment ID: I20150806012573 |
| Provider Name | Ayodeji O Gbotosho |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487910675 PECOS PAC ID: 9436464591 Enrollment ID: I20150818005753 |
| Provider Name | Mohammad H Alattar |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1588638316 PECOS PAC ID: 1153637855 Enrollment ID: I20150826000154 |
| Provider Name | Elizabeth A Redican |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154615797 PECOS PAC ID: 4183854987 Enrollment ID: I20150917002303 |
| Provider Name | Sorel Lira |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1639445331 PECOS PAC ID: 9133429343 Enrollment ID: I20151119001684 |
| Provider Name | Ousama Dallal |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1285608158 PECOS PAC ID: 8628088978 Enrollment ID: I20151221001405 |
| Provider Name | Mariola Jackowski |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1295937662 PECOS PAC ID: 4688975477 Enrollment ID: I20151221001751 |
| Provider Name | Joan M Roberts |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1811180276 PECOS PAC ID: 0749583870 Enrollment ID: I20160125001308 |
| Provider Name | Chandra Hassan |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1508031824 PECOS PAC ID: 8820144223 Enrollment ID: I20160414001591 |
| Provider Name | David S Goodyear |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1912273806 PECOS PAC ID: 2668767898 Enrollment ID: I20160826000223 |
| Provider Name | James Hwang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134489446 PECOS PAC ID: 7911120662 Enrollment ID: I20160913000837 |
| Provider Name | Liliana Carrera-murillo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841740339 PECOS PAC ID: 2860773322 Enrollment ID: I20161221002060 |
| Provider Name | Tatjana Solar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841644507 PECOS PAC ID: 7517248883 Enrollment ID: I20161228000246 |
| Provider Name | Jimena Beatriz Alvarez Soto |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1679817365 PECOS PAC ID: 8325357510 Enrollment ID: I20170308001830 |
| Provider Name | Victor Udechukwu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871900589 PECOS PAC ID: 7719283456 Enrollment ID: I20170727000112 |
| Provider Name | Kim V Tran |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891235230 PECOS PAC ID: 0143592741 Enrollment ID: I20170816003604 |
| Provider Name | Melissa Preyss |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1073952768 PECOS PAC ID: 1153624945 Enrollment ID: I20170912001459 |
| Provider Name | Corey W Shumate |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245758580 PECOS PAC ID: 5991071714 Enrollment ID: I20171024000582 |
| Provider Name | Megan K Dawson |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1154841815 PECOS PAC ID: 1951668045 Enrollment ID: I20171128001023 |
| Provider Name | Kelly M Dugan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528580065 PECOS PAC ID: 9931469574 Enrollment ID: I20180130003030 |
| Provider Name | Kristina Nichole Pontarelli |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1285977314 PECOS PAC ID: 4385953579 Enrollment ID: I20180406000024 |
| Provider Name | Shelia Lavette Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154820413 PECOS PAC ID: 1355698556 Enrollment ID: I20180719000178 |
| Provider Name | Syed Tariq Khalil |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1497000517 PECOS PAC ID: 2365684644 Enrollment ID: I20180823001364 |
| Provider Name | Stephanie Nicole Solari |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871088591 PECOS PAC ID: 7113278755 Enrollment ID: I20180920003483 |
| Provider Name | Tiffany Dean |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699273011 PECOS PAC ID: 1355694951 Enrollment ID: I20181029002847 |
| Provider Name | Yara Mikhaeil-demo |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1427311646 PECOS PAC ID: 9436455227 Enrollment ID: I20181126003657 |
| Provider Name | Bruni Hirsch |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1245719327 PECOS PAC ID: 7012251663 Enrollment ID: I20181207001666 |
| Provider Name | Yuh-jin (jean) Tzou |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1770888679 PECOS PAC ID: 4486992450 Enrollment ID: I20190218000638 |
| Provider Name | Brendan Lawrence Webb |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740371186 PECOS PAC ID: 5294628707 Enrollment ID: I20190227002865 |
| Provider Name | Rebecca Cummings |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255895546 PECOS PAC ID: 8628310091 Enrollment ID: I20190506000231 |
| Provider Name | Scott Borgetti |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1609118025 PECOS PAC ID: 3678883949 Enrollment ID: I20190718000213 |
| Provider Name | Giedre Pritchard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932751963 PECOS PAC ID: 1850627761 Enrollment ID: I20190731000679 |
| Provider Name | Maritza G Gonzalez |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1154684728 PECOS PAC ID: 8921353236 Enrollment ID: I20190913000567 |
| Provider Name | Shiraz Rahim |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1073856118 PECOS PAC ID: 0749535607 Enrollment ID: I20190930002270 |
| Provider Name | Vikrant Azad |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1740416684 PECOS PAC ID: 4688845639 Enrollment ID: I20191016002467 |
| Provider Name | Bikram Sharma |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1063891232 PECOS PAC ID: 5092047100 Enrollment ID: I20191022003274 |
| Provider Name | Suyeun Ban |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003269846 PECOS PAC ID: 8426481300 Enrollment ID: I20191206001503 |
| Provider Name | Allison Thoburn |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962881086 PECOS PAC ID: 7618289117 Enrollment ID: I20191219002188 |
| Provider Name | Tiffany D Chang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982050985 PECOS PAC ID: 7113211558 Enrollment ID: I20200218001190 |
| Provider Name | Zehra S Kanji-ghaziani |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295366862 PECOS PAC ID: 1254769292 Enrollment ID: I20200325001371 |
| Provider Name | Perla Cecilia Flores |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508491713 PECOS PAC ID: 9133557184 Enrollment ID: I20200325001901 |
| Provider Name | Abbas Chamsuddin |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1578539557 PECOS PAC ID: 0446150262 Enrollment ID: I20201104000761 |
| Provider Name | Thomas Courville Yates |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861920779 PECOS PAC ID: 4981974136 Enrollment ID: I20210224001071 |
| Provider Name | Jasmine Emmanuel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740813468 PECOS PAC ID: 9436567997 Enrollment ID: I20210421002342 |
| Provider Name | Javier Enrique Fajardo |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1902943780 PECOS PAC ID: 0941304265 Enrollment ID: I20210812002695 |
| Provider Name | Mayra R Yanez |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1912434671 PECOS PAC ID: 7911302013 Enrollment ID: I20210827002379 |
| Provider Name | Adil S Ali |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568967958 PECOS PAC ID: 9638577588 Enrollment ID: I20211007002518 |
| Provider Name | Elizabeth L Lockerman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952806580 PECOS PAC ID: 0749538767 Enrollment ID: I20211022000343 |
| Provider Name | Melani K Lighter |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1033592340 PECOS PAC ID: 6901112234 Enrollment ID: I20211130000216 |
| Provider Name | Ewa Zofia Ehrlich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134895196 PECOS PAC ID: 7416348198 Enrollment ID: I20220107000530 |
| Provider Name | Huy D Hoang |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1376975185 PECOS PAC ID: 6002233566 Enrollment ID: I20220721003773 |
| Provider Name | Murtaza A Mirza |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174905277 PECOS PAC ID: 7113309915 Enrollment ID: I20220726002336 |
| Provider Name | Oluwatosin Odunsi |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1801216429 PECOS PAC ID: 7618276015 Enrollment ID: I20220805000205 |
| Provider Name | Coleen M Murphy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629647201 PECOS PAC ID: 1951784271 Enrollment ID: I20220819001086 |
| Provider Name | Sara Jean Twiehaus |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1285128926 PECOS PAC ID: 8426307612 Enrollment ID: I20220825001474 |
| Provider Name | Benjamin German |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740716281 PECOS PAC ID: 5698001576 Enrollment ID: I20220920001428 |
| Provider Name | Jacqueline Martinez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457092868 PECOS PAC ID: 1850776295 Enrollment ID: I20220921000470 |
| Provider Name | Lisa Y Shimotake |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1710245618 PECOS PAC ID: 8426321423 Enrollment ID: I20221012002390 |
| Provider Name | Rafay Ahmed |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1851617146 PECOS PAC ID: 6709027931 Enrollment ID: I20221031000063 |
| Provider Name | Umar Tariq |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1578903134 PECOS PAC ID: 1850695271 Enrollment ID: I20221103002039 |
| Provider Name | Kimberly Joy Foster |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407435985 PECOS PAC ID: 5890169890 Enrollment ID: I20230314001918 |
| Provider Name | Ahmad Mousa |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1265973606 PECOS PAC ID: 7810261591 Enrollment ID: I20230407001606 |
| Provider Name | Tashfeen Ekram |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1477714087 PECOS PAC ID: 6103067038 Enrollment ID: I20230426001379 |
| Provider Name | Shaina Herring |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1992284889 PECOS PAC ID: 4688030877 Enrollment ID: I20230512001781 |
| Provider Name | Rabia Khan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1730575580 PECOS PAC ID: 1850695149 Enrollment ID: I20230517002019 |
| Provider Name | Ifeoma Aguanunu |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1003221276 PECOS PAC ID: 2365662079 Enrollment ID: I20230526001022 |
| Provider Name | Jehanzeb Khan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1164445417 PECOS PAC ID: 0244330025 Enrollment ID: I20230607003791 |
| Provider Name | Batool Huzaifa Husain |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1134780547 PECOS PAC ID: 8820328156 Enrollment ID: I20230608001997 |
| Provider Name | Bedirhan Tarhan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1629599493 PECOS PAC ID: 2961775887 Enrollment ID: I20230628001761 |
| Provider Name | Paula I. Duff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356012611 PECOS PAC ID: 5193188910 Enrollment ID: I20230828001118 |
| Provider Name | Cody L Nathan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1336671338 PECOS PAC ID: 4486077286 Enrollment ID: I20230920001416 |
| Provider Name | Erick Woodrow Skaff |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568920171 PECOS PAC ID: 1951756865 Enrollment ID: I20231012003032 |
| Provider Name | Joongyu Song |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003376062 PECOS PAC ID: 3476888694 Enrollment ID: I20231023000892 |
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 |