| Walmart Health | |
|
1715 N. Kilpatrick Ave. Chicago IL 60639 | |
| (773) 687-6041 | |
| (773) 276-7564 |
| Full Name | Walmart Health |
|---|---|
| Speciality | General Practice |
| Location | 1715 N. Kilpatrick Ave., Chicago, Illinois |
| Authorized Official Name and Position | Soujanya Pulluru (OWNER) |
| Authorized Official Contact | 4792772500 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Walmart Health 702 Sw 8th St # Ms 0445 Bentonville AR 72716-0445 Ph: (479) 204-1258 | Walmart Health 1715 N. Kilpatrick Ave. Chicago IL 60639 Ph: (773) 687-6041 |
| NPI Number | 1336748367 |
|---|---|
| Provider Enumeration Date | 10/21/2020 |
| Last Update Date | 01/29/2021 |
| Certification Date | 01/12/2021 |
| Medicare PECOS PAC ID | 4486060167 |
|---|---|
| Medicare Enrollment ID | O20210303002532 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336748367 | NPI | - | NPPES |
| Provider Name | Tian Chu Shih |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1548290109 PECOS PAC ID: 2961447545 Enrollment ID: I20050623000756 |
| Provider Name | Jabeen Aqueel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689883225 PECOS PAC ID: 4587764873 Enrollment ID: I20070716000605 |
| Provider Name | Gwendolyn D Pinkney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730201765 PECOS PAC ID: 6305935412 Enrollment ID: I20071127000630 |
| Provider Name | Shatara Coleman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801174701 PECOS PAC ID: 0042477168 Enrollment ID: I20120201000548 |
| Provider Name | Kevin J Strohl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053652545 PECOS PAC ID: 3577797877 Enrollment ID: I20130927000319 |
| Provider Name | Dionne Renee Coleman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932568193 PECOS PAC ID: 1052619913 Enrollment ID: I20170131001649 |
| Provider Name | Johann R Serag |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487987814 PECOS PAC ID: 5890932172 Enrollment ID: I20170302000426 |
| Provider Name | Valerie R. Turlan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487172136 PECOS PAC ID: 9638424955 Enrollment ID: I20180608001769 |
| Provider Name | Urvi A Gandhi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760953889 PECOS PAC ID: 5799018867 Enrollment ID: I20190604001797 |
| Provider Name | Vonnise R Hussey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902379621 PECOS PAC ID: 5698007805 Enrollment ID: I20191021002221 |
| Provider Name | Weslin Thomas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821521238 PECOS PAC ID: 3678846961 Enrollment ID: I20200706000367 |
| Provider Name | Puja Turakhia |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255838686 PECOS PAC ID: 2264820687 Enrollment ID: I20211103002305 |
| Provider Name | Madhuri Uppalapati |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1316470743 PECOS PAC ID: 7618246786 Enrollment ID: I20211217001789 |
| Provider Name | Almanely Castillo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750984290 PECOS PAC ID: 3375952245 Enrollment ID: I20230130002344 |
| Provider Name | Kristin Grace |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356323620 PECOS PAC ID: 4284807280 Enrollment ID: I20231016002356 |
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 | |
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