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4440 W 95th St Oak Lawn IL 60453-2600 | |
| (708) 684-5015 | |
| (708) 520-1820 |
| Full Name | |
|---|---|
| Speciality | Internal Medicine |
| Location | 4440 W 95th St, Oak Lawn, Illinois |
| Authorized Official Name and Position | Michael Ries (PRESIDENT) |
| Authorized Official Contact | 7086848000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
28592 Network Pl Chicago IL 60673-1285 Ph: (800) 655-2656 | 4440 W 95th St Oak Lawn IL 60453-2600 Ph: (708) 684-5015 |
| NPI Number | 1629441027 |
|---|---|
| Provider Enumeration Date | 11/06/2015 |
| Last Update Date | 01/18/2022 |
| Medicare PECOS PAC ID | 7810800935 |
|---|---|
| Medicare Enrollment ID | O20151211000056 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629441027 | NPI | - | NPPES |
| Provider Name | Francis P Jamilla |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1316938897 PECOS PAC ID: 7315932076 Enrollment ID: I20040430000341 |
| Provider Name | Jimmy K Park |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1396803144 PECOS PAC ID: 5496731879 Enrollment ID: I20040626000049 |
| Provider Name | Ashby Jordan |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1326031436 PECOS PAC ID: 6507834629 Enrollment ID: I20040917000022 |
| Provider Name | Bhaven Shah |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1558387654 PECOS PAC ID: 4385603679 Enrollment ID: I20041004000243 |
| Provider Name | Rebeca M Rico |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1437264181 PECOS PAC ID: 4284665746 Enrollment ID: I20050824000542 |
| Provider Name | Mohamad Iyad Al-massalkhi |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1457300857 PECOS PAC ID: 6901814516 Enrollment ID: I20060323000350 |
| Provider Name | Ellen C Omi |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1487689816 PECOS PAC ID: 2365440484 Enrollment ID: I20061127000321 |
| Provider Name | Moutaz Sunbuli |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1396963559 PECOS PAC ID: 8729189071 Enrollment ID: I20070731000207 |
| Provider Name | Elizabeth M Klein |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1396716940 PECOS PAC ID: 1355393273 Enrollment ID: I20080428000219 |
| Provider Name | Essam F Mekhaiel |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1659558666 PECOS PAC ID: 0244309987 Enrollment ID: I20080520000862 |
| Provider Name | Dinas Aleksonis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255505608 PECOS PAC ID: 4284708801 Enrollment ID: I20080730000820 |
| Provider Name | Joanne K Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750545505 PECOS PAC ID: 6406918531 Enrollment ID: I20081223000489 |
| Provider Name | Hamed Mataria |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1285845818 PECOS PAC ID: 6103971783 Enrollment ID: I20090903000115 |
| Provider Name | Jennifer A Fox |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114259587 PECOS PAC ID: 0547392169 Enrollment ID: I20100719000005 |
| Provider Name | Mousab Almusaddy |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1699720896 PECOS PAC ID: 9335123173 Enrollment ID: I20100826001127 |
| Provider Name | Tracy K. Brunetti |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912133596 PECOS PAC ID: 4486848835 Enrollment ID: I20101030000050 |
| Provider Name | Mohammad Kamel Omari |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1790715894 PECOS PAC ID: 9335142231 Enrollment ID: I20101108000111 |
| Provider Name | Isis M Duran |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1891943619 PECOS PAC ID: 8022296565 Enrollment ID: I20110701000274 |
| Provider Name | Cynthia Ann Hinojosa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548578339 PECOS PAC ID: 2961670856 Enrollment ID: I20110720000345 |
| Provider Name | Rafat O Mohammed |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1902010242 PECOS PAC ID: 5991973422 Enrollment ID: I20110727000381 |
| Provider Name | Kalani Wells |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417214222 PECOS PAC ID: 8628224896 Enrollment ID: I20120804000089 |
| Provider Name | Julia C Espel |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1134456742 PECOS PAC ID: 5496909392 Enrollment ID: I20130130000327 |
| Provider Name | David Alan Barounis |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1497067409 PECOS PAC ID: 2567607740 Enrollment ID: I20130315000335 |
| Provider Name | Lorri L Mccourt Odonnell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972806636 PECOS PAC ID: 6709026909 Enrollment ID: I20130711000760 |
| Provider Name | Faiza Hashmi |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1972812774 PECOS PAC ID: 3779717947 Enrollment ID: I20131002000392 |
| Provider Name | Alison M Bartnicki |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366862005 PECOS PAC ID: 3173747243 Enrollment ID: I20140610002269 |
| Provider Name | Sarah A Usmani |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1538350384 PECOS PAC ID: 6103043617 Enrollment ID: I20140806002521 |
| Provider Name | Samir R Patel |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1598969115 PECOS PAC ID: 1355492208 Enrollment ID: I20140916001400 |
| Provider Name | Amy A Stewart |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1255582896 PECOS PAC ID: 6507008653 Enrollment ID: I20141030000945 |
| Provider Name | Lindsay Stanek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669713616 PECOS PAC ID: 2567775083 Enrollment ID: I20150713002120 |
| Provider Name | Rochelle Sweis |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1477796167 PECOS PAC ID: 6800101882 Enrollment ID: I20150820009755 |
| Provider Name | Gautam Mehta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336481779 PECOS PAC ID: 6204146368 Enrollment ID: I20160603000913 |
| Provider Name | Kristen A Dudzik |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831646991 PECOS PAC ID: 5890078455 Enrollment ID: I20170207000250 |
| Provider Name | Michael J Katsoulis |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1073802435 PECOS PAC ID: 0941590095 Enrollment ID: I20170328001120 |
| Provider Name | Anas F Lababidi |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1932553583 PECOS PAC ID: 8628354990 Enrollment ID: I20170421000857 |
| Provider Name | Debjit Saha |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1003213364 PECOS PAC ID: 6406134840 Enrollment ID: I20170509002167 |
| Provider Name | Emily K Jonas |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1063772572 PECOS PAC ID: 0648596833 Enrollment ID: I20170523000879 |
| Provider Name | Husam Nayef |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1831505528 PECOS PAC ID: 1153690656 Enrollment ID: I20170626002794 |
| Provider Name | Fadi Aldaas |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1417245499 PECOS PAC ID: 5597988048 Enrollment ID: I20170628003371 |
| Provider Name | Hasan Al Janabi |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1255530119 PECOS PAC ID: 8426228008 Enrollment ID: I20170705001400 |
| Provider Name | Ernest John Emery |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336501824 PECOS PAC ID: 0345534111 Enrollment ID: I20170712002301 |
| Provider Name | Abdullah Qureshi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982015079 PECOS PAC ID: 8426329848 Enrollment ID: I20170803001875 |
| Provider Name | Kevin E. Mcdonough |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679097380 PECOS PAC ID: 1759647464 Enrollment ID: I20171114001122 |
| Provider Name | Steven Jay Quinn |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730446998 PECOS PAC ID: 1456650266 Enrollment ID: I20171204002294 |
| Provider Name | Katie Marie Stephens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891206710 PECOS PAC ID: 7315205564 Enrollment ID: I20171218002188 |
| Provider Name | Kenneth W Dodd |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1477811610 PECOS PAC ID: 6901020205 Enrollment ID: I20180410002558 |
| Provider Name | Matthew D Tyler |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1891052437 PECOS PAC ID: 1759513005 Enrollment ID: I20180425001508 |
| Provider Name | Leon A Eydelman |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1629310842 PECOS PAC ID: 3476854324 Enrollment ID: I20180515000008 |
| Provider Name | Dennis Michael Martinez |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1366837379 PECOS PAC ID: 6002126919 Enrollment ID: I20180529000646 |
| Provider Name | Nicholas William Goodmanson |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1326488065 PECOS PAC ID: 2961771944 Enrollment ID: I20180530000698 |
| Provider Name | Laura S Dobson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164897476 PECOS PAC ID: 1355698580 Enrollment ID: I20180719001587 |
| Provider Name | Noah Michael Einstein |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1730561747 PECOS PAC ID: 8820393606 Enrollment ID: I20180724000668 |
| Provider Name | Solomon Kwabena Krow |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1417219379 PECOS PAC ID: 0345557781 Enrollment ID: I20180919003816 |
| Provider Name | Mian Zain Ul Sajadeen Urfy |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1528267093 PECOS PAC ID: 0042435034 Enrollment ID: I20180927003237 |
| Provider Name | Jennifer A Stancati |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1760864755 PECOS PAC ID: 6507161874 Enrollment ID: I20190222002257 |
| Provider Name | Hunan Ali Chaudhry |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1609213958 PECOS PAC ID: 8224329347 Enrollment ID: I20190424001221 |
| Provider Name | Kelly K. Keating |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346708971 PECOS PAC ID: 7315289832 Enrollment ID: I20190503000210 |
| Provider Name | Abigail L Walters |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700352622 PECOS PAC ID: 6608118070 Enrollment ID: I20190506000350 |
| Provider Name | Eleni Ioanna Kritikos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013574904 PECOS PAC ID: 2567795065 Enrollment ID: I20190617001275 |
| Provider Name | Christine Mary Lenzen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538725833 PECOS PAC ID: 8224361647 Enrollment ID: I20190617002567 |
| Provider Name | Mohammad Sameer Zaheerullah |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1295978526 PECOS PAC ID: 5597905562 Enrollment ID: I20190724004023 |
| Provider Name | Laura Cygan Higgins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992167696 PECOS PAC ID: 5496085706 Enrollment ID: I20191001000067 |
| Provider Name | Margaret K Nolte |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255821930 PECOS PAC ID: 3577893643 Enrollment ID: I20191003000026 |
| Provider Name | Suleman Akbar Umar |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1568789485 PECOS PAC ID: 1456649102 Enrollment ID: I20191218001401 |
| Provider Name | Quantel V. Rolle |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1700204583 PECOS PAC ID: 4981038270 Enrollment ID: I20191219000359 |
| Provider Name | Khaja Mehmooduddin Siraj |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1568993657 PECOS PAC ID: 6305116427 Enrollment ID: I20200325000940 |
| Provider Name | Joseph M Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447716501 PECOS PAC ID: 6103255484 Enrollment ID: I20200408000657 |
| Provider Name | Katie Wolff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801428982 PECOS PAC ID: 1759712888 Enrollment ID: I20200505002544 |
| Provider Name | Sushma Chinni |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1770018061 PECOS PAC ID: 1254609761 Enrollment ID: I20200511001408 |
| Provider Name | Ami Deepak Modi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1831621259 PECOS PAC ID: 2365711082 Enrollment ID: I20200520000504 |
| Provider Name | Kristopher R Fultz |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1083842439 PECOS PAC ID: 8527291343 Enrollment ID: I20200608002939 |
| Provider Name | Valerie Griffeth |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1902292493 PECOS PAC ID: 0345557914 Enrollment ID: I20200706000464 |
| Provider Name | Amanda L Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538785407 PECOS PAC ID: 1052735081 Enrollment ID: I20200722003382 |
| Provider Name | Daniel James Rowan |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1750778429 PECOS PAC ID: 9537479290 Enrollment ID: I20200722003850 |
| Provider Name | Joseph W Quinn |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1336587377 PECOS PAC ID: 9032408638 Enrollment ID: I20200727001554 |
| Provider Name | Sanjeev R Keshary |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1205272960 PECOS PAC ID: 9638476617 Enrollment ID: I20200805002167 |
| Provider Name | Tiffany A Sayani |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629699616 PECOS PAC ID: 4486070661 Enrollment ID: I20200818003783 |
| Provider Name | Cassie Ann Soltwedel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235751488 PECOS PAC ID: 8921426438 Enrollment ID: I20200916000064 |
| Provider Name | Anamaria Milas |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1144683038 PECOS PAC ID: 1759678865 Enrollment ID: I20201001002813 |
| Provider Name | Jennifer L Kuczero |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609484591 PECOS PAC ID: 2466865142 Enrollment ID: I20210120000552 |
| Provider Name | Sylvia Moreno |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740888221 PECOS PAC ID: 0749694867 Enrollment ID: I20210202001101 |
| Provider Name | Matthew Rossi Aronson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1114416146 PECOS PAC ID: 4486063179 Enrollment ID: I20210510001953 |
| Provider Name | Abdullah Chahin |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1972736890 PECOS PAC ID: 1557515400 Enrollment ID: I20210528000436 |
| Provider Name | Ivan Jose Cuesta Isabel |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1851775860 PECOS PAC ID: 0345649000 Enrollment ID: I20210528001777 |
| Provider Name | Matthew R Leach |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1467849513 PECOS PAC ID: 4183960271 Enrollment ID: I20210608002300 |
| Provider Name | Mohamad Mahmoud Rachid |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093195968 PECOS PAC ID: 0244540615 Enrollment ID: I20210624000804 |
| Provider Name | Pablo Garcia |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1114141066 PECOS PAC ID: 2668515743 Enrollment ID: I20210715000329 |
| Provider Name | Toni A Riveros |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1376926402 PECOS PAC ID: 3678867868 Enrollment ID: I20210823003042 |
| Provider Name | Omar Mctabi |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1932587003 PECOS PAC ID: 1951696012 Enrollment ID: I20210824000318 |
| Provider Name | Jeff R Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902479926 PECOS PAC ID: 1355748070 Enrollment ID: I20210923000760 |
| Provider Name | Joshua Jacob Batayeh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679246979 PECOS PAC ID: 6103223631 Enrollment ID: I20210924002451 |
| Provider Name | Kelsey Elizabeth Vihnanek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790442374 PECOS PAC ID: 4688066004 Enrollment ID: I20220116000002 |
| Provider Name | Abigail Point Bingham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548752843 PECOS PAC ID: 2264779073 Enrollment ID: I20220302002667 |
| Provider Name | Krystle M. Graham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720757198 PECOS PAC ID: 2668867763 Enrollment ID: I20220325002062 |
| Provider Name | Walid Malki |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1225692064 PECOS PAC ID: 8224465539 Enrollment ID: I20220621001183 |
| Provider Name | Thomas Kevin Seagraves |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1013447440 PECOS PAC ID: 0941570683 Enrollment ID: I20220629003700 |
| Provider Name | David J Kaltman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1649661943 PECOS PAC ID: 6305139445 Enrollment ID: I20220704000474 |
| Provider Name | Katherine Schwartz |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1275920464 PECOS PAC ID: 0648576983 Enrollment ID: I20220712003215 |
| Provider Name | Mauricio Villarreal |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1770978777 PECOS PAC ID: 6002116274 Enrollment ID: I20220714003341 |
| Provider Name | Isaac J. Bourgeois |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1538521505 PECOS PAC ID: 3476897034 Enrollment ID: I20220718002853 |
| Provider Name | Timothy Schnell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518319268 PECOS PAC ID: 0941532923 Enrollment ID: I20220727001529 |
| Provider Name | William D Young |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1174043277 PECOS PAC ID: 0547536690 Enrollment ID: I20220804001833 |
| Provider Name | Asim Ali Syed |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1982157277 PECOS PAC ID: 1052734852 Enrollment ID: I20220805000988 |
| Provider Name | Sushant Kapoor |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1558755587 PECOS PAC ID: 0446565055 Enrollment ID: I20220808001930 |
| Provider Name | Tiffanie M Kuhn Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174278618 PECOS PAC ID: 3274915277 Enrollment ID: I20220808003333 |
| Provider Name | Eric William Hart |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1568810208 PECOS PAC ID: 2163804063 Enrollment ID: I20220808003450 |
| Provider Name | Vivian Lam |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1629421144 PECOS PAC ID: 0345534061 Enrollment ID: I20220818000949 |
| Provider Name | Sarah Catherine Greene |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1407340466 PECOS PAC ID: 3870841265 Enrollment ID: I20220818003691 |
| Provider Name | Anthony Huang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437893765 PECOS PAC ID: 5991188195 Enrollment ID: I20220822001668 |
| Provider Name | Nikhil Patel |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1811347263 PECOS PAC ID: 4284018177 Enrollment ID: I20220825003866 |
| Provider Name | Sara Khalid |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1700449998 PECOS PAC ID: 1153650924 Enrollment ID: I20220914002176 |
| Provider Name | Paige A Smaha |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619602505 PECOS PAC ID: 3375929227 Enrollment ID: I20220930000997 |
| Provider Name | Brittany Noel Vissepo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144953977 PECOS PAC ID: 8921484783 Enrollment ID: I20220930001958 |
| Provider Name | Alexandra Noel Scornavacco |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386386134 PECOS PAC ID: 8527435668 Enrollment ID: I20221103000199 |
| Provider Name | Daniel C Grahf |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1356872642 PECOS PAC ID: 2264807023 Enrollment ID: I20230407001617 |
| Provider Name | Romy Carmen Lawrence |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1093246563 PECOS PAC ID: 5092086173 Enrollment ID: I20230412001201 |
| Provider Name | Grant Erich Berquist |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083311393 PECOS PAC ID: 9032584560 Enrollment ID: I20230413002609 |
| Provider Name | Sarung S Kashyap |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1336670306 PECOS PAC ID: 5597120501 Enrollment ID: I20230426002810 |
| Provider Name | Elisha James Kroncke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902503055 PECOS PAC ID: 3870959067 Enrollment ID: I20230512001720 |
| Provider Name | Michael A Hernandez |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1831683960 PECOS PAC ID: 1850648635 Enrollment ID: I20230516001163 |
| Provider Name | Tanya Shah |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1356847289 PECOS PAC ID: 5991162398 Enrollment ID: I20230530002456 |
| Provider Name | Kevin B Pustz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932808441 PECOS PAC ID: 8022475169 Enrollment ID: I20230606001625 |
| Provider Name | Zhaine Marie Samorro Toda |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790483238 PECOS PAC ID: 0749648996 Enrollment ID: I20230620001910 |
| Provider Name | Emily Marie Roll |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235835869 PECOS PAC ID: 8921466012 Enrollment ID: I20230622000148 |
| Provider Name | Anwar M Akhras |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1942680640 PECOS PAC ID: 3375845837 Enrollment ID: I20230628001327 |
| Provider Name | Samantha Marie Semler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700583598 PECOS PAC ID: 4284093980 Enrollment ID: I20230628003204 |
| Provider Name | Kyle Potts |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1215390521 PECOS PAC ID: 4688966450 Enrollment ID: I20230716000140 |
| Provider Name | Besma Nirmeh Jaber |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1588050041 PECOS PAC ID: 0042672438 Enrollment ID: I20230816004230 |
| Provider Name | Mohammed O Abdalla |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1003268343 PECOS PAC ID: 0143645259 Enrollment ID: I20230901000422 |
| Provider Name | Cathleen Patricia Knauss |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093021990 PECOS PAC ID: 5092179887 Enrollment ID: I20230912003723 |
| Provider Name | Hayley Jeane Springs |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1013458264 PECOS PAC ID: 2860753787 Enrollment ID: I20231013002294 |
| Provider Name | Angelika Matecki |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851177984 PECOS PAC ID: 9739538182 Enrollment ID: I20231211000742 |
| Provider Name | Brittany Patricia Bielecki |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528748779 PECOS PAC ID: 0446602213 Enrollment ID: I20240117001659 |
| Provider Name | Mary Dupont Murata |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063290922 PECOS PAC ID: 1658715578 Enrollment ID: I20240220000972 |
| Provider Name | Veronica Jane Morris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295507135 PECOS PAC ID: 1456795129 Enrollment ID: I20240221001944 |
| Provider Name | Oluwatosin Olayeye |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003689308 PECOS PAC ID: 5092150516 Enrollment ID: I20240223002825 |
| Provider Name | Todd Alan Foister |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053191015 PECOS PAC ID: 9931544392 Enrollment ID: I20240226002661 |
| Provider Name | Whitney Susanne Hanson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710768478 PECOS PAC ID: 3072958651 Enrollment ID: I20240305003739 |
| Provider Name | Jj Young |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891561445 PECOS PAC ID: 1951748847 Enrollment ID: I20240327003036 |
| Provider Name | Brittany M Gasquoine |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205616448 PECOS PAC ID: 9032558572 Enrollment ID: I20240417002287 |
| Provider Name | Shauna R Gargano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487425013 PECOS PAC ID: 4082157276 Enrollment ID: I20240617000373 |
| Provider Name | Stephanie Studer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619739448 PECOS PAC ID: 4688117542 Enrollment ID: I20240619002292 |
| Provider Name | Kirk E Meyers |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1972064012 PECOS PAC ID: 9931433612 Enrollment ID: I20240620002098 |
| Provider Name | Neha A Rao |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1164088423 PECOS PAC ID: 8921337163 Enrollment ID: I20240627001324 |
| Provider Name | Chelsea R Hutchison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578332656 PECOS PAC ID: 0244774529 Enrollment ID: I20240627001428 |
| Provider Name | Jason Y Ross |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1205496312 PECOS PAC ID: 5991031122 Enrollment ID: I20240703002873 |
| Provider Name | David Chin |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1023513645 PECOS PAC ID: 4981019080 Enrollment ID: I20240705001361 |
| Provider Name | Aravind Bommiasamy |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1144562570 PECOS PAC ID: 4284875709 Enrollment ID: I20240706000011 |
| Provider Name | Lauren F Becker |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1487141735 PECOS PAC ID: 2062896939 Enrollment ID: I20240709004229 |
| Provider Name | Emma Reilly-wright |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972360949 PECOS PAC ID: 9537604954 Enrollment ID: I20240710002070 |
| Provider Name | Hailee Higgins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285485904 PECOS PAC ID: 1759826084 Enrollment ID: I20240711001037 |
| Provider Name | Jared Brooks |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1205396298 PECOS PAC ID: 2860938107 Enrollment ID: I20240723004096 |
| Provider Name | Daniel Marcos Gonzalez |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1083147573 PECOS PAC ID: 5395282479 Enrollment ID: I20240807001236 |
| Provider Name | Natalie Channell |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1164981973 PECOS PAC ID: 8729317904 Enrollment ID: I20240815001443 |
| Provider Name | Sherrlagne B Borja |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538927587 PECOS PAC ID: 4284172719 Enrollment ID: I20240815002116 |
| Provider Name | Mitchell Huber |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1356802037 PECOS PAC ID: 0042545311 Enrollment ID: I20240827000951 |
| Provider Name | Evan M Schultz |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1194212878 PECOS PAC ID: 1658600986 Enrollment ID: I20240918002658 |
| Provider Name | Scott Richard Moore |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1619356961 PECOS PAC ID: 3577004449 Enrollment ID: I20240918003591 |
| Provider Name | Elizabeth H Kunjummen |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1053817429 PECOS PAC ID: 4789125352 Enrollment ID: I20240923002858 |
Maria Vivian L. Sanchez, M.d., S.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 5660 W 95th St, Oak Lawn, IL 60453 Phone: 630-241-1229 Fax: 630-963-9594 | |
Michael E Beck Md Sc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4938 W 95th St, Oak Lawn, IL 60453 Phone: 708-425-4662 Fax: 708-425-4692 | |
Mark S. Reiter, M.d., S.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4400 W 95th St, Suite 405, Oak Lawn, IL 60453 Phone: 708-499-2323 Fax: 708-499-2324 | |
Alliance Post-acute Consultants Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9525 Mayfield Ave, Oak Lawn, IL 60453 Phone: 708-801-0181 | |
Windy City Pain Relief, S.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 5571 W 95th St, Oak Lawn, IL 60453 Phone: 708-972-9695 Fax: 708-401-0194 | |
Vanessa Hagan, Md, Sc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4400 W 95th St, 303, Oak Lawn, IL 60453 Phone: 708-423-1300 Fax: 708-423-6085 |