Altea Medical Illinois Pllc | |
490 W 16th Pl Chicago Heights IL 60411-3224 | |
(775) 287-3290 | |
Not Available |
Full Name | Altea Medical Illinois Pllc |
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Speciality | Internal Medicine |
Location | 490 W 16th Pl, Chicago Heights, Illinois |
Authorized Official Name and Position | Mary Belen Arndt (DIRECTOR OF BILLING) |
Authorized Official Contact | 7752873290 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Altea Medical Illinois Pllc 2219 Rimland Dr Ste 301 Bellingham WA 98226-8759 Ph: (604) 367-5115 | Altea Medical Illinois Pllc 490 W 16th Pl Chicago Heights IL 60411-3224 Ph: (775) 287-3290 |
NPI Number | 1447039227 |
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Provider Enumeration Date | 09/21/2023 |
Last Update Date | 05/10/2024 |
Medicare PECOS PAC ID | 5799129730 |
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Medicare Enrollment ID | O20240219001371 |
Identifier | Type | State | Issuer |
---|---|---|---|
1447039227 | NPI | - | NPPES |
Provider Name | Angela J Gorazd |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1659563203 PECOS PAC ID: 9436140795 Enrollment ID: I20040524001229 |
Provider Name | Denise A Bockwoldt |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1376505479 PECOS PAC ID: 9830157668 Enrollment ID: I20041228000175 |
Provider Name | Lakshmi M Anubrolu |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1083683700 PECOS PAC ID: 8628094141 Enrollment ID: I20051024000243 |
Provider Name | Patrice Windsor |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1891858924 PECOS PAC ID: 0547338352 Enrollment ID: I20081007000418 |
Provider Name | Sandhya R Grandhi |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1093975419 PECOS PAC ID: 4789879768 Enrollment ID: I20101116000894 |
Provider Name | Ashish Moonat |
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Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1063670362 PECOS PAC ID: 6901051168 Enrollment ID: I20130220000096 |
Provider Name | Sheriva Hunter |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1295137842 PECOS PAC ID: 7113148958 Enrollment ID: I20141021001212 |
Provider Name | Supriya Singh |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1245593201 PECOS PAC ID: 3274849435 Enrollment ID: I20150902001447 |
Provider Name | Valencia Faulkner |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1306182753 PECOS PAC ID: 2769622539 Enrollment ID: I20151110001737 |
Provider Name | Oluseun Osinowo |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1548614431 PECOS PAC ID: 6507164803 Enrollment ID: I20160420001307 |
Provider Name | Miciah B Patton |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1023479417 PECOS PAC ID: 4789973348 Enrollment ID: I20160520001066 |
Provider Name | Angel White |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1710340658 PECOS PAC ID: 2466759733 Enrollment ID: I20161114000994 |
Provider Name | Neelie Panozzo |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1174976286 PECOS PAC ID: 8820377872 Enrollment ID: I20161115000001 |
Provider Name | Angela Massutti |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1255883674 PECOS PAC ID: 5991085540 Enrollment ID: I20161216002167 |
Provider Name | Shermana Danielle Snow |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1316474448 PECOS PAC ID: 7719255868 Enrollment ID: I20170614002521 |
Provider Name | Jocelyn T Go |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1205346467 PECOS PAC ID: 3173899481 Enrollment ID: I20171031002168 |
Provider Name | Fabienne N Witherspoon |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1053734004 PECOS PAC ID: 6305144932 Enrollment ID: I20180529002423 |
Provider Name | Malinda F Kemper |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1619442555 PECOS PAC ID: 9234475575 Enrollment ID: I20190108002071 |
Provider Name | Shashanna Heard |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1669967543 PECOS PAC ID: 5698013084 Enrollment ID: I20190211000296 |
Provider Name | Kimberly H Harsy |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1437555653 PECOS PAC ID: 7113247651 Enrollment ID: I20190509002191 |
Provider Name | Keyona Dena Gayles |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1669028312 PECOS PAC ID: 2769712850 Enrollment ID: I20191003000712 |
Provider Name | Kimberly Danner |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1043860299 PECOS PAC ID: 1355776386 Enrollment ID: I20200121000146 |
Provider Name | Jeanna Tabrizi |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1922647205 PECOS PAC ID: 9436585809 Enrollment ID: I20200511002076 |
Provider Name | Joyce Fricks |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1174900450 PECOS PAC ID: 1951716331 Enrollment ID: I20210217000664 |
Provider Name | Olumide Samson Fagbemi |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1013163765 PECOS PAC ID: 3577972488 Enrollment ID: I20210505002273 |
Provider Name | Joanne Rafael Cruz |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1154995728 PECOS PAC ID: 0244630572 Enrollment ID: I20210608003082 |
Provider Name | Maria N Winsor |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1528593928 PECOS PAC ID: 7416224118 Enrollment ID: I20210712001269 |
Provider Name | Sharonda A Coleman |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1588324727 PECOS PAC ID: 2264824879 Enrollment ID: I20220120000081 |
Provider Name | Amanda Louise Gross |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1184385189 PECOS PAC ID: 5294129441 Enrollment ID: I20220303001802 |
Provider Name | Sharelle Mershon |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1447910179 PECOS PAC ID: 5294129383 Enrollment ID: I20220307002126 |
Provider Name | Corinna Hartwig-mullally |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1972260727 PECOS PAC ID: 9133514003 Enrollment ID: I20220312000278 |
Provider Name | Denita Wilkins |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1619361078 PECOS PAC ID: 0446659411 Enrollment ID: I20220408001059 |
Provider Name | Robin Hooper |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1356677009 PECOS PAC ID: 0648650317 Enrollment ID: I20220712002208 |
Provider Name | Nicole Cartier |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1609926088 PECOS PAC ID: 5092183988 Enrollment ID: I20221128000955 |
Provider Name | Shamerra M Colvard |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1811612179 PECOS PAC ID: 1052780509 Enrollment ID: I20221206001218 |
Provider Name | Jennifer Wright |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1427729441 PECOS PAC ID: 4880063783 Enrollment ID: I20221215003177 |
Provider Name | Iryna Cribley |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1508139023 PECOS PAC ID: 3072776939 Enrollment ID: I20230411002544 |
Provider Name | Charlene Hall |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1891484366 PECOS PAC ID: 0941660104 Enrollment ID: I20230719002420 |
Provider Name | Cawonda Ranee Wilson |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1417648148 PECOS PAC ID: 3274994512 Enrollment ID: I20230802001846 |
Provider Name | Kayla Shillcutt |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1427735687 PECOS PAC ID: 2668832841 Enrollment ID: I20230818002338 |
Provider Name | Emma Kwon |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1740053800 PECOS PAC ID: 3779935655 Enrollment ID: I20240116003157 |
Provider Name | Mandie L Nemeth |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1467224113 PECOS PAC ID: 1153774393 Enrollment ID: I20240124002617 |
Provider Name | Jodhvir Sarai |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1972816718 PECOS PAC ID: 8628202124 Enrollment ID: I20240214003234 |
Provider Name | Uwaila Iyengunmwena Iredia |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1366068520 PECOS PAC ID: 5597100545 Enrollment ID: I20240229000727 |
Provider Name | Heather Lopez |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1598130064 PECOS PAC ID: 4284070889 Enrollment ID: I20240306000165 |
Provider Name | Kathleen Henke |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1942071626 PECOS PAC ID: 5799122230 Enrollment ID: I20240320002016 |
Provider Name | Alishia Jacks |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1851179675 PECOS PAC ID: 7315384443 Enrollment ID: I20240325001262 |
Provider Name | Kristine Nebrija |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1922862804 PECOS PAC ID: 9436597002 Enrollment ID: I20240402000143 |
Provider Name | Jennifer Monk- Beckley |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1215715636 PECOS PAC ID: 3678816204 Enrollment ID: I20240612000401 |
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