| Baal Perazim Wellness And Health Services Pc | |
|
2835 N Sheffield Ave Ste 500 Chicago IL 60657-5084 | |
| (773) 296-2400 | |
| (773) 296-1097 |
| Full Name | Baal Perazim Wellness And Health Services Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 2835 N Sheffield Ave Ste 500, Chicago, Illinois |
| Authorized Official Name and Position | Maurice Brownlee (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 4045481212 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Baal Perazim Wellness And Health Services Pc 2835 N Sheffield Ave Ste 500 Chicago IL 60657-5084 Ph: (773) 296-2400 | Baal Perazim Wellness And Health Services Pc 2835 N Sheffield Ave Ste 500 Chicago IL 60657-5084 Ph: (773) 296-2400 |
| NPI Number | 1376153437 |
|---|---|
| Provider Enumeration Date | 08/04/2020 |
| Last Update Date | 05/12/2023 |
| Medicare PECOS PAC ID | 2567834666 |
|---|---|
| Medicare Enrollment ID | O20230220001241 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376153437 | NPI | - | NPPES |
| 253231187001 | Medicaid | IL |
| Provider Name | Andra Munteanu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912934456 PECOS PAC ID: 6507847993 Enrollment ID: I20040601000873 |
| Provider Name | Marlene Tang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942401294 PECOS PAC ID: 2668521576 Enrollment ID: I20090526000435 |
| Provider Name | Daniel S Berger |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710076237 PECOS PAC ID: 7214971845 Enrollment ID: I20100615000348 |
| Provider Name | Keith A Hopkins |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1083778765 PECOS PAC ID: 3577752781 Enrollment ID: I20120308000111 |
| Provider Name | Imelda Homecgoy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487010534 PECOS PAC ID: 9638461429 Enrollment ID: I20160715000158 |
| Provider Name | Maurice Brownlee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083145262 PECOS PAC ID: 9537435862 Enrollment ID: I20171031003176 |
| Provider Name | Debra L Conti |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063621589 PECOS PAC ID: 0941572887 Enrollment ID: I20171130001521 |
| Provider Name | Nadia S Handspike |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194289413 PECOS PAC ID: 7618216425 Enrollment ID: I20190221002489 |
| Provider Name | Joann Reyes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255970141 PECOS PAC ID: 9638507270 Enrollment ID: I20200316000066 |
| Provider Name | Joseph Stokes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336667955 PECOS PAC ID: 7012275191 Enrollment ID: I20230310000079 |
| Provider Name | Vincent Vargas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629234851 PECOS PAC ID: 5496925364 Enrollment ID: I20230315002618 |
| Provider Name | Stephanie Salamanca |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083173066 PECOS PAC ID: 1951769306 Enrollment ID: I20230616002859 |
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