| Ch Specialty Services Il Pllc | |
|
111 W Jackson Blvd Ste 1700 Chicago IL 60604-3597 | |
| (337) 408-0797 | |
| Not Available |
| Full Name | Ch Specialty Services Il Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 111 W Jackson Blvd Ste 1700, Chicago, Illinois |
| Authorized Official Name and Position | Nicole Howard (SR VP OF ADMINISTRATIVE SERVICES) |
| Authorized Official Contact | 3374080797 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ch Specialty Services Il Pllc 1509 Dulles Dr Lafayette LA 70506-3718 Ph: (337) 408-0797 | Ch Specialty Services Il Pllc 111 W Jackson Blvd Ste 1700 Chicago IL 60604-3597 Ph: (337) 408-0797 |
| NPI Number | 1922707702 |
|---|---|
| Provider Enumeration Date | 03/01/2023 |
| Last Update Date | 04/09/2024 |
| Medicare PECOS PAC ID | 8224402482 |
|---|---|
| Medicare Enrollment ID | O20230330000234 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922707702 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Ashir Wahab |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376591958 PECOS PAC ID: 2062303274 Enrollment ID: I20100610000060 |
| Provider Name | Anand H Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811217631 PECOS PAC ID: 6709011869 Enrollment ID: I20131025000152 |
| Provider Name | Susan Pastor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174075204 PECOS PAC ID: 8820378961 Enrollment ID: I20161207002756 |
| Provider Name | Judith O Ifianayi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346706215 PECOS PAC ID: 2769715168 Enrollment ID: I20190617001640 |
| Provider Name | Angela Felsing |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235785403 PECOS PAC ID: 9436586476 Enrollment ID: I20200303002277 |
| Provider Name | Krystle Michelle Wisnasky |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134753825 PECOS PAC ID: 5597193979 Enrollment ID: I20200318000969 |
| Provider Name | Byron Kendall Herpich |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164629515 PECOS PAC ID: 6002931839 Enrollment ID: I20220318000529 |
| Provider Name | Deborah Aaron |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114024916 PECOS PAC ID: 6305233024 Enrollment ID: I20220428000314 |
| Provider Name | Kelly Nephew |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902554306 PECOS PAC ID: 2860870896 Enrollment ID: I20220603001413 |
| Provider Name | Saquib Anjum |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497082218 PECOS PAC ID: 9032348503 Enrollment ID: I20230125001179 |
| Provider Name | Shenif Ladak |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1376948604 PECOS PAC ID: 5890018501 Enrollment ID: I20230302002523 |
| Provider Name | Amanda Gillespie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477942092 PECOS PAC ID: 9638494537 Enrollment ID: I20230609001917 |
| Provider Name | Mina Paiman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285259531 PECOS PAC ID: 1456774199 Enrollment ID: I20230711002811 |
| Provider Name | Brian Whyms |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821440066 PECOS PAC ID: 2365736378 Enrollment ID: I20230713003627 |
| Provider Name | Charlene Hall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891484366 PECOS PAC ID: 0941660104 Enrollment ID: I20230719002420 |
| Provider Name | Cawonda Ranee Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417648148 PECOS PAC ID: 3274994512 Enrollment ID: I20230802001846 |
| Provider Name | David Colvin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023010592 PECOS PAC ID: 5496855793 Enrollment ID: I20231128003441 |
| Provider Name | Christa Lauren Knoernschild |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952049785 PECOS PAC ID: 6709235690 Enrollment ID: I20231218003536 |
| Provider Name | Inez White |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033833363 PECOS PAC ID: 8921459421 Enrollment ID: I20240109003483 |
| Provider Name | Jodi Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518444512 PECOS PAC ID: 8224494190 Enrollment ID: I20240215000780 |
| Provider Name | Thai Nguyen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740740059 PECOS PAC ID: 4587990825 Enrollment ID: I20240430003840 |
| Provider Name | Benjamin Reine |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922373935 PECOS PAC ID: 6305075805 Enrollment ID: I20240613002169 |
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