| Chestnut Health Of Illinois Llc | |
|
1530 N Randall Rd Suite 200 Elgin IL 60123-7877 | |
| (224) 760-7322 | |
| (224) 535-8252 |
| Full Name | Chestnut Health Of Illinois Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1530 N Randall Rd, Elgin, Illinois |
| Authorized Official Name and Position | Omair Siraj (CEO) |
| Authorized Official Contact | 7039648199 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Chestnut Health Of Illinois Llc Po Box 684 Bedford Park IL 60499-0684 Ph: (703) 964-8199 | Chestnut Health Of Illinois Llc 1530 N Randall Rd Suite 200 Elgin IL 60123-7877 Ph: (224) 760-7322 |
| NPI Number | 1588043939 |
|---|---|
| Provider Enumeration Date | 05/19/2015 |
| Last Update Date | 05/27/2022 |
| Medicare PECOS PAC ID | 2264747344 |
|---|---|
| Medicare Enrollment ID | O20150819006369 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588043939 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Noorun M Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548234073 PECOS PAC ID: 7012949308 Enrollment ID: I20050907001137 |
| Provider Name | Jennifer K Barham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184987497 PECOS PAC ID: 3375790694 Enrollment ID: I20120821000993 |
| Provider Name | Kuljit Kapur |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831399518 PECOS PAC ID: 2860649985 Enrollment ID: I20120824000413 |
| Provider Name | Helen F Phipps |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013251693 PECOS PAC ID: 0244485563 Enrollment ID: I20130312000284 |
| Provider Name | Marcia Radja |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164776670 PECOS PAC ID: 9335389113 Enrollment ID: I20130628000530 |
| Provider Name | Elizabeth Jarrin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164845152 PECOS PAC ID: 5193785749 Enrollment ID: I20140304000409 |
| Provider Name | Allan Kao |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1942320494 PECOS PAC ID: 7113095928 Enrollment ID: I20140521001811 |
| Provider Name | Neil Kishor Patel |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1730342593 PECOS PAC ID: 3274673777 Enrollment ID: I20141006001383 |
| Provider Name | Saquib Khawar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477701084 PECOS PAC ID: 5698912699 Enrollment ID: I20150819006474 |
| Provider Name | Brittany Edward |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750799920 PECOS PAC ID: 0345545067 Enrollment ID: I20160217002434 |
| Provider Name | Julie L Caley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629439815 PECOS PAC ID: 0547568230 Enrollment ID: I20160520000117 |
| Provider Name | Mary K Pendleton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194788992 PECOS PAC ID: 7214966167 Enrollment ID: I20160815001679 |
| Provider Name | Anna Kastanas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609310259 PECOS PAC ID: 3375824303 Enrollment ID: I20170105000122 |
| Provider Name | Arvie Calabazaron |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104362755 PECOS PAC ID: 5496037145 Enrollment ID: I20170113000041 |
| Provider Name | Ruchi Savani |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013464304 PECOS PAC ID: 1850675125 Enrollment ID: I20170306000741 |
| Provider Name | Wendy Demler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023533122 PECOS PAC ID: 2567737646 Enrollment ID: I20170929002445 |
| Provider Name | Lynn Reisberg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356850416 PECOS PAC ID: 4981962818 Enrollment ID: I20171221001850 |
| Provider Name | Tracy Shadley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699263731 PECOS PAC ID: 5991051658 Enrollment ID: I20180711000089 |
| Provider Name | Tamara Baird |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114417391 PECOS PAC ID: 9133475635 Enrollment ID: I20180712002064 |
| Provider Name | Katarzyna Witowski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184103194 PECOS PAC ID: 4385994425 Enrollment ID: I20180911001397 |
| Provider Name | Alicia Bobak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144797887 PECOS PAC ID: 5597019992 Enrollment ID: I20181126000076 |
| Provider Name | Malinda F Kemper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619442555 PECOS PAC ID: 9234475575 Enrollment ID: I20190108002071 |
| Provider Name | Amanda K Honchell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770048910 PECOS PAC ID: 1759620958 Enrollment ID: I20190306001265 |
| Provider Name | Daniel Joseph Ritz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548726912 PECOS PAC ID: 5395085963 Enrollment ID: I20190318001511 |
| Provider Name | Tammy Andes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639635972 PECOS PAC ID: 3971844853 Enrollment ID: I20190402000883 |
| Provider Name | Judith Luetkens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255863023 PECOS PAC ID: 4385916832 Enrollment ID: I20190419000807 |
| Provider Name | Kimberly H Harsy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437555653 PECOS PAC ID: 7113247651 Enrollment ID: I20190509002191 |
| Provider Name | Christina Jane Chambers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467017749 PECOS PAC ID: 6103159306 Enrollment ID: I20190603001841 |
| Provider Name | Tracie Leigh Placher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831757103 PECOS PAC ID: 4082943436 Enrollment ID: I20190910001454 |
| Provider Name | Sarah Beth Skiles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538702477 PECOS PAC ID: 3870926009 Enrollment ID: I20191202002780 |
| Provider Name | Lindsay B Dixon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730724972 PECOS PAC ID: 8325471980 Enrollment ID: I20191212001221 |
| Provider Name | Ashley Kay Dietsch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770126104 PECOS PAC ID: 6204262900 Enrollment ID: I20200129001648 |
| Provider Name | Christiane M Wiemken |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720627912 PECOS PAC ID: 4385070705 Enrollment ID: I20200204000289 |
| Provider Name | Shari Lynn Cardwell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912526278 PECOS PAC ID: 8325460991 Enrollment ID: I20200629000694 |
| Provider Name | Taniyamol Joseph |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760030498 PECOS PAC ID: 1254756331 Enrollment ID: I20200806001521 |
| Provider Name | Bagum Karimullah Gulshad |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154963544 PECOS PAC ID: 9931533270 Enrollment ID: I20211011001954 |
| Provider Name | Kelsey M Madej |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144980053 PECOS PAC ID: 1759774284 Enrollment ID: I20220207000096 |
| Provider Name | Mary L Mcwethy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023776622 PECOS PAC ID: 1254725013 Enrollment ID: I20220222001398 |
| Provider Name | Ryan Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619610458 PECOS PAC ID: 7315320587 Enrollment ID: I20220822000507 |
| Provider Name | Rebecca L. Hallaron |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992426829 PECOS PAC ID: 7719363761 Enrollment ID: I20220929000501 |
| Provider Name | Teresa Velez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346955341 PECOS PAC ID: 2365817657 Enrollment ID: I20230419002267 |
| Provider Name | Matthew Chow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225712698 PECOS PAC ID: 2264895358 Enrollment ID: I20230822002524 |
| Provider Name | Stephanie Boyd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780459123 PECOS PAC ID: 2365890597 Enrollment ID: I20231129001983 |
| Provider Name | Amanda Mae St Louis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124800966 PECOS PAC ID: 7810347325 Enrollment ID: I20231226001158 |
| Provider Name | Kailee La Ha |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154184877 PECOS PAC ID: 2567807373 Enrollment ID: I20240304000927 |
| Provider Name | Caitlin Kelly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740059369 PECOS PAC ID: 8921444050 Enrollment ID: I20240312002620 |
| Provider Name | Shannon D Fry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982335022 PECOS PAC ID: 1951771013 Enrollment ID: I20240319003513 |
| Provider Name | Latoya Lockett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740051853 PECOS PAC ID: 4486091352 Enrollment ID: I20240327002231 |
| Provider Name | Chantel Dancy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225688211 PECOS PAC ID: 1254769235 Enrollment ID: I20240524000075 |
Kids Above All Illinois Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: United Methodist Church, 651 Lillie Street, Elgin, IL 60120 Phone: 630-883-8560 Fax: 630-883-8641 | |
Vna Health Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1845 Grandstand Pl, Elgin, IL 60123 Phone: 630-978-2532 | |
Sharon Duval Md Sc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1710 N Randall Rd, Sutie 360, Elgin, IL 60123 Phone: 847-214-5100 Fax: 847-214-2964 | |
The Elgin Clinic Ltd Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1530 N Randall Rd, Suite 200, Elgin, IL 60123 Phone: 847-697-6464 Fax: 847-697-6478 | |
Greater Elgin Family Care Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 783 W Highland Ave, Elgin, IL 60123 Phone: 847-608-1344 | |
Elio M Vento Md & Associates Sc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2350 Royal Blvd, Suite 100, Elgin, IL 60123 Phone: 847-695-8100 Fax: 847-695-6808 | |
Shah Medical Center S.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 484 Summit St, Elgin, IL 60120 Phone: 847-742-5530 Fax: 847-695-6543 |