Chicagoland Infectious Disease Pc | |
430 E 162nd St #487 South Holland IL 60473-2258 | |
(312) 504-5757 | |
Not Available |
Full Name | Chicagoland Infectious Disease Pc |
---|---|
Speciality | Internal Medicine |
Location | 430 E 162nd St, South Holland, Illinois |
Authorized Official Name and Position | Olufemi Aboyeji (PRESIDENT) |
Authorized Official Contact | 7089604280 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Chicagoland Infectious Disease Pc 430 E 162nd St #487 South Holland IL 60473-2258 Ph: (708) 960-4280 | Chicagoland Infectious Disease Pc 430 E 162nd St #487 South Holland IL 60473-2258 Ph: (312) 504-5757 |
NPI Number | 1780002352 |
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Provider Enumeration Date | 04/01/2014 |
Last Update Date | 12/30/2021 |
Medicare PECOS PAC ID | 5193948362 |
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Medicare Enrollment ID | O20140516001062 |
Identifier | Type | State | Issuer |
---|---|---|---|
1780002352 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RI0200X | Internal Medicine - Infectious Disease | 036119718 (Illinois) | Primary |
Provider Name | Olufemi O Aboyeji |
---|---|
Provider Type | Practitioner - Infectious Disease |
Provider Identifiers | NPI Number: 1790983690 PECOS PAC ID: 5890823769 Enrollment ID: I20100513000694 |
Provider Name | Chinyere Okoroh |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1700102647 PECOS PAC ID: 0345379277 Enrollment ID: I20100602000290 |
Provider Name | Huihong Zhang |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1194149302 PECOS PAC ID: 9234352535 Enrollment ID: I20140513001707 |
Provider Name | Hillari Hanley |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1023446754 PECOS PAC ID: 3678797990 Enrollment ID: I20140606000995 |
Provider Name | Wyvon L Blackwell |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1821398397 PECOS PAC ID: 8123340403 Enrollment ID: I20141124001757 |
Provider Name | Wayne C Presutti |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1679964001 PECOS PAC ID: 7214258938 Enrollment ID: I20150608000085 |
Provider Name | Valencia Faulkner |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1306182753 PECOS PAC ID: 2769622539 Enrollment ID: I20151110001737 |
Provider Name | Dyenina Donnelly |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1144687625 PECOS PAC ID: 5395049688 Enrollment ID: I20160205002450 |
Provider Name | Lauren Kemp |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1578019303 PECOS PAC ID: 4880974260 Enrollment ID: I20161130001032 |
Provider Name | Joan Fadonugbo-kuton |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1528508678 PECOS PAC ID: 5799052023 Enrollment ID: I20170517000768 |
Provider Name | Oludayo O Ojelade |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1245774306 PECOS PAC ID: 2163607797 Enrollment ID: I20170911000237 |
Provider Name | Natalie Joy Zimmer |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1528580917 PECOS PAC ID: 8628343357 Enrollment ID: I20171006000020 |
Provider Name | Emmy Majogo-farhi |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1215432315 PECOS PAC ID: 2264795764 Enrollment ID: I20180416001869 |
Provider Name | Ijeoma Anukwu |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1982143582 PECOS PAC ID: 1052313772 Enrollment ID: I20180424002113 |
Provider Name | Kynyahta L Walters |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1255810966 PECOS PAC ID: 7416207626 Enrollment ID: I20180910002456 |
Provider Name | Ngozika Adindu |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1659862266 PECOS PAC ID: 9335492933 Enrollment ID: I20181029002931 |
Provider Name | Talia Simone Thompson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1194233106 PECOS PAC ID: 0042555377 Enrollment ID: I20181214001382 |
Provider Name | Sherryl F Smith Colbert |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1710452065 PECOS PAC ID: 7810232600 Enrollment ID: I20181226000834 |
Provider Name | Eniola Oshodi |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1093286643 PECOS PAC ID: 2668719725 Enrollment ID: I20190128001427 |
Provider Name | Theresa K Scheerenberger |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1457823544 PECOS PAC ID: 3577802230 Enrollment ID: I20190225002855 |
Provider Name | Michael L Cramer |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1750853719 PECOS PAC ID: 7517206030 Enrollment ID: I20190228000603 |
Provider Name | Dipeeka Patel |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1972039469 PECOS PAC ID: 9032470315 Enrollment ID: I20190628002812 |
Provider Name | Mary Elizabeth Waterloo |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1720634827 PECOS PAC ID: 4587996004 Enrollment ID: I20191101000115 |
Provider Name | Shammona Shalisa Clark |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1235785809 PECOS PAC ID: 4587098520 Enrollment ID: I20200103001384 |
Provider Name | Jeffrey D Intud |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1205464187 PECOS PAC ID: 6204267966 Enrollment ID: I20200513000285 |
Provider Name | Christine A Offerman-izzarelli |
---|---|
Provider Type | Practitioner - Infectious Disease |
Provider Identifiers | NPI Number: 1992327506 PECOS PAC ID: 6507289147 Enrollment ID: I20200715000183 |
Provider Name | Tiffany Robinson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1013523711 PECOS PAC ID: 9638589534 Enrollment ID: I20201104001737 |
Provider Name | Cheryl Agbonghae |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1841836558 PECOS PAC ID: 0042626731 Enrollment ID: I20210303002930 |
Provider Name | Trupti Patel |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1245824473 PECOS PAC ID: 4880094788 Enrollment ID: I20210615001450 |
Provider Name | Tracy Omorogieva |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1003493958 PECOS PAC ID: 2163823626 Enrollment ID: I20210622002950 |
Provider Name | Regina L Brown |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1164018370 PECOS PAC ID: 2365844933 Enrollment ID: I20210706002563 |
Provider Name | Leanne C Gabriel |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1760987929 PECOS PAC ID: 7911305297 Enrollment ID: I20211018002683 |
Provider Name | Jordan T Gitalan |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1659943785 PECOS PAC ID: 1254721285 Enrollment ID: I20211207001319 |
Provider Name | Nicole Marie Whitten |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1578223921 PECOS PAC ID: 5597158279 Enrollment ID: I20220201000901 |
Provider Name | Suliat Y Oluwa |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1558014456 PECOS PAC ID: 3779978663 Enrollment ID: I20220310002253 |
Provider Name | Ma Aurora Emma Altuna Estrada |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1194476499 PECOS PAC ID: 8921493479 Enrollment ID: I20220318001328 |
Provider Name | Kelly Nephew |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1902554306 PECOS PAC ID: 2860870896 Enrollment ID: I20220603001413 |
Provider Name | Karin J Lee-campbell |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1275274912 PECOS PAC ID: 2769855212 Enrollment ID: I20230302002162 |
Provider Name | Mohammad Elbashabsheh |
---|---|
Provider Type | Practitioner - Infectious Disease |
Provider Identifiers | NPI Number: 1619461894 PECOS PAC ID: 5799175691 Enrollment ID: I20230703000464 |
Provider Name | Oluwatosin S Ijale |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1245991397 PECOS PAC ID: 9133580715 Enrollment ID: I20230728002294 |
Provider Name | Rachel Kurrella |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1831882208 PECOS PAC ID: 0648627380 Enrollment ID: I20231116003525 |
Provider Name | Yetunde A Ayoade |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1144094996 PECOS PAC ID: 7719328939 Enrollment ID: I20240517002833 |
The Link And Option Center, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 900 E 162nd St Ste 102, South Holland, IL 60473 Phone: 708-331-8111 Fax: 708-331-8088 | |
Family Health Center Physicians, Let Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 17060 S Park Ave, South Holland, IL 60473 Phone: 708-331-9200 Fax: 708-331-5519 | |
Aunt Martha's Youth Service Center Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 64 W 162nd St, Dental Suite, South Holland, IL 60473 Phone: 708-747-7100 | |
Sakhawat Hussain Mdsc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 16250 Louis Ave, South Holland, IL 60473 Phone: 708-333-0001 Fax: 708-333-0042 | |
Moving Up Foundation, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 520 W Armory Dr, South Holland, IL 60473 Phone: 708-596-0410 | |
South Holland Physical Therapy & Rehabilitation, Ltd. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 900 E 162nd St, South Holland, IL 60473 Phone: 708-331-7555 | |
Bhupinder K. Valia Md Ser Corp Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 16115 La Salle St, South Holland, IL 60473 Phone: 708-331-8830 Fax: 708-331-8860 |