| Cogent Healthcare Of Illinois, Llc | |
|
1005 Broadway St Quincy IL 62301-2834 | |
| (615) 377-5652 | |
| (888) 241-1404 |
| Full Name | Cogent Healthcare Of Illinois, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1005 Broadway St, Quincy, Illinois |
| Authorized Official Name and Position | Ron Greeno (SOLE MEMBER) |
| Authorized Official Contact | 9493996003 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cogent Healthcare Of Illinois, Llc 5410 Maryland Way Suite 300 Brentwood TN 37027-5064 Ph: (615) 377-5652 | Cogent Healthcare Of Illinois, Llc 1005 Broadway St Quincy IL 62301-2834 Ph: (615) 377-5652 |
| NPI Number | 1487897849 |
|---|---|
| Provider Enumeration Date | 04/15/2009 |
| Last Update Date | 04/17/2009 |
| Medicare PECOS PAC ID | 6507981008 |
|---|---|
| Medicare Enrollment ID | O20100920001157 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487897849 | NPI | - | NPPES |
| Provider Name | John Sifuentes |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154433621 PECOS PAC ID: 5395711980 Enrollment ID: I20040903001246 |
| Provider Name | Ashraf M Elghul |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225121585 PECOS PAC ID: 9830158849 Enrollment ID: I20041006000315 |
| Provider Name | Vuong A Dang-duc |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588630719 PECOS PAC ID: 7113985854 Enrollment ID: I20041229000150 |
| Provider Name | Gladstone A Tucker |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023087012 PECOS PAC ID: 0345293833 Enrollment ID: I20050225000445 |
| Provider Name | Christopher C Brodkin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083651004 PECOS PAC ID: 9739192089 Enrollment ID: I20060803000221 |
| Provider Name | Syed Hassan Khalid Jafri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942226949 PECOS PAC ID: 2466455738 Enrollment ID: I20060808000013 |
| Provider Name | Crystal S Jesenick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396831616 PECOS PAC ID: 7416953369 Enrollment ID: I20061017000103 |
| Provider Name | Bhupinder Singh |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1932250446 PECOS PAC ID: 7113096140 Enrollment ID: I20080516000598 |
| Provider Name | Iulia Oana |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306010756 PECOS PAC ID: 9537054234 Enrollment ID: I20080710000572 |
| Provider Name | Ramesh C Aggarwal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649458712 PECOS PAC ID: 9335214709 Enrollment ID: I20080819000829 |
| Provider Name | Ahsan Usman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215016571 PECOS PAC ID: 6507864998 Enrollment ID: I20080823000101 |
| Provider Name | Tatek K Takele |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437339272 PECOS PAC ID: 9830257971 Enrollment ID: I20081018000259 |
| Provider Name | Farhan Khan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1760593693 PECOS PAC ID: 2961502562 Enrollment ID: I20081020000117 |
| Provider Name | Syed N Ghani |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1205877396 PECOS PAC ID: 4880607142 Enrollment ID: I20081104000480 |
| Provider Name | Sathish Kumar Cullath Harikrishnan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861421869 PECOS PAC ID: 1355348087 Enrollment ID: I20090110000210 |
| Provider Name | Susan A Korf |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427295807 PECOS PAC ID: 0749346922 Enrollment ID: I20090313000274 |
| Provider Name | Shadi Nabieh Marina |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1972764041 PECOS PAC ID: 5496809428 Enrollment ID: I20090811000120 |
| Provider Name | Ioannis Karkatzounis |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1639335235 PECOS PAC ID: 9032263835 Enrollment ID: I20090813000167 |
| Provider Name | Eric C Trautmann |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477599835 PECOS PAC ID: 1557404050 Enrollment ID: I20100205000456 |
| Provider Name | Kenton Lee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366426397 PECOS PAC ID: 6507999810 Enrollment ID: I20100805001010 |
| Provider Name | Ronald A Zimmermann |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1346404985 PECOS PAC ID: 5991976300 Enrollment ID: I20110915000247 |
| Provider Name | Sindhu Kurup |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083910483 PECOS PAC ID: 8325207509 Enrollment ID: I20120323000038 |
| Provider Name | Bhanu P Sankineni |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1063675619 PECOS PAC ID: 5799947669 Enrollment ID: I20120510000566 |
| Provider Name | Richard Stephen Vogt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811258593 PECOS PAC ID: 4082864640 Enrollment ID: I20121017000689 |
| Provider Name | Fadi M Kara |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1942519533 PECOS PAC ID: 2264684018 Enrollment ID: I20121130000581 |
| Provider Name | Lewis D Griffith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821314451 PECOS PAC ID: 8325164791 Enrollment ID: I20130128000208 |
| Provider Name | Altaf Aman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942381132 PECOS PAC ID: 6406888320 Enrollment ID: I20130222000045 |
| Provider Name | Shazia P Khatoon |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1942518899 PECOS PAC ID: 4082869938 Enrollment ID: I20130227000271 |
| Provider Name | Rehan Mohammed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356511901 PECOS PAC ID: 9739357179 Enrollment ID: I20130502000308 |
| Provider Name | Amardeep Shrestha |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730490525 PECOS PAC ID: 2668611575 Enrollment ID: I20130625000208 |
| Provider Name | Silpa Maddala |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982917373 PECOS PAC ID: 7911131016 Enrollment ID: I20131003000075 |
| Provider Name | Ravi Mohan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1710183330 PECOS PAC ID: 7911040332 Enrollment ID: I20131206000598 |
| Provider Name | Suhair Aldewairey |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1932428281 PECOS PAC ID: 3577787613 Enrollment ID: I20140612000105 |
| Provider Name | Mohammad Asim Sohail |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1851550966 PECOS PAC ID: 5991982365 Enrollment ID: I20141001000890 |
| Provider Name | Muaiad Kittaneh |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1730350794 PECOS PAC ID: 7012078058 Enrollment ID: I20150309001643 |
| Provider Name | Shahaab Uddin |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1669784872 PECOS PAC ID: 1850526336 Enrollment ID: I20150316001253 |
| Provider Name | Olayinka Akinola |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043593049 PECOS PAC ID: 6103145529 Enrollment ID: I20150507000581 |
| Provider Name | Manish Gorasiya |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386053825 PECOS PAC ID: 2860703998 Enrollment ID: I20150616002339 |
| Provider Name | Ehtasham Khattak |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780948554 PECOS PAC ID: 8820211428 Enrollment ID: I20150819007920 |
| Provider Name | Franklin U Njoku |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1518252386 PECOS PAC ID: 2668698002 Enrollment ID: I20150908001364 |
| Provider Name | Jagathi Deepthi Govindu |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1659685295 PECOS PAC ID: 6608010939 Enrollment ID: I20160121002193 |
| Provider Name | Riddhi Shah |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1538401849 PECOS PAC ID: 1254636442 Enrollment ID: I20160706000636 |
| Provider Name | Rujuta Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497891683 PECOS PAC ID: 4789736273 Enrollment ID: I20160707002224 |
| Provider Name | Shyamal Madhavani |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1346657558 PECOS PAC ID: 2163792441 Enrollment ID: I20170719001433 |
| Provider Name | Yousuf Baig |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1881957611 PECOS PAC ID: 2668610304 Enrollment ID: I20171228001980 |
| Provider Name | Shahrukh Malghani |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1568878718 PECOS PAC ID: 0648567750 Enrollment ID: I20180104001758 |
| Provider Name | Hesham R Omar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407152366 PECOS PAC ID: 9739313321 Enrollment ID: I20180119000973 |
| Provider Name | Courtnea D Malugen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356844542 PECOS PAC ID: 3577828797 Enrollment ID: I20180517001341 |
| Provider Name | Abraham J Testa |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1528375078 PECOS PAC ID: 3870899230 Enrollment ID: I20180626001830 |
| Provider Name | Praveena U Jaidev |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1154707024 PECOS PAC ID: 8426363474 Enrollment ID: I20180725000374 |
| Provider Name | Hatem Hassaballa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699174540 PECOS PAC ID: 4587964853 Enrollment ID: I20180814002669 |
| Provider Name | Jonathan Ryan Winthers |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1043643083 PECOS PAC ID: 9931478963 Enrollment ID: I20180904000770 |
| Provider Name | Ningjing Li |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629457809 PECOS PAC ID: 3870898463 Enrollment ID: I20180904001349 |
| Provider Name | Kathy S Devous |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538722202 PECOS PAC ID: 3173865680 Enrollment ID: I20190503000063 |
| Provider Name | Jessica Thorman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508429630 PECOS PAC ID: 0042553455 Enrollment ID: I20190528000238 |
| Provider Name | Steven J Ramdeen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679924781 PECOS PAC ID: 3779876859 Enrollment ID: I20190711002000 |
| Provider Name | Leann Nitz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952701666 PECOS PAC ID: 2769709658 Enrollment ID: I20190816001914 |
| Provider Name | Chia-shing Yang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790005346 PECOS PAC ID: 3678702024 Enrollment ID: I20190821001950 |
| Provider Name | Baha'a Abdel-fattah Al-azzam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477087369 PECOS PAC ID: 8022440429 Enrollment ID: I20191122000482 |
| Provider Name | Hatem M Dajani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912099664 PECOS PAC ID: 9638235922 Enrollment ID: I20200616000668 |
| Provider Name | Fareeha Ahmed Khan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1376065730 PECOS PAC ID: 5294150884 Enrollment ID: I20200729003159 |
| Provider Name | Muhammad F Ahsan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225491095 PECOS PAC ID: 7012248487 Enrollment ID: I20200813001109 |
| Provider Name | Firaz T Chaudhry |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1588195531 PECOS PAC ID: 2264850619 Enrollment ID: I20200916001867 |
| Provider Name | Melinda Jones-saah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477078798 PECOS PAC ID: 2062778061 Enrollment ID: I20200922000356 |
| Provider Name | Rafal G Ciecierski |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1093916595 PECOS PAC ID: 2163577586 Enrollment ID: I20201014000824 |
| Provider Name | Avinish Reddy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245625953 PECOS PAC ID: 1254631344 Enrollment ID: I20201014001447 |
| Provider Name | Haala Rokadia |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1376787333 PECOS PAC ID: 6901034321 Enrollment ID: I20210218000374 |
| Provider Name | Alyssa Fayth Basile |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689147985 PECOS PAC ID: 3173862257 Enrollment ID: I20210312000565 |
| Provider Name | Joseph Gregory Huber |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477148443 PECOS PAC ID: 0648670968 Enrollment ID: I20210608002349 |
| Provider Name | Nitin Sainani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952745093 PECOS PAC ID: 8123327921 Enrollment ID: I20210701003513 |
| Provider Name | Mohammad Waqas Bashir |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336795020 PECOS PAC ID: 5092145631 Enrollment ID: I20210922002391 |
| Provider Name | Huma Khan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1578050282 PECOS PAC ID: 0840521878 Enrollment ID: I20211026002064 |
| Provider Name | Rehman Tariq |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518345974 PECOS PAC ID: 6507130192 Enrollment ID: I20211220001398 |
| Provider Name | Laeeq Butt |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841684735 PECOS PAC ID: 2264719335 Enrollment ID: I20220211001531 |
| Provider Name | Treniece Nichole Finney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558021501 PECOS PAC ID: 0244624773 Enrollment ID: I20220228001084 |
| Provider Name | Umar Bhatti |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558802751 PECOS PAC ID: 3577897529 Enrollment ID: I20220524000935 |
| Provider Name | Omer Yusaf |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669585956 PECOS PAC ID: 7618931627 Enrollment ID: I20220602002623 |
| Provider Name | Ashesha Mechineni |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1659784817 PECOS PAC ID: 2860772373 Enrollment ID: I20220630002528 |
| Provider Name | Jennifer Walker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952721615 PECOS PAC ID: 0941426183 Enrollment ID: I20220706003013 |
| Provider Name | Yahiya Syed |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245892165 PECOS PAC ID: 4688903131 Enrollment ID: I20220824000565 |
| Provider Name | Farooq S Ghouri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245644830 PECOS PAC ID: 1052694395 Enrollment ID: I20220902002219 |
| Provider Name | Humaed Mohammed Abdul |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295387280 PECOS PAC ID: 2163898925 Enrollment ID: I20221019000828 |
| Provider Name | Halimat Omobolanle Lawal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245792803 PECOS PAC ID: 0446582324 Enrollment ID: I20221115001030 |
| Provider Name | Megan E Barber |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407274533 PECOS PAC ID: 6002118890 Enrollment ID: I20221209000740 |
Siu Center For Family Medicine - Transitions Of Western Illinois Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4409 Maine St Ste 100, Quincy, IL 62305 Phone: 217-919-9139 Fax: 217-223-0461 | |
Blessing Express Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 420 N 34th St, Quincy, IL 62301 Phone: 217-214-9626 Fax: 217-214-9627 | |
Blessing Walk-in Clinic Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1400 Harrison St, Quincy, IL 62301 Phone: 217-223-8400 | |
Siu Center For Family Medicine - Adams County Dental Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 330 Vermont St Ste 100, Quincy, IL 62301 Phone: 217-222-8440 | |
Blessing Walk-in Clinic Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3700 Broadway St, Quincy, IL 62305 Phone: 217-228-1060 | |
Blessing Fastcare Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3200 Broadway St, Quincy, IL 62301 Phone: 217-223-8400 Fax: 217-223-9945 | |
Board Of Trustees Of Southern Illinois University Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 205 S 24th St Ste 100, Quincy, IL 62301 Phone: 217-224-9484 Fax: 217-224-7950 |