| Elio M Vento Md & Associates Sc | |
|
2350 Royal Blvd Suite 100 Elgin IL 60123-4719 | |
| (847) 695-8100 | |
| (847) 695-6808 |
| Full Name | Elio M Vento Md & Associates Sc |
|---|---|
| Speciality | Internal Medicine |
| Location | 2350 Royal Blvd, Elgin, Illinois |
| Authorized Official Name and Position | Heidi B Klier (OFFICE MANAGER) |
| Authorized Official Contact | 8476958100 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Elio M Vento Md & Associates Sc 2350 Royal Blvd Suite 100 Elgin IL 60123-4719 Ph: (847) 695-8100 | Elio M Vento Md & Associates Sc 2350 Royal Blvd Suite 100 Elgin IL 60123-4719 Ph: (847) 695-8100 |
| NPI Number | 1063635431 |
|---|---|
| Provider Enumeration Date | 04/11/2007 |
| Last Update Date | 12/12/2012 |
| Medicare PECOS PAC ID | 4284688748 |
|---|---|
| Medicare Enrollment ID | O20050308000520 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063635431 | NPI | - | NPPES |
| 036078120 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 036078120 (Illinois) | Primary |
| Provider Name | Gordon Copeland Newsom |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508929480 PECOS PAC ID: 9032163597 Enrollment ID: I20050308000494 |
| Provider Name | Laura A Demarco Paitl |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457359739 PECOS PAC ID: 4981631900 Enrollment ID: I20050721000466 |
| Provider Name | Sylvia M Scrima |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962629576 PECOS PAC ID: 4486748852 Enrollment ID: I20070915000172 |
| Provider Name | James F Koop |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255420451 PECOS PAC ID: 6305904780 Enrollment ID: I20081029000564 |
| Provider Name | Elio Vento |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487717492 PECOS PAC ID: 5092769562 Enrollment ID: I20100902000753 |
| Provider Name | Sharon E Larsen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861785032 PECOS PAC ID: 6709063738 Enrollment ID: I20110531000554 |
| Provider Name | Lily Phouikham |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730408899 PECOS PAC ID: 4981907821 Enrollment ID: I20160707000933 |
| Provider Name | Natalie Hindley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669820791 PECOS PAC ID: 5092009654 Enrollment ID: I20160805000149 |
| Provider Name | Janelle T Kloch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477006294 PECOS PAC ID: 0143514133 Enrollment ID: I20160815001307 |
| Provider Name | Michelle Krause |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376890889 PECOS PAC ID: 0143463059 Enrollment ID: I20171212001691 |
| Provider Name | Brenda Neshell Sims |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407348337 PECOS PAC ID: 0547508814 Enrollment ID: I20190212000605 |
| Provider Name | Ellen M Follett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326683665 PECOS PAC ID: 4284062456 Enrollment ID: I20200323000149 |
| Provider Name | Vicki Marie Fahey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295331387 PECOS PAC ID: 4082021423 Enrollment ID: I20210331000333 |
| Provider Name | Cherie Fiedler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730822263 PECOS PAC ID: 1951784180 Enrollment ID: I20220914003472 |
| Provider Name | Mayra Garcia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427789783 PECOS PAC ID: 1850767112 Enrollment ID: I20221012001380 |
| Provider Name | Yi Jin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528701612 PECOS PAC ID: 9931572633 Enrollment ID: I20230228001206 |
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