| Gi Alliance Of Illinois | |
|
745 Fletcher Drive Elgin IL 60123-4747 | |
| (847) 888-1300 | |
| (847) 888-1341 |
| Full Name | Gi Alliance Of Illinois |
|---|---|
| Speciality | Internal Medicine |
| Location | 745 Fletcher Drive, Elgin, Illinois |
| Authorized Official Name and Position | Mitchell Bernsen (PHYSICIAN) |
| Authorized Official Contact | 8474391005 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gi Alliance Of Illinois 745 Fletcher Drive Elgin IL 60123-4747 Ph: (847) 888-1300 | Gi Alliance Of Illinois 745 Fletcher Drive Elgin IL 60123-4747 Ph: (847) 888-1300 |
| NPI Number | 1316277817 |
|---|---|
| Provider Enumeration Date | 01/05/2010 |
| Last Update Date | 11/01/2022 |
| Medicare PECOS PAC ID | 5193857423 |
|---|---|
| Medicare Enrollment ID | O20100721000790 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316277817 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
| 207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | (* (Not Available)) | Secondary |
| Provider Name | Pratibha P Rastogi |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1831189588 PECOS PAC ID: 5395635767 Enrollment ID: I20040318000846 |
| Provider Name | Jeff T Victor |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1104824887 PECOS PAC ID: 1456243955 Enrollment ID: I20040329000892 |
| Provider Name | Howard Alan Moritz |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1245273994 PECOS PAC ID: 5395730501 Enrollment ID: I20040417000046 |
| Provider Name | Jeanette A Dubay Mcdermit |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1427052885 PECOS PAC ID: 5799775003 Enrollment ID: I20040517001240 |
| Provider Name | Douglas R Adler |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1255313367 PECOS PAC ID: 4385635432 Enrollment ID: I20040519000443 |
| Provider Name | Janine Goodsite |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1093763070 PECOS PAC ID: 3476535659 Enrollment ID: I20040602000695 |
| Provider Name | Rajesh S Pillai |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1083836027 PECOS PAC ID: 8921085978 Enrollment ID: I20040707000722 |
| Provider Name | Walter R Glaws |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1104828532 PECOS PAC ID: 2769461094 Enrollment ID: I20040719001211 |
| Provider Name | Pauline Schultz |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1891797312 PECOS PAC ID: 1557331006 Enrollment ID: I20040730000503 |
| Provider Name | Jeffrey Jacobs |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1174524136 PECOS PAC ID: 0143290098 Enrollment ID: I20040730000597 |
| Provider Name | Kenneth D Chi |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1821070939 PECOS PAC ID: 5698747053 Enrollment ID: I20040806001224 |
| Provider Name | Sunil T Joseph |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1982716098 PECOS PAC ID: 0941272520 Enrollment ID: I20040812001039 |
| Provider Name | Vi Dang |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1114975216 PECOS PAC ID: 5890768030 Enrollment ID: I20040817000187 |
| Provider Name | David J Draksler |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1760407860 PECOS PAC ID: 0446226294 Enrollment ID: I20040903000000 |
| Provider Name | Randall Firfer |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1578732095 PECOS PAC ID: 7618939794 Enrollment ID: I20041101000611 |
| Provider Name | Steven L Flamm |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1912937244 PECOS PAC ID: 3173586534 Enrollment ID: I20041105000994 |
| Provider Name | Alan B Shapiro |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1881676997 PECOS PAC ID: 4284605338 Enrollment ID: I20041202000678 |
| Provider Name | Ronald A Bloom |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1659353779 PECOS PAC ID: 8820069974 Enrollment ID: I20041202000765 |
| Provider Name | Nina H Merel |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1285616300 PECOS PAC ID: 1759347602 Enrollment ID: I20041202000906 |
| Provider Name | Maria Winterman |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1164439089 PECOS PAC ID: 5799742797 Enrollment ID: I20041210000796 |
| Provider Name | Kevin M Liebovich |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1235131673 PECOS PAC ID: 3678525227 Enrollment ID: I20050211000509 |
| Provider Name | Ajay Bajaj |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1518943513 PECOS PAC ID: 0648222406 Enrollment ID: I20050221000280 |
| Provider Name | Ashley G Wurzer |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1538197447 PECOS PAC ID: 8224083779 Enrollment ID: I20050317000143 |
| Provider Name | William Kosmala |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1760442511 PECOS PAC ID: 1759328354 Enrollment ID: I20050414001057 |
| Provider Name | Joel M Lattin |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1437149895 PECOS PAC ID: 6204865645 Enrollment ID: I20050805000834 |
| Provider Name | Michelle M Garner |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1417985268 PECOS PAC ID: 8729018635 Enrollment ID: I20050819000233 |
| Provider Name | Steven D Booker |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1275558363 PECOS PAC ID: 5890716575 Enrollment ID: I20051208000935 |
| Provider Name | Kenneth B Camacho |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1750323424 PECOS PAC ID: 2264455401 Enrollment ID: I20060113000186 |
| Provider Name | Lynn Casey Maher |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1215022140 PECOS PAC ID: 2769406354 Enrollment ID: I20060123000395 |
| Provider Name | Maria Kolesnikov |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1134223266 PECOS PAC ID: 5395769988 Enrollment ID: I20060123000398 |
| Provider Name | Emilie Diane Hubbert |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1285602615 PECOS PAC ID: 2961426432 Enrollment ID: I20060124000109 |
| Provider Name | Wei M Sun |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1164487450 PECOS PAC ID: 6406866250 Enrollment ID: I20060425000273 |
| Provider Name | Brenda R Greene |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1164463782 PECOS PAC ID: 9638173214 Enrollment ID: I20060913000360 |
| Provider Name | Baseer M Qazi |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1386654093 PECOS PAC ID: 4789689845 Enrollment ID: I20060922000398 |
| Provider Name | Rogelio G Silva |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1962493064 PECOS PAC ID: 2860473725 Enrollment ID: I20061018000263 |
| Provider Name | Carl A Robinson |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1689787889 PECOS PAC ID: 4284630963 Enrollment ID: I20061020000284 |
| Provider Name | Priti Singh |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1205946209 PECOS PAC ID: 1557368784 Enrollment ID: I20061101000492 |
| Provider Name | Tammy Abbott |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1184665796 PECOS PAC ID: 0941299119 Enrollment ID: I20061120000006 |
| Provider Name | Andrew I Aronsohn |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1639106313 PECOS PAC ID: 4486653078 Enrollment ID: I20061208000234 |
| Provider Name | Julie Ann Flynn |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1104848258 PECOS PAC ID: 7315946761 Enrollment ID: I20061212000347 |
| Provider Name | Gregory R Gambla |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1801832167 PECOS PAC ID: 4385643717 Enrollment ID: I20061213000357 |
| Provider Name | Peter L Seraphin |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1831204734 PECOS PAC ID: 1951301332 Enrollment ID: I20070109000281 |
| Provider Name | Carlos A Rodriguez |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1164420840 PECOS PAC ID: 3173415643 Enrollment ID: I20070207000218 |
| Provider Name | Maureen Coleman |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1881785095 PECOS PAC ID: 4082673421 Enrollment ID: I20070221000108 |
| Provider Name | Samir A Patel |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1982664736 PECOS PAC ID: 5890728398 Enrollment ID: I20070419000058 |
| Provider Name | Kenneth R Beck |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1326017484 PECOS PAC ID: 2567567456 Enrollment ID: I20070423000097 |
| Provider Name | Richard Clark |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1659355121 PECOS PAC ID: 1759363195 Enrollment ID: I20070522000573 |
| Provider Name | Carl J Calandra |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1366527418 PECOS PAC ID: 5294835211 Enrollment ID: I20070705000174 |
| Provider Name | Margaret M Lynch |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1295940153 PECOS PAC ID: 9931209012 Enrollment ID: I20070705000477 |
| Provider Name | Mitchell Kaplan |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1760536130 PECOS PAC ID: 3476654781 Enrollment ID: I20070730000819 |
| Provider Name | Tracy H Vanderwiel |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1871526749 PECOS PAC ID: 1557453115 Enrollment ID: I20070828000028 |
| Provider Name | Hareth Raddawi |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1063440535 PECOS PAC ID: 5092736579 Enrollment ID: I20071012000482 |
| Provider Name | Lawrence E Gluskin |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1235109711 PECOS PAC ID: 5193815223 Enrollment ID: I20071213000226 |
| Provider Name | Patricia J Murtaugh |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1023299468 PECOS PAC ID: 7810072675 Enrollment ID: I20080304000835 |
| Provider Name | Michele Sue Cohen |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1700055266 PECOS PAC ID: 3678651478 Enrollment ID: I20080418000543 |
| Provider Name | David J Altman |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1861661324 PECOS PAC ID: 8123106929 Enrollment ID: I20080418000547 |
| Provider Name | Niraj K Ajmere |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1558309856 PECOS PAC ID: 5496827800 Enrollment ID: I20080630000554 |
| Provider Name | William Levis |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1265512164 PECOS PAC ID: 0547333734 Enrollment ID: I20080723000582 |
| Provider Name | Yogesh J Patel |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1538335955 PECOS PAC ID: 6800960113 Enrollment ID: I20080805000530 |
| Provider Name | Anna M Stegemann |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1003089707 PECOS PAC ID: 1456427269 Enrollment ID: I20080902000365 |
| Provider Name | Eric R Kallwitz |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1275716607 PECOS PAC ID: 7416024997 Enrollment ID: I20080925000180 |
| Provider Name | Rosemarie D Slowikowski |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1457456998 PECOS PAC ID: 9032286315 Enrollment ID: I20080929000487 |
| Provider Name | Michael D Erickson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1902874696 PECOS PAC ID: 0840351763 Enrollment ID: I20081210000167 |
| Provider Name | Thomas R Arndt |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1487614210 PECOS PAC ID: 1355374851 Enrollment ID: I20081222000389 |
| Provider Name | Vincent C Muscarello |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1134188675 PECOS PAC ID: 3971536475 Enrollment ID: I20081222000402 |
| Provider Name | Brian J Blumenstein |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1194784645 PECOS PAC ID: 4183786429 Enrollment ID: I20081222000418 |
| Provider Name | Wayne C Lue |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1922068428 PECOS PAC ID: 6901968247 Enrollment ID: I20081222000628 |
| Provider Name | Ilia S Panov |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1588800296 PECOS PAC ID: 8325102965 Enrollment ID: I20090127000469 |
| Provider Name | Cora C Wahl |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1821193327 PECOS PAC ID: 2264597269 Enrollment ID: I20090206000356 |
| Provider Name | Eliathamby Kuganeswaran |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1073555488 PECOS PAC ID: 2668537234 Enrollment ID: I20090213000407 |
| Provider Name | Laura Berman |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1689810392 PECOS PAC ID: 7315003449 Enrollment ID: I20090225000578 |
| Provider Name | Oksana S Dnes |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1639315922 PECOS PAC ID: 9436215969 Enrollment ID: I20090306000337 |
| Provider Name | Daniel J O Reilly |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1457325987 PECOS PAC ID: 2769429380 Enrollment ID: I20090331000066 |
| Provider Name | James O Draguesku |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1225003411 PECOS PAC ID: 9537106158 Enrollment ID: I20090331000084 |
| Provider Name | Rick Chadha |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1992770598 PECOS PAC ID: 0648337030 Enrollment ID: I20090331000109 |
| Provider Name | Brynn N Cinnamon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154555852 PECOS PAC ID: 8224188545 Enrollment ID: I20090609000051 |
| Provider Name | Jennifer A Dorfmeister |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1710135876 PECOS PAC ID: 1850442716 Enrollment ID: I20090706000552 |
| Provider Name | Patricia K Sun |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1366626426 PECOS PAC ID: 7719031723 Enrollment ID: I20090810000576 |
| Provider Name | Rahul N Julka |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1235216425 PECOS PAC ID: 0042364424 Enrollment ID: I20090819000744 |
| Provider Name | Rene Rafi |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1386875375 PECOS PAC ID: 3375680671 Enrollment ID: I20091019000405 |
| Provider Name | John A Vainder |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1508858226 PECOS PAC ID: 1850341660 Enrollment ID: I20100107000562 |
| Provider Name | Harsh V Gupta |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1295727436 PECOS PAC ID: 5496705204 Enrollment ID: I20100107000583 |
| Provider Name | Fred B Rosenberg |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1003817180 PECOS PAC ID: 9931167897 Enrollment ID: I20100123000170 |
| Provider Name | Joseph Losurdo |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1437261450 PECOS PAC ID: 6507873361 Enrollment ID: I20100415000496 |
| Provider Name | Lawrence R Kosinski |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1093827107 PECOS PAC ID: 6204807431 Enrollment ID: I20100415000651 |
| Provider Name | James G Stinneford |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1407968514 PECOS PAC ID: 6406827633 Enrollment ID: I20100415000714 |
| Provider Name | Kenneth A Bartman |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1730388422 PECOS PAC ID: 9032240858 Enrollment ID: I20100623000305 |
| Provider Name | Divyang R Joshi |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1477587590 PECOS PAC ID: 3173655545 Enrollment ID: I20100720001012 |
| Provider Name | Thomas F Mientus |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1649248824 PECOS PAC ID: 5597812925 Enrollment ID: I20100722000338 |
| Provider Name | Mitchell B Bernsen |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1275523631 PECOS PAC ID: 4385600337 Enrollment ID: I20100722000517 |
| Provider Name | Steven C Marquardt |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1972578227 PECOS PAC ID: 6709873094 Enrollment ID: I20100723000900 |
| Provider Name | Michael R Marinello |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1144249772 PECOS PAC ID: 6800928912 Enrollment ID: I20100723000908 |
| Provider Name | Raghavender Thunga |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1437124054 PECOS PAC ID: 3971636911 Enrollment ID: I20100728000636 |
| Provider Name | Kenneth R Schoenig |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1033147848 PECOS PAC ID: 2264483916 Enrollment ID: I20100730000605 |
| Provider Name | Loren B White |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1477543809 PECOS PAC ID: 8921068370 Enrollment ID: I20100803001194 |
| Provider Name | David J Kim |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1730170804 PECOS PAC ID: 3476519422 Enrollment ID: I20100804000063 |
| Provider Name | Maria Kimovec |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1790732279 PECOS PAC ID: 7719888007 Enrollment ID: I20100809000366 |
| Provider Name | Jeffrey S Dirst |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1700804598 PECOS PAC ID: 7517091440 Enrollment ID: I20100814000110 |
| Provider Name | Bruce D Greenberg |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1104817279 PECOS PAC ID: 1759341100 Enrollment ID: I20100901000517 |
| Provider Name | David J Sales |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1164412508 PECOS PAC ID: 3476513821 Enrollment ID: I20100901000544 |
| Provider Name | Mary G Kashmar |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1356364293 PECOS PAC ID: 2769674639 Enrollment ID: I20101011000527 |
| Provider Name | Daksesh B Patel |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1154526770 PECOS PAC ID: 1254523046 Enrollment ID: I20101012000949 |
| Provider Name | Robert C Janda |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1053426031 PECOS PAC ID: 8426005968 Enrollment ID: I20101015001178 |
| Provider Name | Robert M Lee |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1497860373 PECOS PAC ID: 9436342946 Enrollment ID: I20101015001187 |
| Provider Name | Michael R Treanor |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1255375200 PECOS PAC ID: 4789877614 Enrollment ID: I20101022001055 |
| Provider Name | Scott Y Wu |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1760426308 PECOS PAC ID: 7911190855 Enrollment ID: I20101022001115 |
| Provider Name | James Alexander Hunter |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1407883010 PECOS PAC ID: 8820282635 Enrollment ID: I20101104001434 |
| Provider Name | Donald E Penn |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1780628388 PECOS PAC ID: 7810182029 Enrollment ID: I20101113000232 |
| Provider Name | Abdullah M Al-rashdan |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1588831721 PECOS PAC ID: 8628142882 Enrollment ID: I20101214000978 |
| Provider Name | Matthew L Horowitz |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1467484410 PECOS PAC ID: 2668550518 Enrollment ID: I20101217000542 |
| Provider Name | Robert C Kaiser |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1255362000 PECOS PAC ID: 1759469604 Enrollment ID: I20101217000566 |
| Provider Name | Ljiljana N Rasic |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1275616294 PECOS PAC ID: 5496943961 Enrollment ID: I20101228000409 |
| Provider Name | Vijay Laxmi Misra |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1164475877 PECOS PAC ID: 3971545823 Enrollment ID: I20110107000891 |
| Provider Name | Sally P Seraphin |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1831421593 PECOS PAC ID: 0143419523 Enrollment ID: I20110117000203 |
| Provider Name | Sonia S Godambe |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1093964116 PECOS PAC ID: 3476742768 Enrollment ID: I20110119000076 |
| Provider Name | Gregory Vayl |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1609189679 PECOS PAC ID: 8628250289 Enrollment ID: I20110303000620 |
| Provider Name | Adrienne A Rigitano |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1346543055 PECOS PAC ID: 8022290063 Enrollment ID: I20110311000213 |
| Provider Name | Jennifer A Cajas |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1861794927 PECOS PAC ID: 7618159666 Enrollment ID: I20110311000287 |
| Provider Name | Jonathan A Rosenberg |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1811150725 PECOS PAC ID: 6002091238 Enrollment ID: I20110503000291 |
| Provider Name | Michael Dominick Dastice |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1952358939 PECOS PAC ID: 0547434755 Enrollment ID: I20111129000111 |
| Provider Name | Diana Rossi Springer |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1992088710 PECOS PAC ID: 8426223710 Enrollment ID: I20111215000303 |
| Provider Name | Esther J An |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1679854129 PECOS PAC ID: 9830365956 Enrollment ID: I20111220000450 |
| Provider Name | Lauren H.k. Singer |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1649556093 PECOS PAC ID: 6406016914 Enrollment ID: I20120320000960 |
| Provider Name | Souphaphone Bounmythavong Nicksic |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1740425701 PECOS PAC ID: 2567517691 Enrollment ID: I20120323000591 |
| Provider Name | Steven J Scaglione |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1912088782 PECOS PAC ID: 5890942445 Enrollment ID: I20120904000496 |
| Provider Name | Rabiatu Al-hassan |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1588927172 PECOS PAC ID: 9032368386 Enrollment ID: I20121002000792 |
| Provider Name | Kelly M Winkelman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649523838 PECOS PAC ID: 0244484400 Enrollment ID: I20130218000162 |
| Provider Name | Zachary T Smith |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1316283468 PECOS PAC ID: 2163668591 Enrollment ID: I20130409000493 |
| Provider Name | Kristin S Finke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598003824 PECOS PAC ID: 7416193560 Enrollment ID: I20130417000066 |
| Provider Name | Yen Ngoc Tai |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1790025997 PECOS PAC ID: 8628216959 Enrollment ID: I20130529000132 |
| Provider Name | Tiffany M Richardson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1114279700 PECOS PAC ID: 1850531484 Enrollment ID: I20130702000718 |
| Provider Name | Robert E Clark |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1033372727 PECOS PAC ID: 9537309711 Enrollment ID: I20130711000493 |
| Provider Name | Jennifer A Spanier-stiasny |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1235341587 PECOS PAC ID: 0840449740 Enrollment ID: I20130923000415 |
| Provider Name | Zarinah Ali Burford |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1386086791 PECOS PAC ID: 3870728876 Enrollment ID: I20131029001158 |
| Provider Name | Zareena R Khan |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1568699924 PECOS PAC ID: 6204062003 Enrollment ID: I20131127001069 |
| Provider Name | Darran R Moxon |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1528044658 PECOS PAC ID: 0143227470 Enrollment ID: I20131203000768 |
| Provider Name | Bogusia E Miszczyszyn |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1356763213 PECOS PAC ID: 2163651233 Enrollment ID: I20140213000030 |
| Provider Name | Shiraz A Khaiser |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1568681740 PECOS PAC ID: 8224176615 Enrollment ID: I20140612000946 |
| Provider Name | Anna A Patel |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1255405627 PECOS PAC ID: 6709001894 Enrollment ID: I20140703000859 |
| Provider Name | Navdeep Singh Chehl |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1730475534 PECOS PAC ID: 8123243714 Enrollment ID: I20140716000967 |
| Provider Name | Marci L Papiernik |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1093134363 PECOS PAC ID: 8224255591 Enrollment ID: I20140811000019 |
| Provider Name | Imad M Elkhatib |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1326204991 PECOS PAC ID: 3971741307 Enrollment ID: I20141002000220 |
| Provider Name | Christopher M Moore |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1740496512 PECOS PAC ID: 1254551385 Enrollment ID: I20141013000773 |
| Provider Name | Yelena Rikhman |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1083029375 PECOS PAC ID: 4284958133 Enrollment ID: I20150123001045 |
| Provider Name | Amit D Kalra |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1215120274 PECOS PAC ID: 2466620133 Enrollment ID: I20150520001236 |
| Provider Name | Olga Nicholas |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1245620855 PECOS PAC ID: 5193045888 Enrollment ID: I20150520001656 |
| Provider Name | Ebele Okonkwor |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1922406354 PECOS PAC ID: 6507170347 Enrollment ID: I20150806011550 |
| Provider Name | Krista Kubielewicz |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1629461694 PECOS PAC ID: 9931418845 Enrollment ID: I20151015001475 |
| Provider Name | Rhonda L. Woodbury |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750781993 PECOS PAC ID: 8426368531 Enrollment ID: I20151102001485 |
| Provider Name | Anna M Viera |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1932579687 PECOS PAC ID: 1759684806 Enrollment ID: I20160122001305 |
| Provider Name | Kathleen L Olsen |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1023459005 PECOS PAC ID: 1456586932 Enrollment ID: I20160401000941 |
| Provider Name | Heather M Creed |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457712929 PECOS PAC ID: 5698073286 Enrollment ID: I20160414002113 |
| Provider Name | Amit Ishwarlal Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164711107 PECOS PAC ID: 0143511212 Enrollment ID: I20160621000181 |
| Provider Name | Jaymon B Patel |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1386084044 PECOS PAC ID: 1557682317 Enrollment ID: I20160801000888 |
| Provider Name | Caitlin Cameron Kenny |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1295285245 PECOS PAC ID: 1850670308 Enrollment ID: I20161128001155 |
| Provider Name | Heidijo Elyea |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013451509 PECOS PAC ID: 1759662463 Enrollment ID: I20170111000831 |
| Provider Name | Jessica Dejaynes |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1548714041 PECOS PAC ID: 3971886672 Enrollment ID: I20170202002288 |
| Provider Name | Lauren E Poteet |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1063961985 PECOS PAC ID: 1355627415 Enrollment ID: I20170404002605 |
| Provider Name | Amanda K Kelly |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1891232914 PECOS PAC ID: 0345517686 Enrollment ID: I20170517001152 |
| Provider Name | Barbara A Doherty |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1033584495 PECOS PAC ID: 9436453453 Enrollment ID: I20170531001359 |
| Provider Name | Brian Liem |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1871892232 PECOS PAC ID: 2365665890 Enrollment ID: I20170622002905 |
| Provider Name | Amy D Mckenney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831628833 PECOS PAC ID: 3678842895 Enrollment ID: I20170703000681 |
| Provider Name | Nadi Akileh |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1669916367 PECOS PAC ID: 6002182235 Enrollment ID: I20171016002565 |
| Provider Name | Nicole Zeppo |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1639684368 PECOS PAC ID: 9335408855 Enrollment ID: I20180109000521 |
| Provider Name | Darren Ballard |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1467652560 PECOS PAC ID: 3678757382 Enrollment ID: I20180116000059 |
| Provider Name | Mark Cartwright |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1912411265 PECOS PAC ID: 2860752912 Enrollment ID: I20180209000596 |
| Provider Name | Angela Sue Kuras |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1770081432 PECOS PAC ID: 6305106154 Enrollment ID: I20180216000008 |
| Provider Name | Stacey Mendez |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1780195545 PECOS PAC ID: 2365704772 Enrollment ID: I20180323001009 |
| Provider Name | Fhyne S Dulnuan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144723339 PECOS PAC ID: 1153685003 Enrollment ID: I20180501002314 |
| Provider Name | Amy M Durst |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174025357 PECOS PAC ID: 0446514236 Enrollment ID: I20180502001672 |
| Provider Name | Pratixa Patel |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1891210647 PECOS PAC ID: 0840548053 Enrollment ID: I20180803002467 |
| Provider Name | Samantha K Liem |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275979312 PECOS PAC ID: 5092957886 Enrollment ID: I20180905001373 |
| Provider Name | Lauren M Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306331830 PECOS PAC ID: 6901159904 Enrollment ID: I20181022000088 |
| Provider Name | Hemali Kumar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548743388 PECOS PAC ID: 3577807056 Enrollment ID: I20181211000857 |
| Provider Name | Amy Amarathithada |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760957302 PECOS PAC ID: 9537404934 Enrollment ID: I20181212002571 |
| Provider Name | Meghana Doniparthi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861854697 PECOS PAC ID: 9739472879 Enrollment ID: I20190521002090 |
| Provider Name | David Mendoza |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1114364528 PECOS PAC ID: 1355674037 Enrollment ID: I20190612000958 |
| Provider Name | Jane Kray |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1689763492 PECOS PAC ID: 0446583959 Enrollment ID: I20190613003331 |
| Provider Name | Jennifer A Cahill |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1952643405 PECOS PAC ID: 0345569869 Enrollment ID: I20190806001472 |
| Provider Name | Jennifer L Rachan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548812258 PECOS PAC ID: 8729315213 Enrollment ID: I20190806003234 |
| Provider Name | Nilam A Patel |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1407353949 PECOS PAC ID: 3072841105 Enrollment ID: I20190827002035 |
| Provider Name | Carol A Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750843322 PECOS PAC ID: 9335470566 Enrollment ID: I20191018001670 |
| Provider Name | Jacquelyn T Torres |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396391231 PECOS PAC ID: 5698007854 Enrollment ID: I20191022000352 |
| Provider Name | Mary Angeline Rouzer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134632334 PECOS PAC ID: 5991064438 Enrollment ID: I20191113002330 |
| Provider Name | Prina Patel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609427137 PECOS PAC ID: 2466888631 Enrollment ID: I20200206001063 |
| Provider Name | Adam Bradley Gluskin |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1154748366 PECOS PAC ID: 3375848963 Enrollment ID: I20200529002676 |
| Provider Name | Douglas J Brickey |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1285258855 PECOS PAC ID: 9133546799 Enrollment ID: I20200827000516 |
| Provider Name | Timmy Steve Joseph |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1124655931 PECOS PAC ID: 9931527009 Enrollment ID: I20200922002259 |
| Provider Name | Jolene K Manuyag |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790313674 PECOS PAC ID: 6709205255 Enrollment ID: I20201001002411 |
| Provider Name | Ryma G Santiago |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245814128 PECOS PAC ID: 6608275177 Enrollment ID: I20210603001688 |
| Provider Name | Joyce Ann Smith |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1871812982 PECOS PAC ID: 4183811979 Enrollment ID: I20210916003276 |
| Provider Name | Danielle Robinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003588104 PECOS PAC ID: 8921496266 Enrollment ID: I20211019002435 |
| Provider Name | Joseph E Vandyke |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1487310991 PECOS PAC ID: 6800288028 Enrollment ID: I20220121000091 |
| Provider Name | Kristene Mychelle Flanagan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629644836 PECOS PAC ID: 9537546890 Enrollment ID: I20220507000179 |
| Provider Name | Jean Alcasid Yao |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639813751 PECOS PAC ID: 4587041405 Enrollment ID: I20220516001453 |
| Provider Name | Erin Le Breton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013258987 PECOS PAC ID: 1153706072 Enrollment ID: I20220913003557 |
| Provider Name | Krystal Darnell Perdue |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205532041 PECOS PAC ID: 7315310752 Enrollment ID: I20230306000357 |
| Provider Name | Gloria Sa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215641352 PECOS PAC ID: 7315312378 Enrollment ID: I20230405002491 |
| Provider Name | Justin Kosirog |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255726238 PECOS PAC ID: 9739499922 Enrollment ID: I20230525001819 |
| Provider Name | Jennifer Min Kang |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1821521766 PECOS PAC ID: 9537437173 Enrollment ID: I20230715000610 |
| Provider Name | Linda M. Girardot |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1083392237 PECOS PAC ID: 5294197760 Enrollment ID: I20230815002973 |
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 |