| Hospitalist Medicine Physicians Of Illinois - Rockford, Llc | |
|
1401 E State St Rockford IL 61104-2315 | |
| (779) 696-4400 | |
| Not Available |
| Full Name | Hospitalist Medicine Physicians Of Illinois - Rockford, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1401 E State St, Rockford, Illinois |
| Authorized Official Name and Position | Robert Bessler (PRESIDENT) |
| Authorized Official Contact | 6153775658 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hospitalist Medicine Physicians Of Illinois - Rockford, Llc 5410 Maryland Way Ste 300 Brentwood TN 37027-5339 Ph: (615) 377-5658 | Hospitalist Medicine Physicians Of Illinois - Rockford, Llc 1401 E State St Rockford IL 61104-2315 Ph: (779) 696-4400 |
| NPI Number | 1790263325 |
|---|---|
| Provider Enumeration Date | 08/06/2018 |
| Last Update Date | 08/06/2018 |
| Medicare PECOS PAC ID | 7315297785 |
|---|---|
| Medicare Enrollment ID | O20180905002458 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790263325 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Sanjay Vasudeo Joag |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174543615 PECOS PAC ID: 1658267885 Enrollment ID: I20040225000402 |
| Provider Name | John Sifuentes |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154433621 PECOS PAC ID: 5395711980 Enrollment ID: I20040903001246 |
| Provider Name | Steven A Campau |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255440954 PECOS PAC ID: 2567430960 Enrollment ID: I20040923000292 |
| Provider Name | Shobha S Iyengar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891724241 PECOS PAC ID: 1355306044 Enrollment ID: I20041122000919 |
| 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 | Jorge E Martinez |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1114984895 PECOS PAC ID: 3476589094 Enrollment ID: I20051003000178 |
| 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 | Ellena Lois Boddie |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689673790 PECOS PAC ID: 0840399515 Enrollment ID: I20070620000614 |
| Provider Name | Snigdha Volety |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821283565 PECOS PAC ID: 6800971813 Enrollment ID: I20080313000655 |
| 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 | 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 | Gulzar Fidai |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851398218 PECOS PAC ID: 9133028749 Enrollment ID: I20100108000384 |
| Provider Name | Eric C Trautmann |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477599835 PECOS PAC ID: 1557404050 Enrollment ID: I20100205000456 |
| Provider Name | Haris Aleem |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1063409795 PECOS PAC ID: 1850472374 Enrollment ID: I20101213000715 |
| 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 | Robina M Iqbal |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1760788376 PECOS PAC ID: 0244406155 Enrollment ID: I20120816000637 |
| Provider Name | Fadi M Kara |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1942519533 PECOS PAC ID: 2264684018 Enrollment ID: I20121130000581 |
| Provider Name | Muhammad H Tahir |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609100429 PECOS PAC ID: 5294989380 Enrollment ID: I20130124000372 |
| 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 | Owais Iqbal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184911695 PECOS PAC ID: 7810136769 Enrollment ID: I20131014001711 |
| Provider Name | Kavita Mohan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1831395458 PECOS PAC ID: 6709954795 Enrollment ID: I20131204001390 |
| Provider Name | Ravi Mohan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1710183330 PECOS PAC ID: 7911040332 Enrollment ID: I20131206000598 |
| Provider Name | Shazel Gharbi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1134449713 PECOS PAC ID: 1557518693 Enrollment ID: I20140506000186 |
| Provider Name | Suhair Aldewairey |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1932428281 PECOS PAC ID: 3577787613 Enrollment ID: I20140612000105 |
| Provider Name | Josia N Henry |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1063709236 PECOS PAC ID: 9537388343 Enrollment ID: I20140909002563 |
| Provider Name | Mohammad Asim Sohail |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1851550966 PECOS PAC ID: 5991982365 Enrollment ID: I20141001000890 |
| Provider Name | Jared G Nyabuti |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255695797 PECOS PAC ID: 9133368822 Enrollment ID: I20150226000541 |
| Provider Name | Saifullah Nasir |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427343938 PECOS PAC ID: 3971829003 Enrollment ID: I20150306001299 |
| Provider Name | Shahaab Uddin |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1669784872 PECOS PAC ID: 1850526336 Enrollment ID: I20150316001253 |
| 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 | Mazen Diab |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134436819 PECOS PAC ID: 3678873114 Enrollment ID: I20160222002768 |
| Provider Name | Oriade Adeoye |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1417397688 PECOS PAC ID: 8123317583 Enrollment ID: I20160525001364 |
| Provider Name | Riddhi Shah |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1538401849 PECOS PAC ID: 1254636442 Enrollment ID: I20160706000636 |
| Provider Name | Quynh-lan Nguyen |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1184064149 PECOS PAC ID: 1951697895 Enrollment ID: I20160930001131 |
| Provider Name | Syed Habibur Rahman |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1497160352 PECOS PAC ID: 3870888399 Enrollment ID: I20170214001628 |
| Provider Name | Toni-denise Espina |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1962829994 PECOS PAC ID: 6204130594 Enrollment ID: I20170613001459 |
| Provider Name | Shyamal Madhavani |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1346657558 PECOS PAC ID: 2163792441 Enrollment ID: I20170719001433 |
| Provider Name | Rupa N Baro |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851706402 PECOS PAC ID: 8729344908 Enrollment ID: I20171103000189 |
| Provider Name | Jawairia Memon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598049348 PECOS PAC ID: 8527287424 Enrollment ID: I20171115001810 |
| Provider Name | Fouad Kutuby |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1114367067 PECOS PAC ID: 9931419207 Enrollment ID: I20171222000228 |
| 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 | Talat Raja |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1649408220 PECOS PAC ID: 1052568359 Enrollment ID: I20180108000494 |
| Provider Name | Hesham R Omar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407152366 PECOS PAC ID: 9739313321 Enrollment ID: I20180119000973 |
| Provider Name | Rey Sriaroon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407199003 PECOS PAC ID: 4183929193 Enrollment ID: I20180201000672 |
| Provider Name | Courtnea D Malugen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356844542 PECOS PAC ID: 3577828797 Enrollment ID: I20180517001341 |
| 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 | Eunji Kwon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124401401 PECOS PAC ID: 9830448190 Enrollment ID: I20180820001742 |
| Provider Name | Nida Arshad Usmani |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1871977843 PECOS PAC ID: 8224387063 Enrollment ID: I20180828000679 |
| Provider Name | Jonathan Ryan Winthers |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1043643083 PECOS PAC ID: 9931478963 Enrollment ID: I20180904000770 |
| Provider Name | Steven J Ramdeen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679924781 PECOS PAC ID: 3779876859 Enrollment ID: I20190711002000 |
| 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 | Derek A Melby |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033266473 PECOS PAC ID: 9638252760 Enrollment ID: I20191203001343 |
| Provider Name | Wajdi N Bader |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740622513 PECOS PAC ID: 1355647348 Enrollment ID: I20200513002831 |
| Provider Name | Hatem M Dajani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912099664 PECOS PAC ID: 9638235922 Enrollment ID: I20200616000668 |
| Provider Name | Firaz T Chaudhry |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1588195531 PECOS PAC ID: 2264850619 Enrollment ID: I20200916001867 |
| Provider Name | Nitin Sainani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952745093 PECOS PAC ID: 8123327921 Enrollment ID: I20210701003513 |
| Provider Name | Pascal A Accoh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508360280 PECOS PAC ID: 1850646571 Enrollment ID: I20210903000066 |
| 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 | Lisa B Patel |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1164495032 PECOS PAC ID: 8224053103 Enrollment ID: I20220922000861 |
| Provider Name | Humaed Mohammed Abdul |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295387280 PECOS PAC ID: 2163898925 Enrollment ID: I20221019000828 |
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