| Humboldt Park Health | |
|
1044 N Francisco Ave Chicago IL 60622 | |
| (773) 292-8200 | |
| (773) 278-3899 |
| Full Name | Humboldt Park Health |
|---|---|
| Speciality | Family Medicine |
| Location | 1044 N Francisco Ave, Chicago, Illinois |
| Authorized Official Name and Position | Dorothy Cheryl Erins (CREDENTIALING SPECIALIST) |
| Authorized Official Contact | 2692445256 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Humboldt Park Health 1044 N Francisco Ave Chicago IL 60622-2743 Ph: (773) 292-8200 | Humboldt Park Health 1044 N Francisco Ave Chicago IL 60622 Ph: (773) 292-8200 |
| NPI Number | 1740417153 |
|---|---|
| Provider Enumeration Date | 06/12/2009 |
| Last Update Date | 06/10/2021 |
| Medicare PECOS PAC ID | 8921907072 |
|---|---|
| Medicare Enrollment ID | O20040107000704 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740417153 | NPI | - | NPPES |
| Provider Name | Patrick L Mccarthy |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1821098906 PECOS PAC ID: 3577469337 Enrollment ID: I20031211000373 |
| Provider Name | Donatas A Siliunas |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1548261910 PECOS PAC ID: 4789589359 Enrollment ID: I20031211000621 |
| Provider Name | Paul A Santangelo |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1215964523 PECOS PAC ID: 9638072655 Enrollment ID: I20040128000739 |
| Provider Name | Evan J Samett |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1306890728 PECOS PAC ID: 8921992991 Enrollment ID: I20040211000038 |
| Provider Name | Linda L. Dew |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1093799884 PECOS PAC ID: 7810882313 Enrollment ID: I20040216000181 |
| Provider Name | Joel R Anderson |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1952341505 PECOS PAC ID: 7315832102 Enrollment ID: I20040225000208 |
| Provider Name | Syeda H Zahedi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053383992 PECOS PAC ID: 2860380045 Enrollment ID: I20040309000686 |
| Provider Name | Raad N Rashan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861431827 PECOS PAC ID: 5092614206 Enrollment ID: I20040426001115 |
| Provider Name | Kevin A Copley |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1871591115 PECOS PAC ID: 8123017175 Enrollment ID: I20040507001141 |
| Provider Name | Xavier Pareja |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1053379578 PECOS PAC ID: 0749263143 Enrollment ID: I20040608000793 |
| Provider Name | George R Sosenko |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1881680411 PECOS PAC ID: 5597743641 Enrollment ID: I20040714001076 |
| Provider Name | Emelita C Co |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396813069 PECOS PAC ID: 1951373240 Enrollment ID: I20040810000736 |
| Provider Name | Fadi Habib |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1013963164 PECOS PAC ID: 0749252591 Enrollment ID: I20040811000906 |
| Provider Name | Geeta R Wadhwani |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1235251265 PECOS PAC ID: 1052208402 Enrollment ID: I20040812001389 |
| Provider Name | Barry M Summers |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326117383 PECOS PAC ID: 2163499518 Enrollment ID: I20040914001268 |
| Provider Name | Mumtaz A Siddiqui |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1679569925 PECOS PAC ID: 6608845896 Enrollment ID: I20040924000638 |
| Provider Name | Kenneth L Moore |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1891899258 PECOS PAC ID: 0446211874 Enrollment ID: I20041020000200 |
| Provider Name | Nancy R Sagona |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1679574461 PECOS PAC ID: 9537148762 Enrollment ID: I20041122000918 |
| Provider Name | Steven R Klepac |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1265416002 PECOS PAC ID: 9133172018 Enrollment ID: I20050303000090 |
| Provider Name | Arun K Verma |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1871589143 PECOS PAC ID: 9032164868 Enrollment ID: I20050315000465 |
| Provider Name | Alvia Sabahat |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699707851 PECOS PAC ID: 2365480860 Enrollment ID: I20050425000175 |
| Provider Name | Gary G Wiesman |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1821191404 PECOS PAC ID: 4688614431 Enrollment ID: I20050511000267 |
| Provider Name | Magnus Edosomwan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215959176 PECOS PAC ID: 4486697141 Enrollment ID: I20050603000950 |
| Provider Name | Charles Edoigiawerie |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073622957 PECOS PAC ID: 5991732091 Enrollment ID: I20050720000641 |
| Provider Name | Mohammed Bachar Ghabra |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1396746822 PECOS PAC ID: 0042248270 Enrollment ID: I20050729000382 |
| Provider Name | Peter Alexander Snitovsky |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1710951520 PECOS PAC ID: 7517998727 Enrollment ID: I20050827000120 |
| Provider Name | Syed M Husain |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1619998119 PECOS PAC ID: 5294751798 Enrollment ID: I20051024000143 |
| Provider Name | Jude R Duval |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1235171877 PECOS PAC ID: 0345269700 Enrollment ID: I20051116000060 |
| Provider Name | George R Cybulski |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1336107937 PECOS PAC ID: 7315960085 Enrollment ID: I20060109000516 |
| Provider Name | Sudheer Paruchuri |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1245221837 PECOS PAC ID: 6103842752 Enrollment ID: I20060922000295 |
| Provider Name | Adelina R Moya |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942231469 PECOS PAC ID: 8628075926 Enrollment ID: I20061030000452 |
| Provider Name | David Czukerberg |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1578515839 PECOS PAC ID: 7012915846 Enrollment ID: I20061110000016 |
| Provider Name | Natasha T Jenkins |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1285736736 PECOS PAC ID: 3779582218 Enrollment ID: I20061212000163 |
| Provider Name | Albert Saporta |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1548341290 PECOS PAC ID: 1456264001 Enrollment ID: I20070116000091 |
| Provider Name | Marc A Adajar |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1508947383 PECOS PAC ID: 7416057260 Enrollment ID: I20070710000492 |
| Provider Name | Vijayalakshmi Arekapudi |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1285622878 PECOS PAC ID: 0648357681 Enrollment ID: I20080401000838 |
| Provider Name | Thomas C Malvar |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1528089083 PECOS PAC ID: 1951488295 Enrollment ID: I20080410000330 |
| Provider Name | Jana J Richards |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1801015672 PECOS PAC ID: 2365521499 Enrollment ID: I20080430000833 |
| Provider Name | Pamorn Kulsakdinun |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1528162252 PECOS PAC ID: 0648345512 Enrollment ID: I20080813000088 |
| Provider Name | Ghanshyam Thakkar |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1235196007 PECOS PAC ID: 5597825471 Enrollment ID: I20081121000549 |
| Provider Name | Rita M Zafra |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1003080847 PECOS PAC ID: 7911068713 Enrollment ID: I20081212000043 |
| Provider Name | Arlene M Wallace |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1699858878 PECOS PAC ID: 1759434574 Enrollment ID: I20090727000564 |
| Provider Name | Mohammed Sajjad |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780809152 PECOS PAC ID: 8628122710 Enrollment ID: I20090825000396 |
| Provider Name | Irena Mulla |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891846911 PECOS PAC ID: 9638224926 Enrollment ID: I20090910000432 |
| Provider Name | Ramon Barajas |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1477702611 PECOS PAC ID: 7113073339 Enrollment ID: I20090914000168 |
| Provider Name | David C Chua |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1346241585 PECOS PAC ID: 5092894857 Enrollment ID: I20100306000276 |
| Provider Name | Afreen Hyder |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1558563148 PECOS PAC ID: 9638208960 Enrollment ID: I20100526000004 |
| Provider Name | Nkeiruka O Dara |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1679801476 PECOS PAC ID: 1951433739 Enrollment ID: I20100714000203 |
| Provider Name | Peter T Vaselopulos |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1578608949 PECOS PAC ID: 7810092715 Enrollment ID: I20100920000909 |
| Provider Name | Eric Mizuno |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558398388 PECOS PAC ID: 3072639269 Enrollment ID: I20100924000754 |
| Provider Name | Aisha M Jaleel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619968203 PECOS PAC ID: 8224221577 Enrollment ID: I20101020000058 |
| Provider Name | Louis D Santangelo |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1902130032 PECOS PAC ID: 4082809819 Enrollment ID: I20101105001205 |
| Provider Name | Margot T Ocampo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760520464 PECOS PAC ID: 4789868506 Enrollment ID: I20110401000746 |
| Provider Name | Atul Patel |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1528045374 PECOS PAC ID: 6103844774 Enrollment ID: I20110415000434 |
| Provider Name | Obioma P Oparanozie |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1255659751 PECOS PAC ID: 3072799683 Enrollment ID: I20110517000143 |
| Provider Name | Kamala J Krakover |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1659515625 PECOS PAC ID: 0941470603 Enrollment ID: I20110907001133 |
| Provider Name | Priyadarshini Koduri |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1578752580 PECOS PAC ID: 1951572809 Enrollment ID: I20110926000365 |
| Provider Name | Dagoberto Camacho |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629201512 PECOS PAC ID: 9234382730 Enrollment ID: I20130112000073 |
| Provider Name | Maria Andreevna Osipova |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1447416722 PECOS PAC ID: 1557500485 Enrollment ID: I20130625000359 |
| Provider Name | Ashley M Caleel |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1578714044 PECOS PAC ID: 9032351424 Enrollment ID: I20130814000752 |
| Provider Name | Kate Moya |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952733677 PECOS PAC ID: 0446494868 Enrollment ID: I20130924000779 |
| Provider Name | Kalid Adab |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346473345 PECOS PAC ID: 7517114390 Enrollment ID: I20131031001059 |
| Provider Name | Emanuel Favela |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952614893 PECOS PAC ID: 6709015290 Enrollment ID: I20140203001020 |
| Provider Name | Majed Dalloul |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1922328426 PECOS PAC ID: 4880835578 Enrollment ID: I20140418000072 |
| Provider Name | Atul K Nanda |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1033342837 PECOS PAC ID: 4688800162 Enrollment ID: I20140910001497 |
| Provider Name | James Collins |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1366429383 PECOS PAC ID: 0749176261 Enrollment ID: I20141022001453 |
| Provider Name | Nicolaus J Kuehn |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1518946649 PECOS PAC ID: 6507858651 Enrollment ID: I20141022002609 |
| Provider Name | Courtney Lockhart |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1952689259 PECOS PAC ID: 0547582017 Enrollment ID: I20141211001972 |
| Provider Name | Marta H Sciubisz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922394808 PECOS PAC ID: 9739402637 Enrollment ID: I20141230000401 |
| Provider Name | Jeffrey Caverly |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1912968686 PECOS PAC ID: 2961509500 Enrollment ID: I20150526000946 |
| Provider Name | Jason Lue |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1619141223 PECOS PAC ID: 2466525563 Enrollment ID: I20150528000579 |
| Provider Name | Jose A Ospina |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1033373287 PECOS PAC ID: 7618147653 Enrollment ID: I20150529000360 |
| Provider Name | Alix Vincent |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1003802265 PECOS PAC ID: 4789602194 Enrollment ID: I20150601000871 |
| Provider Name | Peilin Reed |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1265484794 PECOS PAC ID: 5991783227 Enrollment ID: I20150602001339 |
| Provider Name | Surender Kurapati |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1073558383 PECOS PAC ID: 8628982428 Enrollment ID: I20151217001694 |
| Provider Name | Shafeequr Rizwan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295761484 PECOS PAC ID: 7113986688 Enrollment ID: I20160209002586 |
| Provider Name | Abhijit Ashok Patil |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1104288497 PECOS PAC ID: 0345536447 Enrollment ID: I20160915000278 |
| Provider Name | Lindsey Sikora |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750827671 PECOS PAC ID: 7517241029 Enrollment ID: I20170301001140 |
| Provider Name | Valerie Visitacion Mayuga |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740697853 PECOS PAC ID: 2163712274 Enrollment ID: I20170627000287 |
| Provider Name | Samir Naser Shahen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558773663 PECOS PAC ID: 4880992775 Enrollment ID: I20170706001575 |
| Provider Name | Charles M Davis |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1447240171 PECOS PAC ID: 9335230291 Enrollment ID: I20170726000466 |
| Provider Name | Sarah Dobbins |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1295127470 PECOS PAC ID: 2567780117 Enrollment ID: I20170816001704 |
| Provider Name | Shadi Halabi |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1306285051 PECOS PAC ID: 6901108836 Enrollment ID: I20171121000725 |
| Provider Name | Mohammed T Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588075576 PECOS PAC ID: 5294033536 Enrollment ID: I20180104000517 |
| Provider Name | Ricardo R Rios |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1881957405 PECOS PAC ID: 9830458124 Enrollment ID: I20180111002825 |
| Provider Name | Nitin Sharma |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1568753846 PECOS PAC ID: 1850661901 Enrollment ID: I20180703002544 |
| Provider Name | Juliana N Mitchell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184097859 PECOS PAC ID: 7517268683 Enrollment ID: I20180807001955 |
| Provider Name | Nasser Razack |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1225141328 PECOS PAC ID: 3375574668 Enrollment ID: I20180817002251 |
| Provider Name | Jennifer M Renzas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225512759 PECOS PAC ID: 2668725961 Enrollment ID: I20181105000316 |
| Provider Name | Kameka Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427299692 PECOS PAC ID: 4284930934 Enrollment ID: I20190107000532 |
| Provider Name | Desiree Michelle Provax |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942760962 PECOS PAC ID: 8022350289 Enrollment ID: I20190508002712 |
| Provider Name | Edna M Rios |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982145967 PECOS PAC ID: 7012250996 Enrollment ID: I20190516000591 |
| Provider Name | Asfahan Moein Khan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1861856247 PECOS PAC ID: 5799073755 Enrollment ID: I20190529000001 |
| Provider Name | Christian J Ingui |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1407893894 PECOS PAC ID: 0042213431 Enrollment ID: I20191111001244 |
| Provider Name | Kamiar Massrour |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1376791343 PECOS PAC ID: 4587704119 Enrollment ID: I20191112000552 |
| Provider Name | Daniel N Lucas |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1417905522 PECOS PAC ID: 8527040195 Enrollment ID: I20191113001025 |
| Provider Name | David Wells |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1659447118 PECOS PAC ID: 0143128082 Enrollment ID: I20191115002679 |
| Provider Name | Farid F Shafaie |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1306891841 PECOS PAC ID: 4688636905 Enrollment ID: I20200107001199 |
| Provider Name | Supriya Gupta |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1548521883 PECOS PAC ID: 5092004523 Enrollment ID: I20200113001847 |
| Provider Name | Gina Kim |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205466364 PECOS PAC ID: 3375973845 Enrollment ID: I20200423002676 |
| Provider Name | Victor Chow |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639606726 PECOS PAC ID: 8325464373 Enrollment ID: I20200820002502 |
| Provider Name | Palak Shah |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598292799 PECOS PAC ID: 5395161210 Enrollment ID: I20200821001550 |
| Provider Name | Gladys Seeham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508318148 PECOS PAC ID: 2769809052 Enrollment ID: I20200901002303 |
| Provider Name | Tomasa Valencia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790337228 PECOS PAC ID: 1052730140 Enrollment ID: I20200923000087 |
| Provider Name | Aaron Jun |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1033194253 PECOS PAC ID: 5496773061 Enrollment ID: I20210210001135 |
| Provider Name | David N Ishimitsu |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1497919641 PECOS PAC ID: 3173783057 Enrollment ID: I20210220000157 |
| Provider Name | Marc Alcantara |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710576657 PECOS PAC ID: 4486061512 Enrollment ID: I20210407002105 |
| Provider Name | Gerrit Dunford |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1326493271 PECOS PAC ID: 9436559663 Enrollment ID: I20210610000055 |
| Provider Name | Sagar N Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609379932 PECOS PAC ID: 6204183452 Enrollment ID: I20210727001867 |
| Provider Name | Samiraly Moosa |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699264622 PECOS PAC ID: 8224432844 Enrollment ID: I20210804001980 |
| Provider Name | Dina Pierre-gray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639743131 PECOS PAC ID: 7911303805 Enrollment ID: I20210901000014 |
| Provider Name | Ari D Plosker |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1639141682 PECOS PAC ID: 4587693320 Enrollment ID: I20210913000064 |
| Provider Name | Melissa R House |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1134632516 PECOS PAC ID: 6406254697 Enrollment ID: I20211001000421 |
| Provider Name | George Dominic Mammo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659808053 PECOS PAC ID: 4385062108 Enrollment ID: I20220209000983 |
| Provider Name | Claudia A Roldan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801557319 PECOS PAC ID: 8628464575 Enrollment ID: I20220401002125 |
| Provider Name | Gregory Orth |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1205875788 PECOS PAC ID: 2860573722 Enrollment ID: I20220620000991 |
| Provider Name | Lance Williams |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1194773549 PECOS PAC ID: 2365455839 Enrollment ID: I20220718002922 |
| Provider Name | Mahdieh Haji Amou Assar |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1518953926 PECOS PAC ID: 5799675781 Enrollment ID: I20221018001662 |
| Provider Name | Anthony Bullard |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1376590927 PECOS PAC ID: 8921077132 Enrollment ID: I20221026001191 |
| Provider Name | Keith Mcguire |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1750310421 PECOS PAC ID: 6103093190 Enrollment ID: I20221027000061 |
| Provider Name | Paul Lampert |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1326010356 PECOS PAC ID: 4284532508 Enrollment ID: I20221101001710 |
| Provider Name | Faranak Sadri-tafazoli |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1790717221 PECOS PAC ID: 7214005750 Enrollment ID: I20221103003161 |
| Provider Name | Steven C White |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1174529507 PECOS PAC ID: 3375595846 Enrollment ID: I20230321002751 |
| Provider Name | Scott Frederick Zingsheim |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306544820 PECOS PAC ID: 2769847839 Enrollment ID: I20230424002480 |
| Provider Name | William Zinn |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1912984238 PECOS PAC ID: 2062460694 Enrollment ID: I20230606001436 |
| Provider Name | James Chatham Jr |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1629130141 PECOS PAC ID: 6002968773 Enrollment ID: I20230711003323 |
| Provider Name | John Sanico |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1518126697 PECOS PAC ID: 5092882472 Enrollment ID: I20230717002141 |
| Provider Name | Lisa Mary Tran |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164051355 PECOS PAC ID: 7416377957 Enrollment ID: I20230721001151 |
| Provider Name | Christopher O. Hampson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1033262985 PECOS PAC ID: 9638225881 Enrollment ID: I20230724001647 |
| Provider Name | Karl Magsamen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1033202536 PECOS PAC ID: 8921084187 Enrollment ID: I20230830000412 |
| Provider Name | Jeffrey A Zuckerman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1326153701 PECOS PAC ID: 7113810318 Enrollment ID: I20230830002768 |
| Provider Name | David P. Reiner |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1174572572 PECOS PAC ID: 4981616661 Enrollment ID: I20231106001958 |
| Provider Name | Olha Huzo |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1710516976 PECOS PAC ID: 7911382080 Enrollment ID: I20231207000208 |
| Provider Name | Christine G Heatley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053181024 PECOS PAC ID: 4587008636 Enrollment ID: I20240216003370 |
| Provider Name | Steven J Karidas |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1396940342 PECOS PAC ID: 0941391478 Enrollment ID: I20240222001263 |
| Provider Name | J Rubin |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1720036312 PECOS PAC ID: 9436056215 Enrollment ID: I20240404003474 |
| Provider Name | Tony Khanh Tran |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487832234 PECOS PAC ID: 6608069562 Enrollment ID: I20240608000147 |
Pilsen Pediatrics Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1952 W Cermak Rd, Chicago, IL 60608 Phone: 773-254-6611 Fax: 773-254-8590 | |
A Kavaliunas Md Sc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5540 S Pulaski Rd, Chicago, IL 60629 Phone: 773-585-2802 | |
Doc Cam Medical Center Sc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2315 E 93rd St Ste 337, Chicago, IL 60617 Phone: 773-731-2700 Fax: 773-373-1868 | |
Excellent Eye Care Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5352 N Milwaukee Ave, Chicago, IL 60630 Phone: 773-777-7444 Fax: 773-775-4030 | |
Pediatric General Care & Research Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4527 N Pulaski Rd, Chicago, IL 60630 Phone: 773-267-7060 Fax: 773-267-4752 | |
Urban Family Health Center Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10830 S Halsted St, Chicago, IL 60628 Phone: 773-264-1400 Fax: 773-264-1401 | |
Premier Primary Care And Alternative Medicine Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1301 E 47th Street, Bldg 2 Suite B, Chicago, IL 60653 Phone: 773-891-2890 Fax: 773-891-4107 |