| Institute For Personal Development | |
|
1401 Lakewood Dr Suite A Morris IL 60450-3352 | |
| (815) 942-6323 | |
| (630) 545-3004 |
| Full Name | Institute For Personal Development |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1401 Lakewood Dr, Morris, Illinois |
| Authorized Official Name and Position | Ronald Wuest (MEDICAL DIRECTOR) |
| Authorized Official Contact | 8159426323 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Institute For Personal Development Po Box 7410264 Chicago IL 60674-0264 Ph: (815) 922-8290 | Institute For Personal Development 1401 Lakewood Dr Suite A Morris IL 60450-3352 Ph: (815) 942-6323 |
| NPI Number | 1942247895 |
|---|---|
| Provider Enumeration Date | 06/01/2006 |
| Last Update Date | 10/31/2022 |
| Medicare PECOS PAC ID | 6608780481 |
|---|---|
| Medicare Enrollment ID | O20031117000178 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942247895 | NPI | - | NPPES |
| 383120 | Other | IL | MEDICARE PIN |
| Provider Name | Pamela S Grace |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1063451680 PECOS PAC ID: 7517955032 Enrollment ID: I20040504000636 |
| Provider Name | Wimol A Mitrakul |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013066257 PECOS PAC ID: 6002858594 Enrollment ID: I20050525000249 |
| Provider Name | Ronald J Wuest |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1548201783 PECOS PAC ID: 0547174351 Enrollment ID: I20050817000040 |
| Provider Name | Kimberley Ragan Gelbort |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1225084635 PECOS PAC ID: 0042221178 Enrollment ID: I20060605000199 |
| Provider Name | Catherine A Gianan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174616320 PECOS PAC ID: 8325048333 Enrollment ID: I20061221000407 |
| Provider Name | Diane R Funk |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184771420 PECOS PAC ID: 0143301325 Enrollment ID: I20080114000378 |
| Provider Name | Leonard Spishakoff |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275597098 PECOS PAC ID: 7618867649 Enrollment ID: I20080808000633 |
| Provider Name | Lester E Lamee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104058221 PECOS PAC ID: 5294881504 Enrollment ID: I20090928000523 |
| Provider Name | Corrin L Scavo |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1073713236 PECOS PAC ID: 1153460787 Enrollment ID: I20091120000207 |
| Provider Name | Joseph W Mullen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1972778801 PECOS PAC ID: 0941288989 Enrollment ID: I20100730000396 |
| Provider Name | Rifki J Goldin Mertdogan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1346289980 PECOS PAC ID: 1951594159 Enrollment ID: I20101020000924 |
| Provider Name | Adnan Arif |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1710914890 PECOS PAC ID: 1658475975 Enrollment ID: I20110121000103 |
| Provider Name | Michael G Mcdowell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598000630 PECOS PAC ID: 6204075401 Enrollment ID: I20130619000494 |
| Provider Name | Cheryl L Bruno |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174953582 PECOS PAC ID: 2961630843 Enrollment ID: I20140123000378 |
| Provider Name | Syed A Amanullah |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1922435973 PECOS PAC ID: 1951533223 Enrollment ID: I20140421000993 |
| Provider Name | Susan S Pyatetsky |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1386816031 PECOS PAC ID: 9638395452 Enrollment ID: I20140730002021 |
| Provider Name | Jennifer Lynn Loughran |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588905129 PECOS PAC ID: 9931327731 Enrollment ID: I20140819002860 |
| Provider Name | Abigail L Schmink |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932541844 PECOS PAC ID: 4385952027 Enrollment ID: I20150930001443 |
| Provider Name | Sarah Ritter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679949655 PECOS PAC ID: 1153624002 Enrollment ID: I20160127000058 |
| Provider Name | Debora A Delre |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780048058 PECOS PAC ID: 9436458247 Enrollment ID: I20160429000354 |
| Provider Name | Jessica M Lenth |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437381050 PECOS PAC ID: 2860786415 Enrollment ID: I20160804002374 |
| Provider Name | Mehr Iqbal |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1013264035 PECOS PAC ID: 2062783020 Enrollment ID: I20170809002201 |
| Provider Name | Lukasz Konopka |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1215469911 PECOS PAC ID: 6507130887 Enrollment ID: I20170926001116 |
| Provider Name | David R Michael |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1518300375 PECOS PAC ID: 9032332499 Enrollment ID: I20171020002238 |
| Provider Name | Anmol N Tolani |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1326482688 PECOS PAC ID: 0042515991 Enrollment ID: I20171211001031 |
| Provider Name | Eric Duane Denny |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316436082 PECOS PAC ID: 6507111499 Enrollment ID: I20180618001689 |
| Provider Name | Stacey Joy Feuer |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1295227601 PECOS PAC ID: 3779831169 Enrollment ID: I20180801001174 |
| Provider Name | Elizabeth Kurian |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1104230580 PECOS PAC ID: 4587917943 Enrollment ID: I20181101000586 |
| Provider Name | Ravi Uday Shah |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1396209383 PECOS PAC ID: 5092053868 Enrollment ID: I20190221000532 |
| Provider Name | Brooke Morse-karzen |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1245790096 PECOS PAC ID: 8628319779 Enrollment ID: I20190418000376 |
| Provider Name | Stacey Patterson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801459623 PECOS PAC ID: 0941543706 Enrollment ID: I20190517000859 |
| Provider Name | Christopher John Reddin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457788598 PECOS PAC ID: 0345578209 Enrollment ID: I20190830000210 |
| Provider Name | Olivia Domczewski |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1164997490 PECOS PAC ID: 5294065330 Enrollment ID: I20191002002839 |
| Provider Name | Kristina Maria Bouros |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1164909156 PECOS PAC ID: 0840623393 Enrollment ID: I20191213001833 |
| Provider Name | Diana Funmilola Wells |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982176400 PECOS PAC ID: 7012342348 Enrollment ID: I20200115000943 |
| Provider Name | Annette Marie Wilson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1497995906 PECOS PAC ID: 8628403896 Enrollment ID: I20200115003135 |
| Provider Name | Carrie Ruth Mcinerney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477198513 PECOS PAC ID: 8628404209 Enrollment ID: I20200129002015 |
| Provider Name | Patricia Ann Badway |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518525476 PECOS PAC ID: 3375970908 Enrollment ID: I20200220002315 |
| Provider Name | Jessica Adams |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1235639659 PECOS PAC ID: 0648608794 Enrollment ID: I20200324000596 |
| Provider Name | Nicole D Thompson-wilson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1376735845 PECOS PAC ID: 2264861491 Enrollment ID: I20200408004388 |
| Provider Name | Michelle Patricia Sierzega |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1760015424 PECOS PAC ID: 5294156410 Enrollment ID: I20200526001872 |
| Provider Name | Gerard David Widmann |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1740891282 PECOS PAC ID: 2668899816 Enrollment ID: I20200902001225 |
| Provider Name | Wilma N Montilla-rener |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699387910 PECOS PAC ID: 5395156640 Enrollment ID: I20201118001038 |
| Provider Name | Katie Marie Edwards-humpal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255880555 PECOS PAC ID: 7416236328 Enrollment ID: I20210302002488 |
| Provider Name | Mackenzie Coen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366992547 PECOS PAC ID: 9436567724 Enrollment ID: I20210427001254 |
| Provider Name | Jennifer Dziatkowiec |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154810919 PECOS PAC ID: 5496164105 Enrollment ID: I20210511000033 |
| Provider Name | Susan Marie Colegrove |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1669835997 PECOS PAC ID: 6406143429 Enrollment ID: I20210806001826 |
| Provider Name | Marianne Costales-roman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710441555 PECOS PAC ID: 6507260742 Enrollment ID: I20210810001304 |
| Provider Name | Nicholas Dotson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497946693 PECOS PAC ID: 0143625863 Enrollment ID: I20210818003367 |
| Provider Name | Shannan M Hermann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811569767 PECOS PAC ID: 1153727672 Enrollment ID: I20210909000610 |
| Provider Name | Shannon Marie Allegretti |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1407989080 PECOS PAC ID: 9335547314 Enrollment ID: I20211005002228 |
| Provider Name | Katrina Ferracane |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194499889 PECOS PAC ID: 1759779671 Enrollment ID: I20211026003243 |
| Provider Name | Kelly Hamoudah |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1558974873 PECOS PAC ID: 0446641674 Enrollment ID: I20211227000230 |
David G Vermillion M D P C Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1802 N Division St Ste 201, Morris, IL 60450 Phone: 815-513-5625 Fax: 815-513-5624 | |
Peter C. Roumeliotis, M.d. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1300 Dresden Dr, Morris, IL 60450 Phone: 815-942-5200 Fax: 815-943-5330 | |
Morris Audiology Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1802 Division St Ste 509, Morris, IL 60450 Phone: 815-941-4700 Fax: 815-941-4700 | |
Southwest Diabetes Endocrinology Associates Sc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 150 W High St, Morris, IL 60450 Phone: 815-942-2932 | |
Osf Oncall - Morris Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1715 N Division St, Morris, IL 60450 Phone: 815-431-3410 Fax: 309-655-4878 | |
Kucinski Medical Ltd Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 114 W Waverly St, Morris, IL 60450 Phone: 815-941-8210 Fax: 815-941-1584 | |
Raja K Saleem Md Sc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 948 W Us Route 6, Morris, IL 60450 Phone: 815-942-5474 Fax: 815-942-5498 |