| Louise Landau Health Center | |
|
800 N Kedzie Ave Chicago IL 60651-4100 | |
| (773) 826-3450 | |
| (773) 829-3993 |
| Full Name | Louise Landau Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 800 N Kedzie Ave, Chicago, Illinois |
| Authorized Official Name and Position | Berneice Mills-thomas (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 3123371073 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Louise Landau Health Center 1276 N Clybourn Ave Chicago IL 60610-2089 Ph: (312) 337-1073 | Louise Landau Health Center 800 N Kedzie Ave Chicago IL 60651-4100 Ph: (773) 826-3450 |
| NPI Number | 1831170059 |
|---|---|
| Provider Enumeration Date | 11/07/2005 |
| Last Update Date | 07/26/2021 |
| Medicare PECOS PAC ID | 9638165749 |
|---|---|
| Medicare Enrollment ID | O20040423000456 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831170059 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
| Provider Name | Mary H Brow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619077559 PECOS PAC ID: 7810092558 Enrollment ID: I20070425000133 |
| Provider Name | Rebecca Jehl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235415597 PECOS PAC ID: 4880819234 Enrollment ID: I20140627001368 |
| Provider Name | Mary Barsanti-sekhar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528285566 PECOS PAC ID: 9032334263 Enrollment ID: I20140702001025 |
| Provider Name | Leah M Van Slambrouck |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1699009654 PECOS PAC ID: 4486978327 Enrollment ID: I20150123000910 |
| Provider Name | Syeda Shariff |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205935277 PECOS PAC ID: 6608191820 Enrollment ID: I20150211000739 |
| Provider Name | Hyo Youn Lee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588981138 PECOS PAC ID: 7315230356 Enrollment ID: I20160727003028 |
| Provider Name | Emily Robertson-shelby |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740641737 PECOS PAC ID: 6305125857 Enrollment ID: I20161128001173 |
| Provider Name | Danielle A Babbington |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801165758 PECOS PAC ID: 0648551143 Enrollment ID: I20161221000117 |
| Provider Name | Kelly Sauer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982140661 PECOS PAC ID: 5991089369 Enrollment ID: I20170302001129 |
| Provider Name | Stephanie Cox-batson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1437242385 PECOS PAC ID: 1254311707 Enrollment ID: I20171004001169 |
| Provider Name | Elizabeth Herzan-taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336395078 PECOS PAC ID: 8325303266 Enrollment ID: I20180524002304 |
| Provider Name | Bonnie William Thomas |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1851321467 PECOS PAC ID: 2163603341 Enrollment ID: I20190522000568 |
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