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900 N 2nd St Ste 200 Rochelle IL 61068-1764 | |
| (815) 562-3784 | |
| (815) 561-3149 |
| Full Name | |
|---|---|
| Speciality | Family Medicine |
| Location | 900 N 2nd St Ste 200, Rochelle, Illinois |
| Authorized Official Name and Position | Karen Tracy (CEO) |
| Authorized Official Contact | 8155623784 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
900 N 2nd St Rochelle IL 61068-1764 Ph: (815) 562-2181 | 900 N 2nd St Ste 200 Rochelle IL 61068-1764 Ph: (815) 562-3784 |
| NPI Number | 1568518322 |
|---|---|
| Provider Enumeration Date | 01/26/2007 |
| Last Update Date | 01/17/2024 |
| Medicare PECOS PAC ID | 4789581828 |
|---|---|
| Medicare Enrollment ID | O20031216000867 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568518322 | NPI | - | NPPES |
| 07129930 | Other | IL | BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | David C Hulsey |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1316992969 PECOS PAC ID: 8426955667 Enrollment ID: I20031216000809 |
| Provider Name | Christine M Gorman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376656645 PECOS PAC ID: 1850290545 Enrollment ID: I20031231000626 |
| Provider Name | Troy S Cutler |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1639108020 PECOS PAC ID: 7012902232 Enrollment ID: I20040417000140 |
| Provider Name | Joseph L Mastro |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1346212461 PECOS PAC ID: 9133187222 Enrollment ID: I20041221000407 |
| Provider Name | James R Hubler |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1861428492 PECOS PAC ID: 8527095264 Enrollment ID: I20050725000372 |
| Provider Name | James T Brown |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1699704122 PECOS PAC ID: 2668409368 Enrollment ID: I20050725000835 |
| Provider Name | Brian R Pope |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1275533820 PECOS PAC ID: 1355372889 Enrollment ID: I20050824001135 |
| Provider Name | Andrew E Zwolski |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1891795126 PECOS PAC ID: 7214014687 Enrollment ID: I20080409000491 |
| Provider Name | Matthew W Nitsche |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1043210446 PECOS PAC ID: 4284711417 Enrollment ID: I20080411000233 |
| 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 | Shadi Nabieh Marina |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1972764041 PECOS PAC ID: 5496809428 Enrollment ID: I20090811000120 |
| Provider Name | Jason C Popp |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003993148 PECOS PAC ID: 8729128541 Enrollment ID: I20091229000359 |
| Provider Name | Stephanie D Crawford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053601567 PECOS PAC ID: 6800065681 Enrollment ID: I20110811000798 |
| Provider Name | Christopher G Yenter |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1912162314 PECOS PAC ID: 5799955696 Enrollment ID: I20110901000580 |
| Provider Name | Marco A Rodriguez |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1669615241 PECOS PAC ID: 7517125917 Enrollment ID: I20120214000599 |
| Provider Name | Suzanne L Holland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982980314 PECOS PAC ID: 2062668817 Enrollment ID: I20120809000468 |
| Provider Name | Jonathan David Garlovsky |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1801058979 PECOS PAC ID: 6103066188 Enrollment ID: I20130716000450 |
| Provider Name | Kathleen S Schmelka |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1114977352 PECOS PAC ID: 8921067778 Enrollment ID: I20130826000791 |
| Provider Name | Kisha L Turner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083045231 PECOS PAC ID: 2769613694 Enrollment ID: I20140318001227 |
| Provider Name | Kristen M Hayes |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1790760429 PECOS PAC ID: 7113816232 Enrollment ID: I20161130002643 |
| Provider Name | Laurie L Whelchel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497201685 PECOS PAC ID: 0840570123 Enrollment ID: I20170426001470 |
| Provider Name | Shahrukh Malghani |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1568878718 PECOS PAC ID: 0648567750 Enrollment ID: I20180104001758 |
| Provider Name | Chenin Congrave Rude |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679063275 PECOS PAC ID: 1951656438 Enrollment ID: I20180625002448 |
| Provider Name | Kendall E Vogeler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194173658 PECOS PAC ID: 9436446549 Enrollment ID: I20190821001273 |
| Provider Name | Christine Polz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518320191 PECOS PAC ID: 9638400237 Enrollment ID: I20191014000374 |
| Provider Name | Gadini Odelin Delisca |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1811377864 PECOS PAC ID: 6709194491 Enrollment ID: I20210125001672 |
| Provider Name | Akash Patel |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1003305368 PECOS PAC ID: 5092063966 Enrollment ID: I20210211000619 |
| Provider Name | Amy Arellanes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306452735 PECOS PAC ID: 3971996307 Enrollment ID: I20220208001663 |
| Provider Name | Marddi Jean Rahn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285037242 PECOS PAC ID: 9739539669 Enrollment ID: I20231219001003 |
| Provider Name | Graham M Isaacson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861079832 PECOS PAC ID: 5890150312 Enrollment ID: I20240903004052 |
Wills Integrated Health Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 102 Maple Ave, Rochelle, IL 61068 Phone: 815-562-5333 Fax: 815-562-5833 | |
Rochelle Family Health Care Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 822 N 2nd St, Rochelle, IL 61068 Phone: 815-562-3784 | |
Physician Care At Home Management Company Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1026 N Main St, Rochelle, IL 61068 Phone: 773-307-2648 Fax: 773-942-7454 | |
Rochelle Family Health Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 822 N 2nd St, Rochelle, IL 61068 Phone: 815-562-3784 | |
Surjit S Thiara Md Ltd Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 915 N Caron Rd, Rochelle, IL 61068 Phone: 815-562-4014 Fax: 815-562-5120 | |
Davis Family Health Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1212 Currency Ct Ste A, Rochelle, IL 61068 Phone: 815-561-8500 Fax: 815-561-8501 |