| Midc, Llc | |
|
901 Mcclintock Dr Suite 202 Burr Ridge IL 60527-0844 | |
| (888) 220-6432 | |
| (630) 734-4715 |
| Full Name | Midc, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 901 Mcclintock Dr, Burr Ridge, Illinois |
| Authorized Official Name and Position | Russell M Petrak (MANAGING PARTNER) |
| Authorized Official Contact | 8882206432 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Midc, Llc 901 Mcclintock Dr Ste 202 Burr Ridge IL 60527-0844 Ph: (888) 220-6432 | Midc, Llc 901 Mcclintock Dr Suite 202 Burr Ridge IL 60527-0844 Ph: (888) 220-6432 |
| NPI Number | 1235125717 |
|---|---|
| Provider Enumeration Date | 09/21/2005 |
| Last Update Date | 07/30/2024 |
| Medicare PECOS PAC ID | 3072425784 |
|---|---|
| Medicare Enrollment ID | O20031103000274 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235125717 | NPI | - | NPPES |
| Provider Name | Zarqa Imdad |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1689660995 PECOS PAC ID: 6204739782 Enrollment ID: I20040130000996 |
| Provider Name | Catherine M Creticos |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356370233 PECOS PAC ID: 8729974753 Enrollment ID: I20040225001076 |
| Provider Name | Brian Paul Harting |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1265534812 PECOS PAC ID: 4688654619 Enrollment ID: I20040721000988 |
| Provider Name | Wahab Brobbey |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1104812528 PECOS PAC ID: 0244219897 Enrollment ID: I20040914001020 |
| Provider Name | Anjum S Owaisi |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1942341409 PECOS PAC ID: 7416926738 Enrollment ID: I20041001000907 |
| Provider Name | Marcella L Mcguinn |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1528083987 PECOS PAC ID: 9335102748 Enrollment ID: I20041108000098 |
| Provider Name | Jeffery C Curtin |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1285638759 PECOS PAC ID: 4183687049 Enrollment ID: I20041111000037 |
| Provider Name | Atul N Gupta |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1821160136 PECOS PAC ID: 4981668514 Enrollment ID: I20041115000289 |
| Provider Name | Joseph H Kent |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1649266933 PECOS PAC ID: 0143287789 Enrollment ID: I20041215000130 |
| Provider Name | Lydia Savic |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669571170 PECOS PAC ID: 1456319086 Enrollment ID: I20041229000109 |
| Provider Name | Shashi B Kathpalia |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1710059027 PECOS PAC ID: 6002870805 Enrollment ID: I20050117000241 |
| Provider Name | Frederick S Alexander |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1730251042 PECOS PAC ID: 6103880901 Enrollment ID: I20050117000251 |
| Provider Name | Jose T Bolanos |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1205818622 PECOS PAC ID: 3173573854 Enrollment ID: I20050131000456 |
| Provider Name | Yagnesh J Dave |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1295815645 PECOS PAC ID: 7810940400 Enrollment ID: I20050223000525 |
| Provider Name | Jonathan K Pinsky |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1740291939 PECOS PAC ID: 7012931769 Enrollment ID: I20060120000237 |
| Provider Name | Ines M Casey |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1215995378 PECOS PAC ID: 2466463823 Enrollment ID: I20060522000134 |
| Provider Name | Martin T Phillips |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1003802349 PECOS PAC ID: 1254342611 Enrollment ID: I20060522000170 |
| Provider Name | Jaime Belmares Avalos |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1164457578 PECOS PAC ID: 3173520723 Enrollment ID: I20061025000158 |
| Provider Name | Judith L Nerad |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1376567560 PECOS PAC ID: 8325046360 Enrollment ID: I20061129000312 |
| Provider Name | Daniel Stroupe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003923426 PECOS PAC ID: 3779553334 Enrollment ID: I20070714000126 |
| Provider Name | Kamo G Sidhwa |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1124169685 PECOS PAC ID: 9032200845 Enrollment ID: I20070808000707 |
| Provider Name | Margaret A Feller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295721595 PECOS PAC ID: 8729174297 Enrollment ID: I20071012000734 |
| Provider Name | Dan A Garganera |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1306947536 PECOS PAC ID: 9537256235 Enrollment ID: I20071026000704 |
| Provider Name | Walter J Marbach |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1891703591 PECOS PAC ID: 4880784917 Enrollment ID: I20071213000260 |
| Provider Name | Mark H Levin |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1831117142 PECOS PAC ID: 9931280492 Enrollment ID: I20080123000018 |
| Provider Name | David W Hines |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1851387955 PECOS PAC ID: 3375455009 Enrollment ID: I20081205000669 |
| Provider Name | Nooruzsabha Seema Ahmed |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1407886401 PECOS PAC ID: 4486699097 Enrollment ID: I20090311000727 |
| Provider Name | Dana I Vais |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1891954905 PECOS PAC ID: 1658424692 Enrollment ID: I20090807000638 |
| Provider Name | Moya R Cook |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760610729 PECOS PAC ID: 8820144116 Enrollment ID: I20090929000461 |
| Provider Name | Robert M Fliegelman |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1821084120 PECOS PAC ID: 8022920750 Enrollment ID: I20100123000046 |
| Provider Name | Vishnu Chundi |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1558357905 PECOS PAC ID: 9537071121 Enrollment ID: I20100129000425 |
| Provider Name | Mark Dworkin |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1619963006 PECOS PAC ID: 2769525773 Enrollment ID: I20100129000482 |
| Provider Name | Daniel J Hirsch |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1942296041 PECOS PAC ID: 7214849876 Enrollment ID: I20100129000571 |
| Provider Name | Rodica Dumitru |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1164418547 PECOS PAC ID: 9234041898 Enrollment ID: I20100129000597 |
| Provider Name | Stephen Charles Doughty |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1255327631 PECOS PAC ID: 0042353096 Enrollment ID: I20100130000008 |
| Provider Name | Zafar Ahmed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700872272 PECOS PAC ID: 3577606524 Enrollment ID: I20100130000023 |
| Provider Name | Daniel C Desimone |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447246822 PECOS PAC ID: 4385787332 Enrollment ID: I20100130000038 |
| Provider Name | Aneta S Bush |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1871589291 PECOS PAC ID: 8820131873 Enrollment ID: I20100130000052 |
| Provider Name | David W Beezhold |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1306832860 PECOS PAC ID: 4981516572 Enrollment ID: I20100130000079 |
| Provider Name | Nishi B Sahgal |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1164418414 PECOS PAC ID: 0143363101 Enrollment ID: I20100130000114 |
| Provider Name | Russell Petrak |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1376539692 PECOS PAC ID: 5294647921 Enrollment ID: I20100130000130 |
| Provider Name | Jeffrey M Lisowski |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1386630606 PECOS PAC ID: 7416869003 Enrollment ID: I20100130000153 |
| Provider Name | Jonathan Stake |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1982690251 PECOS PAC ID: 6608788294 Enrollment ID: I20100130000377 |
| Provider Name | David W Waitley |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1558357830 PECOS PAC ID: 2860304425 Enrollment ID: I20100206000112 |
| Provider Name | Sampath Kumar |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1386630622 PECOS PAC ID: 1052456340 Enrollment ID: I20100311000467 |
| Provider Name | Ram Ramani |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1982603387 PECOS PAC ID: 0941339535 Enrollment ID: I20100519000741 |
| Provider Name | Deepika Buchupalli |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1306000484 PECOS PAC ID: 4385775469 Enrollment ID: I20100707000073 |
| Provider Name | Maria Francis |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1871828780 PECOS PAC ID: 4284768177 Enrollment ID: I20100813000602 |
| Provider Name | Brian C Yu |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1831311505 PECOS PAC ID: 5799979886 Enrollment ID: I20101103000020 |
| Provider Name | Geetha Md Sivasubramanian |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1306089479 PECOS PAC ID: 6507055100 Enrollment ID: I20110113000275 |
| Provider Name | Alice Han |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1669631339 PECOS PAC ID: 3870651789 Enrollment ID: I20110503000674 |
| Provider Name | Joyce C Rii |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1386891679 PECOS PAC ID: 2860678596 Enrollment ID: I20110513000691 |
| Provider Name | Maged A Saad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154634145 PECOS PAC ID: 8921262098 Enrollment ID: I20120621000360 |
| Provider Name | Vishal Kumar Didwania |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1760619969 PECOS PAC ID: 5597911479 Enrollment ID: I20120808000661 |
| Provider Name | Fabiola M Espinoza |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1902112535 PECOS PAC ID: 0840449898 Enrollment ID: I20121005000672 |
| Provider Name | Aristedes Paul Assimacopoulos |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720054950 PECOS PAC ID: 5799754321 Enrollment ID: I20130808000640 |
| Provider Name | Kevin J Strohl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053652545 PECOS PAC ID: 3577797877 Enrollment ID: I20130927000319 |
| Provider Name | Bazgha Siddiqui |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1972776516 PECOS PAC ID: 1254565328 Enrollment ID: I20131002000490 |
| Provider Name | Kristin A Strausbaugh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780016162 PECOS PAC ID: 9436384856 Enrollment ID: I20131021000275 |
| Provider Name | Kathryn R Rogge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043648744 PECOS PAC ID: 7012148711 Enrollment ID: I20140321001232 |
| Provider Name | Dawn E Soderstrom |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124445952 PECOS PAC ID: 0345473260 Enrollment ID: I20140430001226 |
| Provider Name | Jenie S Nepomuceno |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1063843670 PECOS PAC ID: 2668695198 Enrollment ID: I20140602000329 |
| Provider Name | Michael Jon Anderson |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1558593376 PECOS PAC ID: 1153554183 Enrollment ID: I20140623001276 |
| Provider Name | Kelly M Skender |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265660716 PECOS PAC ID: 3072731793 Enrollment ID: I20140821001559 |
| Provider Name | Boeun Lee |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1023308202 PECOS PAC ID: 3779803465 Enrollment ID: I20150520001892 |
| Provider Name | Cherry A Palomo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700266848 PECOS PAC ID: 8820319221 Enrollment ID: I20150611000282 |
| Provider Name | Gina T Beck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407234255 PECOS PAC ID: 7214258573 Enrollment ID: I20150611002159 |
| Provider Name | Violetta A Magiera |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932584620 PECOS PAC ID: 6608182787 Enrollment ID: I20150903002561 |
| Provider Name | Elizabeth A Jannusch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104295666 PECOS PAC ID: 5890003420 Enrollment ID: I20151001001678 |
| Provider Name | Natalia Surowaniec |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871967869 PECOS PAC ID: 0244520328 Enrollment ID: I20160601002074 |
| Provider Name | Tanmay Patwa |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1790071199 PECOS PAC ID: 1557652708 Enrollment ID: I20160620001813 |
| Provider Name | Sheila Barry |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1295051860 PECOS PAC ID: 0345550448 Enrollment ID: I20160714001919 |
| Provider Name | Amy Dodd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952754798 PECOS PAC ID: 6901180645 Enrollment ID: I20170224001895 |
| Provider Name | Christina Grote |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588100952 PECOS PAC ID: 6204111925 Enrollment ID: I20170321000689 |
| Provider Name | Peguy Saad |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1417192345 PECOS PAC ID: 6002056934 Enrollment ID: I20170711003196 |
| Provider Name | Joseph Cadayona |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750803490 PECOS PAC ID: 0143591354 Enrollment ID: I20170807002020 |
| Provider Name | Shellane Tangen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841713450 PECOS PAC ID: 4981978897 Enrollment ID: I20170915001583 |
| Provider Name | Rebecca J Little |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801316476 PECOS PAC ID: 3274809108 Enrollment ID: I20171020002415 |
| Provider Name | Kristi Hughes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356744452 PECOS PAC ID: 8022379247 Enrollment ID: I20180305002091 |
| Provider Name | Andrew Blatt Thompson |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1942542519 PECOS PAC ID: 7113237470 Enrollment ID: I20180723002912 |
| Provider Name | Tian Edward Huang |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1699114009 PECOS PAC ID: 3274766944 Enrollment ID: I20180724002695 |
| Provider Name | Elizabeth Ghera |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710347570 PECOS PAC ID: 4486901170 Enrollment ID: I20180726001891 |
| Provider Name | Malak Elsheikh |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1215372404 PECOS PAC ID: 9537458732 Enrollment ID: I20180822002851 |
| Provider Name | Alyssa Roberts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245708130 PECOS PAC ID: 6103161195 Enrollment ID: I20181219002008 |
| Provider Name | Jakeyla Reed |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215492491 PECOS PAC ID: 1052650066 Enrollment ID: I20190307003200 |
| Provider Name | Sarah A Dean |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881150860 PECOS PAC ID: 0042553786 Enrollment ID: I20190520002221 |
| Provider Name | Edyta Dudek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841757747 PECOS PAC ID: 2668715368 Enrollment ID: I20190521001930 |
| Provider Name | William Stoecker |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1083028880 PECOS PAC ID: 7911123070 Enrollment ID: I20190710001061 |
| Provider Name | Alessandra Anna Secco |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1265859607 PECOS PAC ID: 2668777350 Enrollment ID: I20190715002872 |
| Provider Name | Ltrice Gulley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922660174 PECOS PAC ID: 3476880790 Enrollment ID: I20190809000440 |
| Provider Name | Melissa Lopez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497397707 PECOS PAC ID: 3971834102 Enrollment ID: I20191018001692 |
| Provider Name | Holli A Spata |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619514353 PECOS PAC ID: 9032543582 Enrollment ID: I20191217000390 |
| Provider Name | Andres Gutierrez Ordonez |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1134452279 PECOS PAC ID: 2668783119 Enrollment ID: I20200109002284 |
| Provider Name | Deepak Sharma |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053956292 PECOS PAC ID: 0648606657 Enrollment ID: I20200212000100 |
| Provider Name | Rosa M Navarro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417478009 PECOS PAC ID: 1557790318 Enrollment ID: I20200331001859 |
| Provider Name | Amanda L Serafin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295361392 PECOS PAC ID: 1759711484 Enrollment ID: I20200421002439 |
| Provider Name | Josephine Mccormack |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003426149 PECOS PAC ID: 4688090368 Enrollment ID: I20200812000557 |
| Provider Name | Nyal Z Siddiqi |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1952749426 PECOS PAC ID: 9638475148 Enrollment ID: I20200818001476 |
| Provider Name | Sadia Syed |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1518367333 PECOS PAC ID: 8921305400 Enrollment ID: I20200901001278 |
| Provider Name | Loren Nunley |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1689060188 PECOS PAC ID: 4183935695 Enrollment ID: I20200922000250 |
| Provider Name | Kate Priya Myles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376153825 PECOS PAC ID: 8527470368 Enrollment ID: I20201218001516 |
| Provider Name | Katie Faragher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750703104 PECOS PAC ID: 8123432515 Enrollment ID: I20210126002066 |
| Provider Name | Kristi Becker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205353786 PECOS PAC ID: 9335414416 Enrollment ID: I20210127003327 |
| Provider Name | Subina Gurung |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1346694981 PECOS PAC ID: 5890088256 Enrollment ID: I20210213000015 |
| Provider Name | Kristin D Elatkin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194338145 PECOS PAC ID: 4183030828 Enrollment ID: I20210304001357 |
| Provider Name | Trupti Patel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245824473 PECOS PAC ID: 4880094788 Enrollment ID: I20210615001450 |
| Provider Name | Tracy Omorogieva |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003493958 PECOS PAC ID: 2163823626 Enrollment ID: I20210622002950 |
| Provider Name | John C Schwab |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1851319990 PECOS PAC ID: 5395834410 Enrollment ID: I20210629003682 |
| Provider Name | Kristen Suzanne Boelens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821766163 PECOS PAC ID: 6103224241 Enrollment ID: I20211005000200 |
| Provider Name | Elizabeth A Kislov |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508524174 PECOS PAC ID: 6901291780 Enrollment ID: I20220314000596 |
| Provider Name | Martha Pawlukowsky |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891443958 PECOS PAC ID: 4183010895 Enrollment ID: I20220406000763 |
| Provider Name | Yuliya L Rashevska |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619526175 PECOS PAC ID: 8123415387 Enrollment ID: I20220419000411 |
| Provider Name | Roberto Viau Colindres |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1700154028 PECOS PAC ID: 9335382852 Enrollment ID: I20220801001947 |
| Provider Name | Zachery Beezhold |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922721216 PECOS PAC ID: 3274919576 Enrollment ID: I20221010001388 |
| Provider Name | Ashley Laleker |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1417217829 PECOS PAC ID: 6103125356 Enrollment ID: I20221202001488 |
| Provider Name | Maura Foley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700517356 PECOS PAC ID: 6901275650 Enrollment ID: I20221220000641 |
| Provider Name | Marta Huzar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174229306 PECOS PAC ID: 7618340753 Enrollment ID: I20230310000837 |
| Provider Name | Syed Shaukat Husnain |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1164641874 PECOS PAC ID: 6002840709 Enrollment ID: I20230505001786 |
| Provider Name | Bethany Walls |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063052231 PECOS PAC ID: 9234595604 Enrollment ID: I20230510002102 |
| Provider Name | Eileen M.r. Hasse |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1184116139 PECOS PAC ID: 1456608033 Enrollment ID: I20230612002461 |
| Provider Name | Leon Hsueh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720572506 PECOS PAC ID: 7113273392 Enrollment ID: I20230712001204 |
| Provider Name | Birgitt Dau |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1225167588 PECOS PAC ID: 8123192424 Enrollment ID: I20230713002913 |
| Provider Name | Alan Salazar |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1376047589 PECOS PAC ID: 6305266867 Enrollment ID: I20230801000370 |
| Provider Name | Ashley M Leslie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790255446 PECOS PAC ID: 8820482011 Enrollment ID: I20230907000241 |
| Provider Name | Inderjeet Brar |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1558777821 PECOS PAC ID: 6103124136 Enrollment ID: I20231017001107 |
| Provider Name | Naman Jhaveri |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1144603093 PECOS PAC ID: 9133429277 Enrollment ID: I20231026000567 |
| Provider Name | Lauren Ann Nelson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508585787 PECOS PAC ID: 8820445786 Enrollment ID: I20231114002895 |
| Provider Name | Courtney Ann Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457116246 PECOS PAC ID: 1052757028 Enrollment ID: I20240313000283 |
K. Anand, Md, Ltd. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4 Clubside Ct, Burr Ridge, IL 60527 Phone: 630-789-1316 Fax: 640-734-8385 | |
Ahmed Shafi P C Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 9101 Devon Ridge Dr, Burr Ridge, IL 60527 Phone: 630-887-0641 Fax: 866-261-3402 | |
Mazen Abdel-hadi, M.d., L.l.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 133 Kraml Dr, Burr Ridge, IL 60527 Phone: 630-390-4678 | |
Harmonycares Medical Group Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1000 Burr Ridge Pkwy Ste 201, Burr Ridge, IL 60527 Phone: 312-818-4650 Fax: 855-618-2629 | |
Burr Ridge Family Medicine Physicians Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 901 Mcclintock Dr, Suite 110, Burr Ridge, IL 60527 Phone: 630-861-6510 Fax: 630-861-6515 | |
Vivacious Group Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 8s165 S Vine St, Burr Ridge, IL 60527 Phone: 630-835-7613 |