One Medical Group, Inc. | |
181 W Madison St Ste 3825 Chicago IL 60602-4500 | |
(312) 219-2230 | |
(312) 219-2239 |
Full Name | One Medical Group, Inc. |
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Speciality | Family Medicine |
Location | 181 W Madison St Ste 3825, Chicago, Illinois |
Authorized Official Name and Position | Andrew S Diamond (CHIEF MEDICAL OFFICER) |
Authorized Official Contact | 4155931455 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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One Medical Group, Inc. 1 Embarcadero Ctr Ste 1900 San Francisco CA 94111-3723 Ph: (415) 658-6791 | One Medical Group, Inc. 181 W Madison St Ste 3825 Chicago IL 60602-4500 Ph: (312) 219-2230 |
NPI Number | 1588382832 |
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Provider Enumeration Date | 08/22/2022 |
Last Update Date | 08/22/2022 |
Medicare PECOS PAC ID | 2567623739 |
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Medicare Enrollment ID | O20221121002861 |
Identifier | Type | State | Issuer |
---|---|---|---|
1588382832 | NPI | - | NPPES |
Provider Name | Laura L Wally |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1356352710 PECOS PAC ID: 5395733943 Enrollment ID: I20040504000031 |
Provider Name | Mariya Dmytriv-kapeniak |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1386860997 PECOS PAC ID: 5395899199 Enrollment ID: I20090813000169 |
Provider Name | Sashil Singh Kapur |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1477734150 PECOS PAC ID: 5698820223 Enrollment ID: I20090903000603 |
Provider Name | Robin B Rothbard |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1801854856 PECOS PAC ID: 2961532031 Enrollment ID: I20100616000554 |
Provider Name | Frank M Castillo |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1548280787 PECOS PAC ID: 3173706645 Enrollment ID: I20110321000568 |
Provider Name | Helen Xenos |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1205003480 PECOS PAC ID: 4688845282 Enrollment ID: I20110912000134 |
Provider Name | Katrina T Gordon |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1306072467 PECOS PAC ID: 2062663891 Enrollment ID: I20121103000079 |
Provider Name | Lindsey Babbin |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1326364779 PECOS PAC ID: 8921240714 Enrollment ID: I20130807000339 |
Provider Name | Douglas R Gregg |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1376908301 PECOS PAC ID: 6901102763 Enrollment ID: I20160304001569 |
Provider Name | Jessica Lue-lai |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1538478565 PECOS PAC ID: 2466694005 Enrollment ID: I20160831001555 |
Provider Name | Hannah Elaine Leavitt |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1962866749 PECOS PAC ID: 3476834375 Enrollment ID: I20170109002095 |
Provider Name | Andrew M Guzman |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1417368226 PECOS PAC ID: 3779888599 Enrollment ID: I20171027001327 |
Provider Name | Dori L Moscowitz |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1710349725 PECOS PAC ID: 2466745195 Enrollment ID: I20190515001634 |
Provider Name | Min Jie Lee |
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Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1205223310 PECOS PAC ID: 2668897000 Enrollment ID: I20200803001439 |
Provider Name | Karissa Braden |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1013456334 PECOS PAC ID: 8921382953 Enrollment ID: I20201111002547 |
Provider Name | Daniela Fanto |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1861888018 PECOS PAC ID: 4284987082 Enrollment ID: I20201125001083 |
Provider Name | Shobha Renga Narasimhan |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1386057743 PECOS PAC ID: 2961747688 Enrollment ID: I20210125002309 |
Provider Name | Steve Jacob Chacko |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1912403478 PECOS PAC ID: 3072913276 Enrollment ID: I20210609002250 |
Provider Name | Olivia Childs |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1649732504 PECOS PAC ID: 2062892359 Enrollment ID: I20220705000583 |
Provider Name | David Tyson |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1720548100 PECOS PAC ID: 7113253220 Enrollment ID: I20221115002855 |
Provider Name | Fasiha Syed |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1225693021 PECOS PAC ID: 9133457195 Enrollment ID: I20240208001423 |
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