| Presence Immediate Care Center - Norridge | |
|
4900 N Cumberland Ave Norridge IL 60706-2916 | |
| (708) 456-1600 | |
| (708) 463-2781 |
| Full Name | Presence Immediate Care Center - Norridge |
|---|---|
| Speciality | Clinic/Center |
| Location | 4900 N Cumberland Ave, Norridge, Illinois |
| Authorized Official Name and Position | Melvonne Wickliffe-jones (CREDENTIALING MGR) |
| Authorized Official Contact | 6309142417 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Presence Immediate Care Center - Norridge 1000 Remington Blvd Suite 100 Bolingbrook IL 60440-0000 Ph: (630) 914-2417 | Presence Immediate Care Center - Norridge 4900 N Cumberland Ave Norridge IL 60706-2916 Ph: (708) 456-1600 |
| NPI Number | 1114253812 |
|---|---|
| Provider Enumeration Date | 10/30/2009 |
| Last Update Date | 05/29/2013 |
| Medicare PECOS PAC ID | 0244373991 |
|---|---|
| Medicare Enrollment ID | O20100203000887 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114253812 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | Virendra M Patel |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1871516302 PECOS PAC ID: 0941292510 Enrollment ID: I20040401001603 |
| Provider Name | Gregory E Crovetti |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750311999 PECOS PAC ID: 6406844364 Enrollment ID: I20040501000101 |
| Provider Name | Anne M Burke |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528099157 PECOS PAC ID: 3779556667 Enrollment ID: I20040818000738 |
| Provider Name | Claudia M Weddaburne |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912920265 PECOS PAC ID: 1355315706 Enrollment ID: I20040823000689 |
| Provider Name | Paul A Meyer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235139619 PECOS PAC ID: 3476504085 Enrollment ID: I20050204000019 |
| Provider Name | Nathalie D Mccammon Chase |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568409720 PECOS PAC ID: 8921049370 Enrollment ID: I20050517000309 |
| Provider Name | Marina Duran |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992780266 PECOS PAC ID: 5597786830 Enrollment ID: I20051214000228 |
| Provider Name | Japhlet Leomil R Aranas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992900609 PECOS PAC ID: 6002902590 Enrollment ID: I20071015000059 |
| Provider Name | Anish P Pithadia |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417074774 PECOS PAC ID: 6002982071 Enrollment ID: I20080828000176 |
| Provider Name | Thanasis C Bavelis |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1588870315 PECOS PAC ID: 0446309066 Enrollment ID: I20090601000108 |
| Provider Name | Dena Z Hamad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427205400 PECOS PAC ID: 2163568023 Enrollment ID: I20091006000597 |
| Provider Name | Madhumita A Chatterjee |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1679510804 PECOS PAC ID: 4486681731 Enrollment ID: I20100304000905 |
| Provider Name | Juan P Montoya |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861625444 PECOS PAC ID: 6709066699 Enrollment ID: I20110209001079 |
| Provider Name | Brian J Donohue |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093971806 PECOS PAC ID: 7911177001 Enrollment ID: I20110829000161 |
| Provider Name | Brian W Zator |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972881670 PECOS PAC ID: 5991975666 Enrollment ID: I20110907001344 |
| Provider Name | Valerie Morse |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679840904 PECOS PAC ID: 9931361748 Enrollment ID: I20120424000199 |
| Provider Name | Kevin T Krenek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093995565 PECOS PAC ID: 7113002973 Enrollment ID: I20120510000615 |
| Provider Name | Marianne K Butler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518228915 PECOS PAC ID: 0648427799 Enrollment ID: I20120824000843 |
| Provider Name | Erin Mccann |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013173376 PECOS PAC ID: 5597917914 Enrollment ID: I20121212000054 |
| Provider Name | Rajesh Murali Bala |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1346536380 PECOS PAC ID: 6901034727 Enrollment ID: I20140123002064 |
| Provider Name | Victor W Chan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1942596192 PECOS PAC ID: 1951530963 Enrollment ID: I20140213001455 |
| Provider Name | Rasheed Baya |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013207745 PECOS PAC ID: 0749504256 Enrollment ID: I20150109001466 |
| Provider Name | Kristin E Peterson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1053675140 PECOS PAC ID: 8022333129 Enrollment ID: I20150212001352 |
| Provider Name | Ryan James Cooper |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1982993689 PECOS PAC ID: 9133445604 Enrollment ID: I20150226001954 |
| Provider Name | Laura Couture |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588055321 PECOS PAC ID: 7810204005 Enrollment ID: I20150921002544 |
| Provider Name | Amy L Swanholm |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013398379 PECOS PAC ID: 0244530160 Enrollment ID: I20151130000029 |
Resurrection Primary Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4900 N Cumberland Ave, Suite 200, Norridge, IL 60706 Phone: 708-456-1600 Fax: 708-456-2809 | |
Dx Medical And Physical Therapy Clinic Ltd Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7601 W Montrose Ave, Suite 1, Norridge, IL 60706 Phone: 708-452-5500 Fax: 708-452-5547 | |
Eleonora Kul Lipski Md Sc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4900 N Cumberland, Norridge, IL 60706 Phone: 708-456-3500 Fax: 708-453-6907 | |
Norridge Family Practice Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7830 W Lawrence Ave, Norridge, IL 60706 Phone: 708-457-8083 Fax: 708-457-8172 | |
Resurrection Immediate Care Center Norridge Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4900 Cumberland, Resurrection Immediate Care Center Norridge, Norridge, IL 60706 Phone: 708-456-1600 Fax: 708-463-2781 |