|
| |
|
2380 E Dempster St Des Plaines IL 60016-4839 | |
| (833) 291-0464 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Clinic/Center |
| Location | 2380 E Dempster St, Des Plaines, Illinois |
| Authorized Official Name and Position | Reinhold Llerena (PRESIDENT) |
| Authorized Official Contact | 8332910464 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
2380 E Dempster St Des Plaines IL 60016-4839 Ph: (833) 291-0464 | 2380 E Dempster St Des Plaines IL 60016-4839 Ph: (833) 291-0464 |
| NPI Number | 1932216819 |
|---|---|
| Provider Enumeration Date | 08/24/2006 |
| Last Update Date | 05/30/2024 |
| Medicare PECOS PAC ID | 2860396769 |
|---|---|
| Medicare Enrollment ID | O20050215000965 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932216819 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | Jesus A Manteca-elias |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821066879 PECOS PAC ID: 2163335670 Enrollment ID: I20031111000246 |
| Provider Name | Faisal M Qureshi |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1336130483 PECOS PAC ID: 6901700350 Enrollment ID: I20031126000300 |
| Provider Name | Joseph A Sanchez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912907270 PECOS PAC ID: 7012813819 Enrollment ID: I20031211000604 |
| Provider Name | Ghanshyam Agarwal |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1932141777 PECOS PAC ID: 1254238975 Enrollment ID: I20031218000865 |
| Provider Name | Kornelia E Krol |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1538192398 PECOS PAC ID: 3476452780 Enrollment ID: I20040106000530 |
| Provider Name | Maria Elena Iliescu |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1235131046 PECOS PAC ID: 4183517436 Enrollment ID: I20040203000025 |
| Provider Name | Joseph Rosman |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1760478754 PECOS PAC ID: 0648167940 Enrollment ID: I20040302000421 |
| Provider Name | Matthew J Hyser |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1336155092 PECOS PAC ID: 8426946898 Enrollment ID: I20040308000638 |
| Provider Name | Javaid Iqbal |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1942304035 PECOS PAC ID: 4688564172 Enrollment ID: I20040318000464 |
| Provider Name | Paul V Fahrenbach |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699768416 PECOS PAC ID: 3779578406 Enrollment ID: I20040420000773 |
| Provider Name | Robert W Schubert |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245236363 PECOS PAC ID: 4688669922 Enrollment ID: I20040421000717 |
| Provider Name | Osaretin L Oronsaye |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1093701575 PECOS PAC ID: 2769478825 Enrollment ID: I20040423000144 |
| Provider Name | Zbigniew Aniol |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1871582486 PECOS PAC ID: 1850387150 Enrollment ID: I20040423000318 |
| Provider Name | Francis J Podbielski |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1740278217 PECOS PAC ID: 5991791923 Enrollment ID: I20040423000622 |
| Provider Name | Mark M Connolly |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1033162839 PECOS PAC ID: 8224024245 Enrollment ID: I20040423000667 |
| Provider Name | Lisa S Greising |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578523155 PECOS PAC ID: 4385634989 Enrollment ID: I20040515000137 |
| Provider Name | Kevin E Gordon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811082431 PECOS PAC ID: 8022008549 Enrollment ID: I20040517000554 |
| Provider Name | Mario G Massullo |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1043228158 PECOS PAC ID: 3577554690 Enrollment ID: I20040519000182 |
| Provider Name | Jonathan H Maks |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720033160 PECOS PAC ID: 7810988425 Enrollment ID: I20040521000904 |
| Provider Name | Giovanni Giannotti |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1619989688 PECOS PAC ID: 8123009180 Enrollment ID: I20040526000303 |
| Provider Name | Salvador R Gutierrez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164522769 PECOS PAC ID: 6406832740 Enrollment ID: I20040630000864 |
| Provider Name | Shesh S Rao |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306885504 PECOS PAC ID: 3577543578 Enrollment ID: I20040721000837 |
| Provider Name | Nawar Hatoum |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1679549299 PECOS PAC ID: 2567433030 Enrollment ID: I20040805001543 |
| Provider Name | Oksana Shulzhenko |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1477512838 PECOS PAC ID: 2264406784 Enrollment ID: I20040820001118 |
| Provider Name | Alam Ali Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316946288 PECOS PAC ID: 9931174026 Enrollment ID: I20040901000297 |
| Provider Name | Sandra Vega |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1760454979 PECOS PAC ID: 3476520909 Enrollment ID: I20040914001042 |
| Provider Name | Xavier F Pombar |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1346224797 PECOS PAC ID: 4880663822 Enrollment ID: I20040928000113 |
| Provider Name | Peter J Kiefer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386688158 PECOS PAC ID: 6507841764 Enrollment ID: I20040930000253 |
| Provider Name | Huan J Chang |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1336244870 PECOS PAC ID: 4688643190 Enrollment ID: I20040930001151 |
| Provider Name | Alvaro O Mercado |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1841211349 PECOS PAC ID: 1557320397 Enrollment ID: I20041007000005 |
| Provider Name | Sharon B Rosenberg |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205876893 PECOS PAC ID: 5597727701 Enrollment ID: I20041030000216 |
| Provider Name | Mary E Fry |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801996368 PECOS PAC ID: 0446213888 Enrollment ID: I20041108000392 |
| Provider Name | Bruce Avram Blacker |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982603924 PECOS PAC ID: 9537122783 Enrollment ID: I20041109000046 |
| Provider Name | Phithao J Nguyen |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1740261585 PECOS PAC ID: 3678537537 Enrollment ID: I20041119000197 |
| Provider Name | Ira A Oliff |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1336138726 PECOS PAC ID: 0042275919 Enrollment ID: I20041120000033 |
| Provider Name | Ernest G Nora |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1689783227 PECOS PAC ID: 3779532312 Enrollment ID: I20050120001004 |
| Provider Name | Semone Michelle West |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1750475109 PECOS PAC ID: 1759332596 Enrollment ID: I20050209000293 |
| Provider Name | Noel I Rubio |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922036797 PECOS PAC ID: 7517912173 Enrollment ID: I20050316000484 |
| Provider Name | Michael J Plunkett |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144230756 PECOS PAC ID: 0749227387 Enrollment ID: I20050414000660 |
| Provider Name | Rajive Tandon |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1104878115 PECOS PAC ID: 7113814419 Enrollment ID: I20050418000870 |
| Provider Name | Hemantha M Surath |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821166554 PECOS PAC ID: 7810936184 Enrollment ID: I20050426001217 |
| Provider Name | Teresa A Hubka |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1659354140 PECOS PAC ID: 7416996483 Enrollment ID: I20050428000825 |
| Provider Name | Ann Marie Labarge |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1609851146 PECOS PAC ID: 1456303577 Enrollment ID: I20050502000549 |
| Provider Name | Andrew Sherman |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1104951540 PECOS PAC ID: 0244274413 Enrollment ID: I20050617000812 |
| Provider Name | Acezr S Leynes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689672537 PECOS PAC ID: 6406883644 Enrollment ID: I20050725000048 |
| Provider Name | Mohammed Bachar Ghabra |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1396746822 PECOS PAC ID: 0042248270 Enrollment ID: I20050729000382 |
| Provider Name | James G Nee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932159282 PECOS PAC ID: 4880622828 Enrollment ID: I20050801000069 |
| Provider Name | Robert Sharpe |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1588631329 PECOS PAC ID: 9234168139 Enrollment ID: I20050811000083 |
| Provider Name | Glynn J Elliott |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366481426 PECOS PAC ID: 0143123075 Enrollment ID: I20050919000689 |
| Provider Name | Ramiro Del Casti Mercado |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558329276 PECOS PAC ID: 7214952498 Enrollment ID: I20051011001095 |
| Provider Name | Anshu A Raj |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972771848 PECOS PAC ID: 7618992074 Enrollment ID: I20051014000068 |
| Provider Name | Brenda J Sikorski |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649310905 PECOS PAC ID: 4486670478 Enrollment ID: I20051019000492 |
| Provider Name | Manuel Alberto Franco |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083671341 PECOS PAC ID: 0840216578 Enrollment ID: I20051024000304 |
| Provider Name | Raynelda R Hidalgo |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1508907726 PECOS PAC ID: 9234156266 Enrollment ID: I20051101000299 |
| Provider Name | Alan C Pollak |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1790734069 PECOS PAC ID: 6507885944 Enrollment ID: I20051115000937 |
| Provider Name | Muhammad S Akbar |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1952513335 PECOS PAC ID: 2961424643 Enrollment ID: I20051221000922 |
| Provider Name | Rashmi C Tomur |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1770686305 PECOS PAC ID: 4486676822 Enrollment ID: I20051230000515 |
| Provider Name | Funmilayo A Macaulay |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1356441844 PECOS PAC ID: 3274557459 Enrollment ID: I20060116000426 |
| Provider Name | Minyuen C Enger |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1922065192 PECOS PAC ID: 7618991910 Enrollment ID: I20060125000147 |
| Provider Name | Kizito Ojiako |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1679520431 PECOS PAC ID: 6800800152 Enrollment ID: I20060126000175 |
| Provider Name | Istina E Morariu |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1679626717 PECOS PAC ID: 0244247617 Enrollment ID: I20060309000116 |
| Provider Name | Binoy Kamal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295805174 PECOS PAC ID: 5799793212 Enrollment ID: I20060324000569 |
| Provider Name | Alicia Vazquez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912028192 PECOS PAC ID: 4082622865 Enrollment ID: I20060405000481 |
| Provider Name | Basava P Ancha |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265488647 PECOS PAC ID: 4486663945 Enrollment ID: I20060411000352 |
| Provider Name | Eduard Zinger |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346276656 PECOS PAC ID: 5496764649 Enrollment ID: I20060417000276 |
| Provider Name | Kirsten G Hefele |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992849137 PECOS PAC ID: 6204847213 Enrollment ID: I20060505000176 |
| Provider Name | Mark A Grevious |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1194727909 PECOS PAC ID: 0840201885 Enrollment ID: I20060505000390 |
| Provider Name | Marko J Jachtorowycz |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1073597894 PECOS PAC ID: 9436161429 Enrollment ID: I20060609000153 |
| Provider Name | Micaela Della Torre |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1598798779 PECOS PAC ID: 6204830599 Enrollment ID: I20060829000037 |
| Provider Name | Ghassan Rahhal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942225909 PECOS PAC ID: 7315831427 Enrollment ID: I20060925000528 |
| Provider Name | Sunit Singla |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1760594253 PECOS PAC ID: 8921005398 Enrollment ID: I20061026000593 |
| Provider Name | Michele A Bucciero |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1255441275 PECOS PAC ID: 7618974981 Enrollment ID: I20061030000162 |
| Provider Name | Natasha T Jenkins |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1285736736 PECOS PAC ID: 3779582218 Enrollment ID: I20061212000163 |
| Provider Name | Juliet L Bradley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629087523 PECOS PAC ID: 0749382422 Enrollment ID: I20070227000294 |
| Provider Name | John C Evans |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003964156 PECOS PAC ID: 9436257193 Enrollment ID: I20070605000165 |
| Provider Name | Adi Gidron |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1184767444 PECOS PAC ID: 7315046893 Enrollment ID: I20070625000287 |
| Provider Name | Paul H Gleixner |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1912101254 PECOS PAC ID: 6002917580 Enrollment ID: I20070727000491 |
| Provider Name | Deslyn S Browne |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1083827810 PECOS PAC ID: 4082705256 Enrollment ID: I20070802000611 |
| Provider Name | Yetunde Johnson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1164622361 PECOS PAC ID: 3779675996 Enrollment ID: I20070817000343 |
| Provider Name | Pranjal Mukesh Agrawal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174723290 PECOS PAC ID: 3577655463 Enrollment ID: I20070823000247 |
| Provider Name | Jyothi Jolepalem |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1669574299 PECOS PAC ID: 6103910880 Enrollment ID: I20070926000346 |
| Provider Name | Gaurav Kapoor |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1245225192 PECOS PAC ID: 6800869322 Enrollment ID: I20071005000561 |
| Provider Name | Karen K Botsoe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366500639 PECOS PAC ID: 0143316786 Enrollment ID: I20071012000372 |
| Provider Name | Thana Tarsha |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1063432375 PECOS PAC ID: 3072600964 Enrollment ID: I20071024000237 |
| Provider Name | Alicia A Milan Flanigan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760695779 PECOS PAC ID: 2163519869 Enrollment ID: I20071026000726 |
| Provider Name | Mary R Talen |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1669473062 PECOS PAC ID: 2961487798 Enrollment ID: I20071029000139 |
| Provider Name | Christopher Q Stephan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780883660 PECOS PAC ID: 2466540679 Enrollment ID: I20071121000141 |
| Provider Name | Robert T Kus |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1346386984 PECOS PAC ID: 2365531290 Enrollment ID: I20071130000131 |
| Provider Name | Andres F Mafla |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326249285 PECOS PAC ID: 2264522143 Enrollment ID: I20071214000687 |
| Provider Name | Jyothi V Thota |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1205808102 PECOS PAC ID: 1153403365 Enrollment ID: I20080128000221 |
| Provider Name | Richard N Olen |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1952319410 PECOS PAC ID: 0749366805 Enrollment ID: I20080329000042 |
| Provider Name | Rokeya Begum Akhtar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780687368 PECOS PAC ID: 4587741384 Enrollment ID: I20080403000255 |
| Provider Name | Hari Gadde |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1285601872 PECOS PAC ID: 0143309179 Enrollment ID: I20080502000130 |
| Provider Name | Bhupinder Singh |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1932250446 PECOS PAC ID: 7113096140 Enrollment ID: I20080516000598 |
| Provider Name | Christina E Kuo |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1992745681 PECOS PAC ID: 2567465438 Enrollment ID: I20080702000521 |
| Provider Name | Sawsan M Awad |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1245437086 PECOS PAC ID: 3375618960 Enrollment ID: I20080815000478 |
| Provider Name | Richard Yiyu Zhu |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1104093202 PECOS PAC ID: 5193890788 Enrollment ID: I20080815000479 |
| Provider Name | Rakhshanda M Munir |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558381772 PECOS PAC ID: 0547337438 Enrollment ID: I20080918000143 |
| Provider Name | Scott B Phillips |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1053369967 PECOS PAC ID: 1355418021 Enrollment ID: I20080922000450 |
| Provider Name | Janice L Gilden |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1548220452 PECOS PAC ID: 1254408891 Enrollment ID: I20080923000449 |
| Provider Name | Charles R Gruner |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1093980872 PECOS PAC ID: 7315014636 Enrollment ID: I20080927000250 |
| Provider Name | Rajesh Jindal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184818791 PECOS PAC ID: 9436217809 Enrollment ID: I20081029000511 |
| Provider Name | Owais W Lodhi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427212638 PECOS PAC ID: 1557420817 Enrollment ID: I20081101000141 |
| Provider Name | Amir Hossein Vafa |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1881818326 PECOS PAC ID: 2365501350 Enrollment ID: I20081105000617 |
| Provider Name | Narayana Swamy Nagubadi |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1295782365 PECOS PAC ID: 6709945264 Enrollment ID: I20081112000781 |
| Provider Name | Mayank K Shah |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962430272 PECOS PAC ID: 5597827444 Enrollment ID: I20081231000166 |
| Provider Name | Jonathan E Vogel |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1104007533 PECOS PAC ID: 0840353892 Enrollment ID: I20090116000352 |
| Provider Name | Jafar S Hasan |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1992827224 PECOS PAC ID: 5092878942 Enrollment ID: I20090120000509 |
| Provider Name | Vipuli E Jayesinghe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265673701 PECOS PAC ID: 1355499773 Enrollment ID: I20090423000169 |
| Provider Name | Sohail A Siddique |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1992770101 PECOS PAC ID: 3072664937 Enrollment ID: I20090706000592 |
| Provider Name | Ewa A Bilinski |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1578765251 PECOS PAC ID: 2567516511 Enrollment ID: I20090811000232 |
| Provider Name | Mary Kathryn Peterson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356508675 PECOS PAC ID: 5799830626 Enrollment ID: I20090828000428 |
| Provider Name | Alyssa J Vest Hart |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033317086 PECOS PAC ID: 5092861930 Enrollment ID: I20090918000191 |
| Provider Name | Raymond A Mcdermott |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1295883551 PECOS PAC ID: 9537205695 Enrollment ID: I20091005000344 |
| Provider Name | Michael Joseph Bommarito |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1235150939 PECOS PAC ID: 5799785283 Enrollment ID: I20091021000351 |
| Provider Name | Rediet Kokebie |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861728677 PECOS PAC ID: 0345387064 Enrollment ID: I20091028000357 |
| Provider Name | Poonam P Thaker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508030057 PECOS PAC ID: 2769520287 Enrollment ID: I20091103000547 |
| Provider Name | William M Sanders |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1164426599 PECOS PAC ID: 4789725979 Enrollment ID: I20100111000285 |
| Provider Name | Michael L Greising |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629071329 PECOS PAC ID: 3072655877 Enrollment ID: I20100115000842 |
| Provider Name | Peter D Kerstan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780687301 PECOS PAC ID: 1456493261 Enrollment ID: I20100116000026 |
| Provider Name | Andrew Pavlatos |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679576201 PECOS PAC ID: 5890837603 Enrollment ID: I20100116000037 |
| Provider Name | Samuel F Castillo |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1205801313 PECOS PAC ID: 1759340953 Enrollment ID: I20100119000769 |
| Provider Name | James F Sullivan |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1346236379 PECOS PAC ID: 7517002165 Enrollment ID: I20100306000254 |
| Provider Name | Kew Jung Lee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669463618 PECOS PAC ID: 4486780608 Enrollment ID: I20100326000819 |
| Provider Name | James M Arons |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558351643 PECOS PAC ID: 7416963145 Enrollment ID: I20100326000837 |
| Provider Name | Howard Taft Strassner |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1568446912 PECOS PAC ID: 8224025614 Enrollment ID: I20100423000858 |
| Provider Name | Predrag Z Simovic |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811074503 PECOS PAC ID: 3476680216 Enrollment ID: I20100427000431 |
| Provider Name | Johnny Williamson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1144310509 PECOS PAC ID: 9335277631 Enrollment ID: I20100506000811 |
| Provider Name | Suhair S Abdel-jalil |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1174572929 PECOS PAC ID: 8527190578 Enrollment ID: I20100709000798 |
| Provider Name | Nancy Adela Zamora |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114012663 PECOS PAC ID: 4587796032 Enrollment ID: I20100719000466 |
| Provider Name | Vicente Eugenio Cardenas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417025842 PECOS PAC ID: 4082746227 Enrollment ID: I20100723000034 |
| Provider Name | Michael Edward Ladewski |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821244633 PECOS PAC ID: 2466585492 Enrollment ID: I20100728000447 |
| Provider Name | Kristopher K Carpenter |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437305190 PECOS PAC ID: 6608990650 Enrollment ID: I20100827000946 |
| Provider Name | Anthony A Grande |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1477558377 PECOS PAC ID: 5799688735 Enrollment ID: I20101018001298 |
| Provider Name | Luis T Garcia |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598874398 PECOS PAC ID: 6800089087 Enrollment ID: I20101020000572 |
| Provider Name | Olga M Vila-sola |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1396925137 PECOS PAC ID: 3870780034 Enrollment ID: I20101214000653 |
| Provider Name | Ross A Slotten |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619089174 PECOS PAC ID: 7618165705 Enrollment ID: I20101215000977 |
| Provider Name | Michael B Baldinger |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598879223 PECOS PAC ID: 6901868561 Enrollment ID: I20110112000636 |
| Provider Name | Jeffrey T Brasky |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1891976981 PECOS PAC ID: 3274712484 Enrollment ID: I20110120000222 |
| Provider Name | Manhal H Khilfeh |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1932131661 PECOS PAC ID: 8921289224 Enrollment ID: I20110218000906 |
| Provider Name | Shou-yien Huang |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1982614954 PECOS PAC ID: 5395927859 Enrollment ID: I20110304000832 |
| Provider Name | Vishwanath Agrawal |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1083637771 PECOS PAC ID: 0648452995 Enrollment ID: I20110308001029 |
| Provider Name | Carol W Saffold |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1871563627 PECOS PAC ID: 3375558489 Enrollment ID: I20110315000415 |
| Provider Name | Kaoutar Tlemcani |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1023238862 PECOS PAC ID: 5890895809 Enrollment ID: I20110510000706 |
| Provider Name | Diana C Doeing |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1730341983 PECOS PAC ID: 2961689955 Enrollment ID: I20110531000125 |
| Provider Name | Sarah Mann |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720171911 PECOS PAC ID: 1850579152 Enrollment ID: I20110708000198 |
| Provider Name | Brian J Donohue |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093971806 PECOS PAC ID: 7911177001 Enrollment ID: I20110829000161 |
| Provider Name | Nicole J Spencer |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1518123520 PECOS PAC ID: 4688845845 Enrollment ID: I20110926000229 |
| Provider Name | Swathi Arekapudi |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1982894762 PECOS PAC ID: 1153588470 Enrollment ID: I20120128000027 |
| Provider Name | Gerald M Farby |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972504454 PECOS PAC ID: 4981863685 Enrollment ID: I20120316000057 |
| Provider Name | Bipan Chand |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1891758777 PECOS PAC ID: 4486667680 Enrollment ID: I20120402000472 |
| Provider Name | Nicole Malek |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235385220 PECOS PAC ID: 6800942327 Enrollment ID: I20120424000370 |
| Provider Name | Jonette P Belicena |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1134117344 PECOS PAC ID: 1557523321 Enrollment ID: I20120425000034 |
| Provider Name | Omar Ahmed |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1639312556 PECOS PAC ID: 2365698669 Enrollment ID: I20120801000630 |
| Provider Name | Natasha Jindal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689903726 PECOS PAC ID: 4082860184 Enrollment ID: I20120806000318 |
| Provider Name | Jose L Huerta Suarez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407089394 PECOS PAC ID: 3173779576 Enrollment ID: I20120816000698 |
| Provider Name | Jessica L Bender |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1306156500 PECOS PAC ID: 3971750860 Enrollment ID: I20120828000871 |
| Provider Name | Sai Sunkara |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1801024153 PECOS PAC ID: 1557519089 Enrollment ID: I20120907000129 |
| Provider Name | Sabrina Antonina Indyk |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124256136 PECOS PAC ID: 1951555952 Enrollment ID: I20130128000504 |
| Provider Name | Sheikh Latif |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1306052345 PECOS PAC ID: 4082771456 Enrollment ID: I20130410000128 |
| Provider Name | Charone T Tolbert |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1033386461 PECOS PAC ID: 6305988361 Enrollment ID: I20130417000299 |
| Provider Name | Karen E Hawk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699056630 PECOS PAC ID: 0648416115 Enrollment ID: I20130429000665 |
| Provider Name | Yelena Dukarevich |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1699093823 PECOS PAC ID: 9133366586 Enrollment ID: I20130502000492 |
| Provider Name | David Vallejo |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1699085381 PECOS PAC ID: 2466699541 Enrollment ID: I20130508000640 |
| Provider Name | Faisal Amdani |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1689874349 PECOS PAC ID: 3173762184 Enrollment ID: I20130625000144 |
| Provider Name | Scott R Geraghty |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1871715995 PECOS PAC ID: 8022286343 Enrollment ID: I20130625000608 |
| Provider Name | Arti Lakhani |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1831345818 PECOS PAC ID: 9133369853 Enrollment ID: I20130701000331 |
| Provider Name | Assaad Youssef Semaan |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1841457975 PECOS PAC ID: 7618117961 Enrollment ID: I20130709000625 |
| Provider Name | Muneeb Qadri |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972815033 PECOS PAC ID: 2860634698 Enrollment ID: I20130807000749 |
| Provider Name | Kathya M Chartre |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174831168 PECOS PAC ID: 2961644554 Enrollment ID: I20130812000082 |
| Provider Name | Palak A Desai |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1386964781 PECOS PAC ID: 1254573579 Enrollment ID: I20130815000169 |
| Provider Name | Hammad A Saudye |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1013186071 PECOS PAC ID: 6002059706 Enrollment ID: I20130828000480 |
| Provider Name | Paul J Toussaint |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1518960145 PECOS PAC ID: 7810131687 Enrollment ID: I20130917000386 |
| Provider Name | Stephanie E Place |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336460807 PECOS PAC ID: 0547494338 Enrollment ID: I20131010000522 |
| Provider Name | Gema Ramos |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588978365 PECOS PAC ID: 1355575846 Enrollment ID: I20131017000077 |
| Provider Name | John G Bush |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1710120779 PECOS PAC ID: 9032343447 Enrollment ID: I20131017001013 |
| Provider Name | Dorothy A Dschida |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164743241 PECOS PAC ID: 1254566649 Enrollment ID: I20131018001393 |
| Provider Name | Michelle V Quinn |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1982848206 PECOS PAC ID: 3476788845 Enrollment ID: I20131021001947 |
| Provider Name | Luciana Ribeiro |
|---|---|
| Provider Type | Practitioner - Addiction Medicine |
| Provider Identifiers | NPI Number: 1437481355 PECOS PAC ID: 9931334695 Enrollment ID: I20131105000780 |
| Provider Name | Ashima Sahni |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1972819720 PECOS PAC ID: 2961630801 Enrollment ID: I20140122001349 |
| Provider Name | Sajoy P Varghese |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1902053077 PECOS PAC ID: 6608018411 Enrollment ID: I20140429002230 |
| Provider Name | Julie Philbrick |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1043445778 PECOS PAC ID: 7719102268 Enrollment ID: I20140626000083 |
| Provider Name | Nicholas C Frisch |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1770756215 PECOS PAC ID: 5991920753 Enrollment ID: I20140710002074 |
| Provider Name | Basel Katerji |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1508152315 PECOS PAC ID: 9032357926 Enrollment ID: I20140722001680 |
| Provider Name | Carlos Rafael Gonzalez Rendon |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1467688879 PECOS PAC ID: 5597903468 Enrollment ID: I20140722002250 |
| Provider Name | Gopika Chandra |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104114826 PECOS PAC ID: 2961628797 Enrollment ID: I20140730002522 |
| Provider Name | Melita Igbokwe |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1790004620 PECOS PAC ID: 9537385232 Enrollment ID: I20140731002016 |
| Provider Name | Russell G Benuck |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1720308380 PECOS PAC ID: 1850533704 Enrollment ID: I20140904000682 |
| Provider Name | Katherine Jackson Flechet |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255752192 PECOS PAC ID: 2163641721 Enrollment ID: I20140912000647 |
| Provider Name | Rajeev Kumar |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1558688127 PECOS PAC ID: 4789804931 Enrollment ID: I20141010000166 |
| Provider Name | Vikramjit S Gill |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1639227374 PECOS PAC ID: 0345343729 Enrollment ID: I20141106000101 |
| Provider Name | Meghan Cox-pedota |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1144541657 PECOS PAC ID: 2668694969 Enrollment ID: I20141120001083 |
| Provider Name | Fares Hamad |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1275831521 PECOS PAC ID: 6204158850 Enrollment ID: I20141210000130 |
| Provider Name | Saifullah Siddiqui |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1801187968 PECOS PAC ID: 9638492473 Enrollment ID: I20141230002078 |
| Provider Name | Christina Tragos |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1720234743 PECOS PAC ID: 7315167228 Enrollment ID: I20150812006306 |
| Provider Name | Brie-ann A Muller |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1053553313 PECOS PAC ID: 3476868738 Enrollment ID: I20150814013987 |
| Provider Name | Val Valencia |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285995779 PECOS PAC ID: 5294040408 Enrollment ID: I20150818003861 |
| Provider Name | Stanley Okon |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1023243334 PECOS PAC ID: 0547577231 Enrollment ID: I20150911002454 |
| Provider Name | Jessica Mui |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477954600 PECOS PAC ID: 9739496753 Enrollment ID: I20150923000952 |
| Provider Name | Kaiz S Asif |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1679729875 PECOS PAC ID: 6204078876 Enrollment ID: I20150929000026 |
| Provider Name | Michelle Arroyo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124416904 PECOS PAC ID: 9234439167 Enrollment ID: I20151130000092 |
| Provider Name | Ritesh Panwar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588826531 PECOS PAC ID: 5799819454 Enrollment ID: I20151211001656 |
| Provider Name | Anna Szkoda |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417339631 PECOS PAC ID: 2668775271 Enrollment ID: I20160114001332 |
| Provider Name | Chhorvee Men |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285034587 PECOS PAC ID: 2163725045 Enrollment ID: I20160127001183 |
| Provider Name | Janette P Querubin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952704116 PECOS PAC ID: 1759685704 Enrollment ID: I20160211001046 |
| Provider Name | Ema Dzaka-dizdarevic |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699020800 PECOS PAC ID: 4385949015 Enrollment ID: I20160218000000 |
| Provider Name | Maria Silveira Galban |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1821287657 PECOS PAC ID: 3375842545 Enrollment ID: I20160422001386 |
| Provider Name | Mary Maginot |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386020477 PECOS PAC ID: 8426348582 Enrollment ID: I20160601001295 |
| Provider Name | Grizaella E Wang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982065470 PECOS PAC ID: 8921399270 Enrollment ID: I20160617000059 |
| Provider Name | George Herman Roepke |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154765790 PECOS PAC ID: 5193011948 Enrollment ID: I20160906000736 |
| Provider Name | Maura Stefko |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497075600 PECOS PAC ID: 4789835166 Enrollment ID: I20160912002279 |
| Provider Name | Corina M Sandulescu |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1750657490 PECOS PAC ID: 0941504740 Enrollment ID: I20161129000387 |
| Provider Name | Vishakha Nanda |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1437466158 PECOS PAC ID: 9931493152 Enrollment ID: I20161215001836 |
| Provider Name | Annabella Vidal-ruiz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063867760 PECOS PAC ID: 3375825623 Enrollment ID: I20170120001270 |
| Provider Name | Aalok Avinashi |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1730289273 PECOS PAC ID: 3274816582 Enrollment ID: I20170213000585 |
| Provider Name | Olena Hungerford |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1477873693 PECOS PAC ID: 7214123348 Enrollment ID: I20170215000814 |
| Provider Name | Ankita Dalal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619311644 PECOS PAC ID: 3476855495 Enrollment ID: I20170330001256 |
| Provider Name | Evelyn Grace Nartatez Serag |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801101720 PECOS PAC ID: 3375787054 Enrollment ID: I20170331001296 |
| Provider Name | Sarah M Khan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1922446186 PECOS PAC ID: 1052617362 Enrollment ID: I20170425002378 |
| Provider Name | Katherine Anderson |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1780944124 PECOS PAC ID: 9830347392 Enrollment ID: I20170502002420 |
| Provider Name | Cyndi R Sosnowski |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1598059438 PECOS PAC ID: 7911297650 Enrollment ID: I20170705002115 |
| Provider Name | Matthew Doscher |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1194012781 PECOS PAC ID: 6406127554 Enrollment ID: I20170808000817 |
| Provider Name | Annmarie Rose Walsh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639518707 PECOS PAC ID: 0446554687 Enrollment ID: I20170815002868 |
| Provider Name | Veronica Valadez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275081572 PECOS PAC ID: 4183911886 Enrollment ID: I20170816002572 |
| Provider Name | Diana Marta Fatyga |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720490741 PECOS PAC ID: 2769771252 Enrollment ID: I20170929002804 |
| Provider Name | Martha De Santaigo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760932016 PECOS PAC ID: 2264798834 Enrollment ID: I20171115000260 |
| Provider Name | Alicia Mireya Mangano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538688312 PECOS PAC ID: 3274891452 Enrollment ID: I20171215001621 |
| Provider Name | Robin Teo Guieb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568989424 PECOS PAC ID: 9234499278 Enrollment ID: I20180212001902 |
| Provider Name | Stephanie V Hernandez |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1215297221 PECOS PAC ID: 0042526683 Enrollment ID: I20180502000452 |
| Provider Name | Magdalena M Rutkowski |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487960019 PECOS PAC ID: 2264665199 Enrollment ID: I20180503000126 |
| Provider Name | Sean Williams |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1255712626 PECOS PAC ID: 2769786003 Enrollment ID: I20180503000502 |
| Provider Name | Vanessa Claire Archil |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1285046888 PECOS PAC ID: 4284989088 Enrollment ID: I20180619003229 |
| Provider Name | Piyanuch Pahn Pataramekin |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1184997314 PECOS PAC ID: 2062769128 Enrollment ID: I20180719002899 |
| Provider Name | Megan Poth Mcardle |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1871911388 PECOS PAC ID: 6608158977 Enrollment ID: I20180726002047 |
| Provider Name | Elizabeth Erin Sita |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1093132284 PECOS PAC ID: 2860797925 Enrollment ID: I20180904001954 |
| Provider Name | Lucia Gleason |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487031407 PECOS PAC ID: 3577852060 Enrollment ID: I20181009000840 |
| Provider Name | Karl Langner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144616954 PECOS PAC ID: 3779837711 Enrollment ID: I20181112000112 |
| Provider Name | Mustafa Tai |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1689023152 PECOS PAC ID: 8123310927 Enrollment ID: I20181112000766 |
| Provider Name | Melanie Elizabeth Delbeccaro |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1295155026 PECOS PAC ID: 0749590933 Enrollment ID: I20181128003393 |
| Provider Name | Hadi Farouk Shaaban |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1659529196 PECOS PAC ID: 4385879378 Enrollment ID: I20190221000196 |
| Provider Name | Laurie J Sabas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568934941 PECOS PAC ID: 7214276609 Enrollment ID: I20190301000915 |
| Provider Name | Jessica L Horwitz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649758426 PECOS PAC ID: 0547502056 Enrollment ID: I20190503000034 |
| Provider Name | Morgan K Lotz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972075752 PECOS PAC ID: 0244572535 Enrollment ID: I20190507002604 |
| Provider Name | Alina Zubrickaite |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295223063 PECOS PAC ID: 2961745690 Enrollment ID: I20190521003453 |
| Provider Name | Nischal Raya |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1326429747 PECOS PAC ID: 1254622707 Enrollment ID: I20190529003287 |
| Provider Name | Janaki Nandam |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1154709731 PECOS PAC ID: 5890031173 Enrollment ID: I20190801000311 |
| Provider Name | Moshe Dissen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487008389 PECOS PAC ID: 5991098352 Enrollment ID: I20190820003671 |
| Provider Name | Tamara Marshall Perry |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1710374434 PECOS PAC ID: 1759619158 Enrollment ID: I20190822003602 |
| Provider Name | Amrik Sivakam Ray |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1114283041 PECOS PAC ID: 0345476982 Enrollment ID: I20190923003190 |
| Provider Name | Nicholas Ramos |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1386080802 PECOS PAC ID: 6002161098 Enrollment ID: I20191028001278 |
| Provider Name | Maxwell Arons |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558718809 PECOS PAC ID: 4789017674 Enrollment ID: I20191206001991 |
| Provider Name | Michael Chen |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1558757757 PECOS PAC ID: 9335424449 Enrollment ID: I20191210002786 |
| Provider Name | Ruchir Shah |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1396033437 PECOS PAC ID: 1557656501 Enrollment ID: I20191223000858 |
| Provider Name | Rajiv Narula |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1982959979 PECOS PAC ID: 6709147689 Enrollment ID: I20191223001027 |
| Provider Name | Neeraj Singh |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1194160457 PECOS PAC ID: 6709136443 Enrollment ID: I20191227000016 |
| Provider Name | Alba Cardenas Molina |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700232634 PECOS PAC ID: 6608202379 Enrollment ID: I20200129001209 |
| Provider Name | Rena Ali |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679116966 PECOS PAC ID: 7416385455 Enrollment ID: I20200325001419 |
| Provider Name | Stephanie Munns |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1265698849 PECOS PAC ID: 8921279167 Enrollment ID: I20200402003341 |
| Provider Name | Joseph Vitello |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1962508747 PECOS PAC ID: 1951723899 Enrollment ID: I20200622002191 |
| Provider Name | Joel Manalo Ocampo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548724982 PECOS PAC ID: 3173946258 Enrollment ID: I20200708000805 |
| Provider Name | Angela Cano-garcia |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851823462 PECOS PAC ID: 3577986603 Enrollment ID: I20200708002651 |
| Provider Name | Kristen Gallagher |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1881049583 PECOS PAC ID: 6002230984 Enrollment ID: I20200724001020 |
| Provider Name | Brendan Gilmore |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1619396231 PECOS PAC ID: 4880962349 Enrollment ID: I20200728000277 |
| Provider Name | Mary Driscoll |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871103291 PECOS PAC ID: 8527486364 Enrollment ID: I20200910003548 |
| Provider Name | Stewart Bishop |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639698244 PECOS PAC ID: 5890032635 Enrollment ID: I20200915001010 |
| Provider Name | Mohammed Khadeer |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1548759186 PECOS PAC ID: 1759631161 Enrollment ID: I20200918000016 |
| Provider Name | Thomas Schoenhofen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336671569 PECOS PAC ID: 8325466410 Enrollment ID: I20200922003015 |
| Provider Name | Hannah Polus |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376072009 PECOS PAC ID: 2769755040 Enrollment ID: I20210107001632 |
| Provider Name | Nico Paula P Sagadraca |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811509714 PECOS PAC ID: 2264847607 Enrollment ID: I20210218000118 |
| Provider Name | Salman Khaleeluddin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063728897 PECOS PAC ID: 0941431639 Enrollment ID: I20210304000791 |
| Provider Name | Sana Rafiq Chaudry |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1861807687 PECOS PAC ID: 6901214451 Enrollment ID: I20210421001781 |
| Provider Name | Behzad Elahi |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1932549698 PECOS PAC ID: 5991073678 Enrollment ID: I20210616002559 |
| Provider Name | Mahmood R Hossain |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1447782321 PECOS PAC ID: 7315355476 Enrollment ID: I20210628002239 |
| Provider Name | Joshua Samuel Rosen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730618133 PECOS PAC ID: 9133497969 Enrollment ID: I20210707001500 |
| Provider Name | Ximena Morales |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1477537256 PECOS PAC ID: 9739159039 Enrollment ID: I20210708001653 |
| Provider Name | Aneesh Tyle |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578068979 PECOS PAC ID: 6709280696 Enrollment ID: I20210816000438 |
| Provider Name | Ashley Binder |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1265775365 PECOS PAC ID: 3971813346 Enrollment ID: I20210817003586 |
| Provider Name | James Voci |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1366476715 PECOS PAC ID: 6002863081 Enrollment ID: I20210830001788 |
| Provider Name | Vishal City Gupta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659866713 PECOS PAC ID: 5193071967 Enrollment ID: I20210831002197 |
| Provider Name | Angeline Babuji |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598262594 PECOS PAC ID: 3476959396 Enrollment ID: I20210901000823 |
| Provider Name | Chike Ilorah |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1619382355 PECOS PAC ID: 8729392402 Enrollment ID: I20210909001179 |
| Provider Name | Jordan Oneill |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548796683 PECOS PAC ID: 4284031238 Enrollment ID: I20210920000017 |
| Provider Name | Marlon E Bohorquez |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1689104564 PECOS PAC ID: 8224308473 Enrollment ID: I20210920000835 |
| Provider Name | Linesse Md Vega |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1114105897 PECOS PAC ID: 6002047206 Enrollment ID: I20210921000130 |
| Provider Name | Andrew Schwemmer |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1790179604 PECOS PAC ID: 3577866128 Enrollment ID: I20211119000452 |
| Provider Name | Asad Khan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1528564374 PECOS PAC ID: 0749535722 Enrollment ID: I20220120000743 |
| Provider Name | Karl Roi Fontelo Calingacion |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598410375 PECOS PAC ID: 4789079450 Enrollment ID: I20220315002347 |
| Provider Name | Jessica Bodeman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346985959 PECOS PAC ID: 1658759055 Enrollment ID: I20220525001687 |
| Provider Name | Kevin George Buell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518454453 PECOS PAC ID: 3577941509 Enrollment ID: I20220603001473 |
| Provider Name | Yijung Yang |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1700440492 PECOS PAC ID: 7810324159 Enrollment ID: I20220616001669 |
| Provider Name | Walid Malki |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1225692064 PECOS PAC ID: 8224465539 Enrollment ID: I20220621001183 |
| Provider Name | Royal Dawson Mckenna |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043730344 PECOS PAC ID: 5092088492 Enrollment ID: I20220627003056 |
| Provider Name | Danique Lippens |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821650961 PECOS PAC ID: 3577898923 Enrollment ID: I20220629000667 |
| Provider Name | Khrystyna Savchuk |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588224224 PECOS PAC ID: 1850626185 Enrollment ID: I20220701001916 |
| Provider Name | Madeleine R Durand |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1760974216 PECOS PAC ID: 4183971963 Enrollment ID: I20220719001720 |
| Provider Name | Jason Joseph Miiller |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1699069138 PECOS PAC ID: 7810117702 Enrollment ID: I20220728002702 |
| Provider Name | Ellen A Wegner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629539655 PECOS PAC ID: 5799199402 Enrollment ID: I20220816002411 |
| Provider Name | Michael R Byers |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1336701366 PECOS PAC ID: 3476889510 Enrollment ID: I20220818003157 |
| Provider Name | Nazish Chaudhry |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205483773 PECOS PAC ID: 0840688255 Enrollment ID: I20220827000509 |
| Provider Name | Naina Chandan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104489624 PECOS PAC ID: 8527395375 Enrollment ID: I20220907003558 |
| Provider Name | Ryan Thomas Cook |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962068965 PECOS PAC ID: 3375878598 Enrollment ID: I20220920002088 |
| Provider Name | Fatma Betul Ciftci |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1881223154 PECOS PAC ID: 7719362078 Enrollment ID: I20220922001925 |
| Provider Name | Melanie Winningham |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1588954788 PECOS PAC ID: 9335434752 Enrollment ID: I20220924000337 |
| Provider Name | Angelina Slota |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609338722 PECOS PAC ID: 9739564923 Enrollment ID: I20220926000233 |
| Provider Name | Tanya Scurry |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1225243009 PECOS PAC ID: 9133400237 Enrollment ID: I20220929002787 |
| Provider Name | William John Noel |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1871114272 PECOS PAC ID: 5799108007 Enrollment ID: I20221111000759 |
| Provider Name | Dinuk Abeysekera |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1366616534 PECOS PAC ID: 5890970164 Enrollment ID: I20230316002693 |
| Provider Name | Andrea E Geddes |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1225529381 PECOS PAC ID: 8123377041 Enrollment ID: I20230509002619 |
| Provider Name | Maryam Majeed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366041832 PECOS PAC ID: 8325405541 Enrollment ID: I20230602002593 |
| Provider Name | Laura Marcela Vergara |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841812914 PECOS PAC ID: 5395169569 Enrollment ID: I20230630001978 |
| Provider Name | Thomas Topalis |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1376129247 PECOS PAC ID: 0244684157 Enrollment ID: I20230927000096 |
| Provider Name | Omar Farooq Ahmed |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1043896947 PECOS PAC ID: 8921452772 Enrollment ID: I20230927001887 |
| Provider Name | Julie Jitendrakumar Patel |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1013593938 PECOS PAC ID: 6608220330 Enrollment ID: I20230928001034 |
| Provider Name | Aditya Hari Voruganti |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669009379 PECOS PAC ID: 4981026150 Enrollment ID: I20231017001656 |
| Provider Name | Ryan Matthew Dahlin |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1588240006 PECOS PAC ID: 1759737059 Enrollment ID: I20231023002678 |
| Provider Name | Joel Radhames Nunez Gonzalez |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1497066997 PECOS PAC ID: 3577862622 Enrollment ID: I20231027003038 |
| Provider Name | Pranusha Pinna |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1861983660 PECOS PAC ID: 6406105154 Enrollment ID: I20231031001624 |
| Provider Name | Rami-james Assadi |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1265819478 PECOS PAC ID: 8325343247 Enrollment ID: I20231108002019 |
| Provider Name | Maeve Caitlin Mcdonnell |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1528644481 PECOS PAC ID: 9739537176 Enrollment ID: I20231127001111 |
| Provider Name | Jeremiah Bell |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1639533870 PECOS PAC ID: 0244524338 Enrollment ID: I20231201001258 |
| Provider Name | Adam Lawrence Zack |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1568048015 PECOS PAC ID: 3375992100 Enrollment ID: I20231205003584 |
| Provider Name | Sam Kumar Saha |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1629394390 PECOS PAC ID: 3870733181 Enrollment ID: I20231206001098 |
| Provider Name | Steven Tversky |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1356683874 PECOS PAC ID: 1658633664 Enrollment ID: I20240224000588 |
| Provider Name | Chaitasi Naik |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306305677 PECOS PAC ID: 2264766070 Enrollment ID: I20240229001144 |
| Provider Name | Sydni Yates |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1225617905 PECOS PAC ID: 9436598950 Enrollment ID: I20240417001586 |
| Provider Name | Dolly Johnson Ewili |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891468039 PECOS PAC ID: 7416399423 Enrollment ID: I20240522002315 |
| Provider Name | Ernest Abunaw |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1811558844 PECOS PAC ID: 2062814551 Enrollment ID: I20240807003259 |
| Provider Name | Anna Scalzo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689242794 PECOS PAC ID: 7315340106 Enrollment ID: I20240820004213 |
| Provider Name | Jillian Lynn Smith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558980185 PECOS PAC ID: 5597204305 Enrollment ID: I20240826000054 |
| Provider Name | Dean Kristl |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1790040988 PECOS PAC ID: 9830482124 Enrollment ID: I20240828001093 |
| Provider Name | Lucas Nathaniel Nelson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1417607888 PECOS PAC ID: 9133669781 Enrollment ID: I20240910001059 |
| Provider Name | Hina Wazir |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013677921 PECOS PAC ID: 2769923515 Enrollment ID: I20240919002036 |
| Provider Name | Mustafa Khan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1861489601 PECOS PAC ID: 0345317277 Enrollment ID: I20240923002797 |
| Provider Name | Amr Elmaghraby |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1639517949 PECOS PAC ID: 1254553605 Enrollment ID: I20240924003923 |
| Provider Name | Aravind Reddy |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1548756588 PECOS PAC ID: 9436527447 Enrollment ID: I20240924004198 |
| Provider Name | Deborah Chun |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235826819 PECOS PAC ID: 6406397850 Enrollment ID: I20240925002156 |
| Provider Name | Mina Kerolos |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013264936 PECOS PAC ID: 6608293386 Enrollment ID: I20240925003497 |
| Provider Name | Natalie Gavin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952135972 PECOS PAC ID: 5597296830 Enrollment ID: I20240927000841 |
| Provider Name | Aaron Rubinstein |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1073262820 PECOS PAC ID: 6204367568 Enrollment ID: I20240927001509 |
| Provider Name | Carolyn Maria Castillo O'neill |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1972252484 PECOS PAC ID: 6204368822 Enrollment ID: I20241021000818 |
| Provider Name | Mario Rako |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1174103725 PECOS PAC ID: 9335671924 Enrollment ID: I20241021003519 |
| Provider Name | Bridget Dames |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1083356455 PECOS PAC ID: 3678007283 Enrollment ID: I20241105001970 |
| Provider Name | Tanner Olinger |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1710636360 PECOS PAC ID: 7315471471 Enrollment ID: I20241112001765 |
| Provider Name | Logan Brendan Abel |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1447900592 PECOS PAC ID: 9931633062 Enrollment ID: I20241113000248 |
| Provider Name | Abdelhamid Mazouni |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1124777438 PECOS PAC ID: 5395271449 Enrollment ID: I20241212000959 |
| Provider Name | Eric Bidinger |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1053992321 PECOS PAC ID: 0143756205 Enrollment ID: I20241212001313 |
Davis Health Ventures Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 380 E Northwest Hwy Ste 202, Des Plaines, IL 60016 Phone: 817-503-2300 | |
Dempster Plaza Pediatrics Assoc, Ltd Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8901 Golf Rd Ste 303, Des Plaines, IL 60016 Phone: 847-297-6600 Fax: 847-297-5270 | |
Bridgecare, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2250 E Devon Ave, Suite 333, Des Plaines, IL 60018 Phone: 224-803-2273 Fax: 224-803-2274 | |
American Physician Group Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1606 Linden St, Des Plaines, IL 60018 Phone: 630-788-3115 | |
Susana C Lapid Mdsc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 380 E Northwest Hwy, 3rd Floor, Des Plaines, IL 60016 Phone: 847-296-4447 Fax: 847-398-4779 | |
Medplus Physician Partners I, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9680 Golf Rd, 2nd Floor, Des Plaines, IL 60016 Phone: 847-699-0801 Fax: 847-296-5686 |