Rush Oak Park Physicians Group Center For Diabetes And Endocrine | |
520 S Maple Ave 3rd Floor Oak Park IL 60304-1022 | |
(708) 660-5900 | |
Not Available |
Full Name | Rush Oak Park Physicians Group Center For Diabetes And Endocrine |
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Speciality | Internal Medicine |
Location | 520 S Maple Ave, Oak Park, Illinois |
Authorized Official Name and Position | Scott A Halper (AUTHORIZED OFFICIAL) |
Authorized Official Contact | 3129427770 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Rush Oak Park Physicians Group Center For Diabetes And Endocrine 520 S Maple Ave 3rd Floor Oak Park IL 60304-1022 Ph: (708) 660-5900 | Rush Oak Park Physicians Group Center For Diabetes And Endocrine 520 S Maple Ave 3rd Floor Oak Park IL 60304-1022 Ph: (708) 660-5900 |
NPI Number | 1841560141 |
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Provider Enumeration Date | 01/04/2012 |
Last Update Date | 09/25/2024 |
Medicare PECOS PAC ID | 3971763707 |
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Medicare Enrollment ID | O20120402000075 |
Identifier | Type | State | Issuer |
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1841560141 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | (Illinois) | Primary |
363L00000X | Nurse Practitioner | (* (Not Available)) | Secondary |
Provider Name | Rim Joubran |
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Provider Type | Practitioner - Endocrinology |
Provider Identifiers | NPI Number: 1164489241 PECOS PAC ID: 9335138312 Enrollment ID: I20040506001334 |
Provider Name | Judy A Carter |
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Provider Type | Practitioner - Endocrinology |
Provider Identifiers | NPI Number: 1134187032 PECOS PAC ID: 0446240188 Enrollment ID: I20040514000948 |
Provider Name | Jennifer M Cunningham |
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Provider Type | Practitioner - Endocrinology |
Provider Identifiers | NPI Number: 1790771962 PECOS PAC ID: 5092794057 Enrollment ID: I20041123000579 |
Provider Name | Cathie A Gantner-overmyer |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1760437263 PECOS PAC ID: 3678769403 Enrollment ID: I20101118001402 |
Provider Name | Amy C Folker |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1598827008 PECOS PAC ID: 8123290137 Enrollment ID: I20111018000328 |
Provider Name | Kimberly A Harden |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1821314105 PECOS PAC ID: 8426290107 Enrollment ID: I20130808000430 |
Provider Name | Jennifer L. Schoenberger |
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Provider Type | Practitioner - Endocrinology |
Provider Identifiers | NPI Number: 1689823833 PECOS PAC ID: 2062655947 Enrollment ID: I20130823001245 |
Provider Name | Kathleen M. Duffy |
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Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
Provider Identifiers | NPI Number: 1659771897 PECOS PAC ID: 3072732304 Enrollment ID: I20140917002997 |
Provider Name | Beth M. Marshall-bergman |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1962791657 PECOS PAC ID: 0840411328 Enrollment ID: I20141027000934 |
Provider Name | Chioma A. Onyenwenyi |
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Provider Type | Practitioner - Endocrinology |
Provider Identifiers | NPI Number: 1780972182 PECOS PAC ID: 1355636473 Enrollment ID: I20160827000374 |
Provider Name | Malini Soundarrajan |
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Provider Type | Practitioner - Endocrinology |
Provider Identifiers | NPI Number: 1619315413 PECOS PAC ID: 8022241900 Enrollment ID: I20180709000975 |
Provider Name | Alexander M Neuman |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1295114668 PECOS PAC ID: 6507114170 Enrollment ID: I20180731000014 |
Provider Name | Angela Delia Costea |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1255923371 PECOS PAC ID: 3274949631 Enrollment ID: I20210309002466 |
Provider Name | Christina M Niklas |
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Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
Provider Identifiers | NPI Number: 1952789919 PECOS PAC ID: 5799183133 Enrollment ID: I20211014002937 |
Provider Name | Jamie Anne Mayhew |
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Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
Provider Identifiers | NPI Number: 1417556747 PECOS PAC ID: 5395103493 Enrollment ID: I20230622000517 |
Provider Name | Colleen Annmarie Chierici |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1841918232 PECOS PAC ID: 5597126987 Enrollment ID: I20230801004661 |
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