| Skyline Physicians Llc | |
|
1200 Roosevelt Rd Ste 140 Glen Ellyn IL 60137-7813 | |
| (708) 307-2103 | |
| Not Available |
| Full Name | Skyline Physicians Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 1200 Roosevelt Rd Ste 140, Glen Ellyn, Illinois |
| Authorized Official Name and Position | Rafai Bukhari (CEO) |
| Authorized Official Contact | 7083072103 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Skyline Physicians Llc 1200 Roosevelt Rd Ste 140 Glen Ellyn IL 60137-7813 Ph: (708) 307-2103 | Skyline Physicians Llc 1200 Roosevelt Rd Ste 140 Glen Ellyn IL 60137-7813 Ph: (708) 307-2103 |
| NPI Number | 1568704443 |
|---|---|
| Provider Enumeration Date | 03/19/2013 |
| Last Update Date | 12/04/2023 |
| Medicare PECOS PAC ID | 9133367931 |
|---|---|
| Medicare Enrollment ID | O20130606000709 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568704443 | NPI | - | NPPES |
| Provider Name | Paul C Tack |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265446017 PECOS PAC ID: 9335129634 Enrollment ID: I20040726000381 |
| Provider Name | Adeline D Essien |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215980289 PECOS PAC ID: 2961472139 Enrollment ID: I20040727000899 |
| Provider Name | Kunjumol P Velayudhan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124215264 PECOS PAC ID: 3870673171 Enrollment ID: I20071227000344 |
| Provider Name | Khursheed Ahmed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619917523 PECOS PAC ID: 3678654845 Enrollment ID: I20080114000315 |
| Provider Name | Abdul Sattar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598710014 PECOS PAC ID: 5193898161 Enrollment ID: I20080724000077 |
| Provider Name | Ala J Albazzaz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134362833 PECOS PAC ID: 9830242411 Enrollment ID: I20090729000555 |
| Provider Name | Mujahid M Saeed |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1255560413 PECOS PAC ID: 7416001904 Enrollment ID: I20090818000658 |
| Provider Name | Raman Inder Popli |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013928712 PECOS PAC ID: 9830232529 Enrollment ID: I20100203000357 |
| Provider Name | Christopher John N Co |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679704969 PECOS PAC ID: 7810026440 Enrollment ID: I20100520000179 |
| Provider Name | Lowell B Feinstein |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1659499598 PECOS PAC ID: 8224219183 Enrollment ID: I20110224000866 |
| Provider Name | Kimberly Ramirez-tasigchana |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992089742 PECOS PAC ID: 0143493965 Enrollment ID: I20111024000055 |
| Provider Name | Syed F Ali |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225123615 PECOS PAC ID: 6507054954 Enrollment ID: I20121201000012 |
| Provider Name | Melissa M Bray |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437206794 PECOS PAC ID: 5193875870 Enrollment ID: I20140710000294 |
| Provider Name | Elissa K Adatya |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871784553 PECOS PAC ID: 0345425807 Enrollment ID: I20150812009184 |
| Provider Name | Vanessa M Cambray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962882456 PECOS PAC ID: 3072826874 Enrollment ID: I20151123001297 |
| Provider Name | Thomas Alonzo Cuevas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235572413 PECOS PAC ID: 8527386671 Enrollment ID: I20171117003110 |
| Provider Name | Ratnesh Kumar |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1952544918 PECOS PAC ID: 1355606559 Enrollment ID: I20180517000115 |
| Provider Name | Basil Ahmad Ali |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437531811 PECOS PAC ID: 6507112018 Enrollment ID: I20180712002705 |
| Provider Name | Kanchan Tiwari |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295197481 PECOS PAC ID: 8820389554 Enrollment ID: I20200727002988 |
| Provider Name | Jose A Lusancarez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609180249 PECOS PAC ID: 9436345139 Enrollment ID: I20201111000631 |
| Provider Name | Adem X Shuaipaj |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003308255 PECOS PAC ID: 4486080207 Enrollment ID: I20201117001182 |
| Provider Name | Mohammad Khader |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093437105 PECOS PAC ID: 1052770831 Enrollment ID: I20230711004256 |
Dbx Medical Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 799 Roosevelt Rd Bldg 3 Ste 17, Glen Ellyn, IL 60137 Phone: 773-888-6793 Fax: 773-888-6509 | |
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