| Skypoint Medical Center, Sc | |
|
1102 S Roselle Rd Schaumburg IL 60193-4072 | |
| (847) 882-1438 | |
| (847) 882-1810 |
| Full Name | Skypoint Medical Center, Sc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1102 S Roselle Rd, Schaumburg, Illinois |
| Authorized Official Name and Position | Sameer M Naseeruddin (PRESIDENT) |
| Authorized Official Contact | 8478821438 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Skypoint Medical Center, Sc 1102 S Roselle Rd Schaumburg IL 60193-4072 Ph: (847) 882-1438 | Skypoint Medical Center, Sc 1102 S Roselle Rd Schaumburg IL 60193-4072 Ph: (847) 882-1438 |
| NPI Number | 1649461278 |
|---|---|
| Provider Enumeration Date | 08/08/2007 |
| Last Update Date | 07/30/2015 |
| Medicare PECOS PAC ID | 1850357831 |
|---|---|
| Medicare Enrollment ID | O20041202000302 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649461278 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 036112407 (Illinois) | Primary |
| Provider Name | Sameer M Naseeruddin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578627964 PECOS PAC ID: 5092771071 Enrollment ID: I20041207000209 |
| Provider Name | Rizwan A Arayan |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1730174046 PECOS PAC ID: 1850322959 Enrollment ID: I20050829000658 |
| Provider Name | John Tiu |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1114036795 PECOS PAC ID: 4284719170 Enrollment ID: I20080318000170 |
| Provider Name | Alexander Pantoja Ty |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1194909150 PECOS PAC ID: 1557447877 Enrollment ID: I20080327000365 |
| Provider Name | Matthew D Zawilenski |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497752570 PECOS PAC ID: 6608911870 Enrollment ID: I20100227000054 |
| Provider Name | Jaini V Mody |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790947554 PECOS PAC ID: 8123273364 Enrollment ID: I20130219000428 |
| Provider Name | Elaine M Shapiro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205247251 PECOS PAC ID: 5092034744 Enrollment ID: I20150501001045 |
| Provider Name | Adam Chavez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528513066 PECOS PAC ID: 7517255888 Enrollment ID: I20161019002738 |
| Provider Name | Deonne Thaddeus N Ubayubay |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1407398001 PECOS PAC ID: 2860764081 Enrollment ID: I20170823002943 |
| Provider Name | Shoeb Mohiuddin |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1770928640 PECOS PAC ID: 2062712300 Enrollment ID: I20180809000775 |
| Provider Name | Gabriela Morie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447879564 PECOS PAC ID: 6305266412 Enrollment ID: I20201012000938 |
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