Tamid Medical Group | |
1105 Milwaukee Ave Riverwoods IL 60015-3512 | |
(847) 325-5110 | |
(847) 325-5114 |
Full Name | Tamid Medical Group |
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Speciality | Internal Medicine |
Location | 1105 Milwaukee Ave, Riverwoods, Illinois |
Authorized Official Name and Position | Tom Klein (PRESIDENT) |
Authorized Official Contact | 8473255110 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Tamid Medical Group 1105 Milwaukee Ave Riverwoods IL 60015-3512 Ph: (847) 325-5110 | Tamid Medical Group 1105 Milwaukee Ave Riverwoods IL 60015-3512 Ph: (847) 325-5110 |
NPI Number | 1689744245 |
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Provider Enumeration Date | 11/09/2006 |
Last Update Date | 07/07/2022 |
Medicare PECOS PAC ID | 4587560594 |
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Medicare Enrollment ID | O20031210000657 |
Identifier | Type | State | Issuer |
---|---|---|---|
1689744245 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 042005666 (Illinois) | Primary |
Provider Name | Myrlie L Casco |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1093768004 PECOS PAC ID: 9335041375 Enrollment ID: I20040121000992 |
Provider Name | Barry A Rapaport |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1114988417 PECOS PAC ID: 6507750155 Enrollment ID: I20040213000027 |
Provider Name | Robert J Wolf |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1376566034 PECOS PAC ID: 1850371436 Enrollment ID: I20040723000377 |
Provider Name | Crystal Marie Smith-coleman |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1972516664 PECOS PAC ID: 2860498995 Enrollment ID: I20061013000134 |
Provider Name | Vishnu Vardhan Madireddy |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1811063761 PECOS PAC ID: 2860597671 Enrollment ID: I20070423000330 |
Provider Name | Tom Klein |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1326094194 PECOS PAC ID: 6103722137 Enrollment ID: I20071117000145 |
Provider Name | Marie M Kernizan |
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Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1326238585 PECOS PAC ID: 5193881134 Enrollment ID: I20090227000129 |
Provider Name | Mamdouh H Hassaballa |
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Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1003815069 PECOS PAC ID: 2062693534 Enrollment ID: I20110217000168 |
Provider Name | Victor C Okamgba |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1629434741 PECOS PAC ID: 8628372711 Enrollment ID: I20160210001753 |
Provider Name | Rhonda D Clifton |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1265985576 PECOS PAC ID: 6800182775 Enrollment ID: I20160901002702 |
Provider Name | Rosalynn J Anderson |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1689188526 PECOS PAC ID: 9638335219 Enrollment ID: I20180110002669 |
Provider Name | Taletha K Brown |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1689181372 PECOS PAC ID: 0749549665 Enrollment ID: I20180122001367 |
Provider Name | Joseph A Brisbois |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1417497165 PECOS PAC ID: 0547525511 Enrollment ID: I20181201000029 |
Provider Name | Eniola Oshodi |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1093286643 PECOS PAC ID: 2668719725 Enrollment ID: I20190128001427 |
Provider Name | Sohail Dharani |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1053950410 PECOS PAC ID: 3173950821 Enrollment ID: I20200219001692 |
Provider Name | Kelly Suzanne Garcia |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1881347946 PECOS PAC ID: 0941695548 Enrollment ID: I20220317001507 |
Riverwoods Health And Wellness Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1105 Milwaukee Ave, Riverwoods, IL 60015 Phone: 847-325-5110 | |
Lewis Barr, M.d.,s.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5 Columbine Ln, Riverwoods, IL 60015 Phone: 708-468-4070 |