| University Infectious Disease | |
|
600 S Paulina St Suite 140 Chicago IL 60612-3806 | |
| (312) 942-5865 | |
| (312) 942-2184 |
| Full Name | University Infectious Disease |
|---|---|
| Speciality | Internal Medicine |
| Location | 600 S Paulina St, Chicago, Illinois |
| Authorized Official Name and Position | John Paulsen (AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 3129427118 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| University Infectious Disease 600 S Paulina St Suite 140 Chicago IL 60612-3806 Ph: (312) 942-5865 | University Infectious Disease 600 S Paulina St Suite 140 Chicago IL 60612-3806 Ph: (312) 942-5865 |
| NPI Number | 1518196138 |
|---|---|
| Provider Enumeration Date | 07/02/2009 |
| Last Update Date | 07/02/2009 |
| Medicare PECOS PAC ID | 8628114956 |
|---|---|
| Medicare Enrollment ID | O20090930000174 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518196138 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | (* (Not Available)) | Primary |
| Provider Name | Michael Y Lin |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1265646517 PECOS PAC ID: 2668548355 Enrollment ID: I20080903000539 |
| Provider Name | Alan Aaron Harris |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1699736488 PECOS PAC ID: 9133124225 Enrollment ID: I20091012000332 |
| Provider Name | Mary K Hayden |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1730140187 PECOS PAC ID: 0042215139 Enrollment ID: I20091012000344 |
| Provider Name | John Segreti |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1841251212 PECOS PAC ID: 7719982818 Enrollment ID: I20091012000362 |
| Provider Name | Laurie A Proia |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1689635054 PECOS PAC ID: 5496750580 Enrollment ID: I20091012000373 |
| Provider Name | Beverly E Sha |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1093776460 PECOS PAC ID: 9537164637 Enrollment ID: I20091012000388 |
| Provider Name | David Mark Simon |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1891756698 PECOS PAC ID: 2264437367 Enrollment ID: I20091012000397 |
| Provider Name | Harold Allan Kessler |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1730140534 PECOS PAC ID: 3678578762 Enrollment ID: I20091019000368 |
| Provider Name | Mariam S Aziz |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1891954491 PECOS PAC ID: 0941334445 Enrollment ID: I20100819000680 |
| Provider Name | Kyle J Popovich |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1366600132 PECOS PAC ID: 7719011212 Enrollment ID: I20100819000720 |
| Provider Name | Brett B Williams |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1447426606 PECOS PAC ID: 5991976235 Enrollment ID: I20110919000485 |
| Provider Name | Sarah Y. Won |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1790982932 PECOS PAC ID: 8022234731 Enrollment ID: I20140731002626 |
| Provider Name | Yoona Rhee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932338894 PECOS PAC ID: 9234449943 Enrollment ID: I20151110000342 |
| Provider Name | Carlos A Q Santos |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1023299393 PECOS PAC ID: 7416007711 Enrollment ID: I20160125000391 |
| Provider Name | Laura N Hernandez Guarin |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1457766560 PECOS PAC ID: 0941506018 Enrollment ID: I20170731000955 |
| Provider Name | Shivanjali Shankaran |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1861628364 PECOS PAC ID: 2668636465 Enrollment ID: I20171109000511 |
| Provider Name | Hemil Gonzalez |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1962830653 PECOS PAC ID: 2769789593 Enrollment ID: I20180531000167 |
| Provider Name | Andrew T Simms |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1093152480 PECOS PAC ID: 8325338247 Enrollment ID: I20180723000380 |
| Provider Name | Sarah E Sansom |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1215356670 PECOS PAC ID: 6002126968 Enrollment ID: I20200427001603 |
| Provider Name | Graeme Forrest |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1730139114 PECOS PAC ID: 5597838748 Enrollment ID: I20200810003094 |
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