Vmd Primary Providers Massachusetts Pllc | |
125 S Clark St Ste 900 Chicago IL 60603-4043 | |
(312) 465-7900 | |
(847) 510-0702 |
Full Name | Vmd Primary Providers Massachusetts Pllc |
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Speciality | Family Medicine |
Location | 125 S Clark St Ste 900, Chicago, Illinois |
Authorized Official Name and Position | Kristi Lee (SENIOR DIRECTOR REVENUE CYCLE) |
Authorized Official Contact | 7065134897 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Vmd Primary Providers Massachusetts Pllc 125 S Clark St Ste 900 Chicago IL 60603-4043 Ph: (312) 465-7900 | Vmd Primary Providers Massachusetts Pllc 125 S Clark St Ste 900 Chicago IL 60603-4043 Ph: (312) 465-7900 |
NPI Number | 1912573999 |
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Provider Enumeration Date | 06/01/2021 |
Last Update Date | 06/01/2021 |
Medicare PECOS PAC ID | 0840691663 |
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Medicare Enrollment ID | O20210630000991 |
Identifier | Type | State | Issuer |
---|---|---|---|
1912573999 | NPI | - | NPPES |
Provider Name | John A Breda |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1508835653 PECOS PAC ID: 9436148418 Enrollment ID: I20040506001322 |
Provider Name | John D Reilly |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1932113941 PECOS PAC ID: 5799757381 Enrollment ID: I20040812001093 |
Provider Name | Vineeta Joshi |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1972614188 PECOS PAC ID: 1456314954 Enrollment ID: I20041109000096 |
Provider Name | Michael Higgins |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1730251661 PECOS PAC ID: 2668419177 Enrollment ID: I20050414001281 |
Provider Name | Ahmed S Basheer |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1467416958 PECOS PAC ID: 2365485091 Enrollment ID: I20050603000699 |
Provider Name | Riad K Mortada |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1902974256 PECOS PAC ID: 1456381094 Enrollment ID: I20050815000202 |
Provider Name | John J Adams |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1699875161 PECOS PAC ID: 1052344041 Enrollment ID: I20050912000059 |
Provider Name | Leyda D Delgado |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1174509004 PECOS PAC ID: 8325072424 Enrollment ID: I20050919000601 |
Provider Name | Shahnaz Montague |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1457308249 PECOS PAC ID: 9739198995 Enrollment ID: I20060417000282 |
Provider Name | Sivaram Krishna Yamajala |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1972558617 PECOS PAC ID: 6103090378 Enrollment ID: I20111128000442 |
Provider Name | Jeffrey S Gorodetsky |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1780613935 PECOS PAC ID: 2668424573 Enrollment ID: I20151113000959 |
Provider Name | Angela Karavasilis |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1215967955 PECOS PAC ID: 9931191624 Enrollment ID: I20170523001988 |
Provider Name | Neha P Wacks |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1770901084 PECOS PAC ID: 3971729021 Enrollment ID: I20170629002776 |
Provider Name | Samuel K Harrell |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1346881000 PECOS PAC ID: 5991134637 Enrollment ID: I20200401002323 |
Provider Name | Brent R Asplin |
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Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1093782161 PECOS PAC ID: 9931184744 Enrollment ID: I20210714000406 |
Provider Name | Kate E Laporte |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1164022265 PECOS PAC ID: 9830583244 Enrollment ID: I20220301001905 |
Provider Name | Lauren Nicole Fitzharris |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1811517329 PECOS PAC ID: 9931594389 Enrollment ID: I20220322000114 |
Provider Name | Timothy C Prince |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1386254886 PECOS PAC ID: 9638598246 Enrollment ID: I20220512001691 |
Provider Name | Amanda L Egli |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1770148660 PECOS PAC ID: 9335571215 Enrollment ID: I20221027000556 |
Provider Name | Prashant Yamajala |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1215499744 PECOS PAC ID: 1850626169 Enrollment ID: I20221114000807 |
Provider Name | Lauren N Precopio |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1366176570 PECOS PAC ID: 8123498557 Enrollment ID: I20221229002532 |
Provider Name | Sandy Lam Alvarado |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1184236432 PECOS PAC ID: 5294102901 Enrollment ID: I20230131000839 |
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