Waukegan Clinic Corp | |
200 S Greenleaf St Suite A Gurnee IL 60031-3398 | |
(847) 360-3000 | |
Not Available |
Full Name | Waukegan Clinic Corp |
---|---|
Speciality | Family Medicine |
Location | 200 S Greenleaf St, Gurnee, Illinois |
Authorized Official Name and Position | Debbie Brewer (DIRECTOR OF PROVIDER ENROLLMENT) |
Authorized Official Contact | 6154657000 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Waukegan Clinic Corp 7100 Commerce Way Suite 180 Brentwood TN 37027-2829 Ph: (615) 465-7626 | Waukegan Clinic Corp 200 S Greenleaf St Suite A Gurnee IL 60031-3398 Ph: (847) 360-3000 |
NPI Number | 1306937289 |
---|---|
Provider Enumeration Date | 09/27/2006 |
Last Update Date | 09/05/2007 |
Medicare PECOS PAC ID | 4284631086 |
---|---|
Medicare Enrollment ID | O20061108000240 |
Identifier | Type | State | Issuer |
---|---|---|---|
1306937289 | NPI | - | NPPES |
Provider Name | Ninad Dixit |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1922094655 PECOS PAC ID: 6305740507 Enrollment ID: I20031120000330 |
Provider Name | Joyce Turley |
---|---|
Provider Type | Practitioner - Critical Care (intensivists) |
Provider Identifiers | NPI Number: 1871609677 PECOS PAC ID: 2466433180 Enrollment ID: I20040528000061 |
Provider Name | Daisy S Andaleon |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1093723413 PECOS PAC ID: 9931185105 Enrollment ID: I20040628001014 |
Provider Name | Rakhshanda B Neelam |
---|---|
Provider Type | Practitioner - Medical Oncology |
Provider Identifiers | NPI Number: 1245217611 PECOS PAC ID: 5991764391 Enrollment ID: I20041008001394 |
Provider Name | Joseph Craig |
---|---|
Provider Type | Practitioner - Physical Medicine And Rehabilitation |
Provider Identifiers | NPI Number: 1730193186 PECOS PAC ID: 9133178890 Enrollment ID: I20050120000031 |
Provider Name | Galina Simkin |
---|---|
Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1487655833 PECOS PAC ID: 6002866209 Enrollment ID: I20050126000029 |
Provider Name | Uzoma C Okoli |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1538168620 PECOS PAC ID: 5799737912 Enrollment ID: I20050216000433 |
Provider Name | Michael G Tsinman |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1710900907 PECOS PAC ID: 1658317078 Enrollment ID: I20050707000148 |
Provider Name | Mahesh Kumar Agarwal |
---|---|
Provider Type | Practitioner - Pulmonary Disease |
Provider Identifiers | NPI Number: 1730238874 PECOS PAC ID: 4688606916 Enrollment ID: I20050910000069 |
Provider Name | Gerald A Frank |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1912043787 PECOS PAC ID: 1951325430 Enrollment ID: I20060207000138 |
Provider Name | Sheikh Muhammed Sadiq |
---|---|
Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1164474102 PECOS PAC ID: 3971511098 Enrollment ID: I20060331000361 |
Provider Name | Mathai S Karingada |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1831125988 PECOS PAC ID: 7618971045 Enrollment ID: I20060828000041 |
Provider Name | Uday K Paul |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1982623575 PECOS PAC ID: 9133123318 Enrollment ID: I20060830000293 |
Provider Name | Jamil Abdur Rahman |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1710914189 PECOS PAC ID: 2860499506 Enrollment ID: I20061023000399 |
Provider Name | Marina Gladson |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1588751366 PECOS PAC ID: 4688671183 Enrollment ID: I20061025000674 |
Provider Name | Caroline E Cinquegrani |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1649353251 PECOS PAC ID: 1850399791 Enrollment ID: I20061201000191 |
Provider Name | Steven G Sclamberg |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1538112255 PECOS PAC ID: 7113926213 Enrollment ID: I20061219000529 |
Provider Name | Andrew Albert |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1659413656 PECOS PAC ID: 4082710561 Enrollment ID: I20070430000153 |
Provider Name | Alan Auerbach |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1902913759 PECOS PAC ID: 6507962917 Enrollment ID: I20070501000678 |
Provider Name | Richard A Margolin |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1528162062 PECOS PAC ID: 4486735867 Enrollment ID: I20080111000522 |
Provider Name | Asif Anwar |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1134179450 PECOS PAC ID: 0244253714 Enrollment ID: I20080730000728 |
Provider Name | Noura Mohamed Sharabash |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1629250501 PECOS PAC ID: 4183791403 Enrollment ID: I20080927000196 |
Provider Name | Lavanya Srinivasan |
---|---|
Provider Type | Practitioner - Pulmonary Disease |
Provider Identifiers | NPI Number: 1447452610 PECOS PAC ID: 4789751967 Enrollment ID: I20080930000608 |
Provider Name | Evyan Jawad |
---|---|
Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
Provider Identifiers | NPI Number: 1740443506 PECOS PAC ID: 1456429984 Enrollment ID: I20081009000756 |
Provider Name | Tammy L Brown |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1972769073 PECOS PAC ID: 9133288392 Enrollment ID: I20081104000172 |
Provider Name | Ninef E Zaya |
---|---|
Provider Type | Practitioner - Otolaryngology |
Provider Identifiers | NPI Number: 1962624031 PECOS PAC ID: 1759440217 Enrollment ID: I20081112000743 |
Provider Name | Vikas Bhatara |
---|---|
Provider Type | Practitioner - Pulmonary Disease |
Provider Identifiers | NPI Number: 1811026446 PECOS PAC ID: 5496762726 Enrollment ID: I20081223000533 |
Provider Name | Susan H Hansel |
---|---|
Provider Type | Practitioner - Qualified Audiologist |
Provider Identifiers | NPI Number: 1962530808 PECOS PAC ID: 6305909862 Enrollment ID: I20090108000717 |
Provider Name | Kimberly L Morstadt |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1639370083 PECOS PAC ID: 0042351611 Enrollment ID: I20100104000677 |
Provider Name | Naren A Kapadia |
---|---|
Provider Type | Practitioner - Hematology/oncology |
Provider Identifiers | NPI Number: 1457307118 PECOS PAC ID: 3173615564 Enrollment ID: I20100610000881 |
Provider Name | Catherine M Goodale |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1790938546 PECOS PAC ID: 8022149566 Enrollment ID: I20100628000901 |
Provider Name | Nilesh D Mehta |
---|---|
Provider Type | Practitioner - Hematology/oncology |
Provider Identifiers | NPI Number: 1578502159 PECOS PAC ID: 5991897381 Enrollment ID: I20100702000007 |
Provider Name | Jai J Nho |
---|---|
Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1780670018 PECOS PAC ID: 0648304774 Enrollment ID: I20100811000980 |
Provider Name | Alpesh M Patel |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1720287378 PECOS PAC ID: 6901920446 Enrollment ID: I20100903000870 |
Provider Name | Mathangi R Sekharan |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1518959329 PECOS PAC ID: 4082800289 Enrollment ID: I20101130001186 |
Provider Name | Gini Dutt |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1316137656 PECOS PAC ID: 6901093566 Enrollment ID: I20101208000397 |
Provider Name | Peter M Oshin |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1093732331 PECOS PAC ID: 7517154156 Enrollment ID: I20101209000038 |
Provider Name | Karama Thiab |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1811923709 PECOS PAC ID: 3779764006 Enrollment ID: I20110221000234 |
Provider Name | Anita Bhardwaj |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1023264819 PECOS PAC ID: 9335323302 Enrollment ID: I20110415000522 |
Provider Name | Martin Joel Weiner |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1285629063 PECOS PAC ID: 2567360522 Enrollment ID: I20110707000304 |
Provider Name | Laura A Murphy |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1609023068 PECOS PAC ID: 4486823283 Enrollment ID: I20110812000112 |
Provider Name | Timothy G Stegemann |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1861557399 PECOS PAC ID: 7719159557 Enrollment ID: I20111020000344 |
Provider Name | Sulaiman Mohammad |
---|---|
Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1407185499 PECOS PAC ID: 2264624568 Enrollment ID: I20111208000078 |
Provider Name | Peter T Senatore |
---|---|
Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1700865656 PECOS PAC ID: 1052587227 Enrollment ID: I20120110000644 |
Provider Name | Srikanth Davuluri |
---|---|
Provider Type | Practitioner - Pulmonary Disease |
Provider Identifiers | NPI Number: 1205034998 PECOS PAC ID: 0244493658 Enrollment ID: I20120523000139 |
Provider Name | Brent Cutro |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1346479474 PECOS PAC ID: 1658535919 Enrollment ID: I20120618000236 |
Provider Name | Arden Davis Barnett |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1891765095 PECOS PAC ID: 5496773525 Enrollment ID: I20120627000166 |
Provider Name | Ryan M Pizinger |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1255438735 PECOS PAC ID: 5597937599 Enrollment ID: I20120807000283 |
Provider Name | Lizel Granada |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1619213618 PECOS PAC ID: 8022263425 Enrollment ID: I20130311000482 |
Provider Name | Alla A Bodner |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1669723573 PECOS PAC ID: 8921241670 Enrollment ID: I20130827000869 |
Provider Name | Sherry A Owen |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1417047135 PECOS PAC ID: 0042446759 Enrollment ID: I20131127001698 |
Provider Name | Binn M Jatta |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1255565115 PECOS PAC ID: 8921236340 Enrollment ID: I20140110000550 |
Provider Name | Olga Geniyevna Kozlova |
---|---|
Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1477997674 PECOS PAC ID: 5991924763 Enrollment ID: I20140910001963 |
Provider Name | Hythem P Shadid |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1477567394 PECOS PAC ID: 8628056827 Enrollment ID: I20150114001589 |
Provider Name | Lauren Snower |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1639459597 PECOS PAC ID: 4688812878 Enrollment ID: I20150511002096 |
Provider Name | Poornima Pandellapalli |
---|---|
Provider Type | Practitioner - Medical Oncology |
Provider Identifiers | NPI Number: 1205933850 PECOS PAC ID: 8224129655 Enrollment ID: I20150512002975 |
Provider Name | Timothy M Volk |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1801141726 PECOS PAC ID: 0941448773 Enrollment ID: I20150803000331 |
Provider Name | Kunal Patel |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1548600240 PECOS PAC ID: 8426342502 Enrollment ID: I20160812000267 |
Provider Name | Rushim S Bains |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1154334316 PECOS PAC ID: 3173627148 Enrollment ID: I20160909002552 |
Provider Name | Anterpreet P Dhanoyia |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1497017230 PECOS PAC ID: 3173767795 Enrollment ID: I20160928000592 |
Provider Name | Jennifer Luzentales |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1366896631 PECOS PAC ID: 7719261718 Enrollment ID: I20170310000023 |
Provider Name | Shazia Kamran |
---|---|
Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1992950166 PECOS PAC ID: 6507014578 Enrollment ID: I20170612003010 |
Provider Name | Haili Campanella |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1184151193 PECOS PAC ID: 5294003158 Enrollment ID: I20170616002095 |
Provider Name | Mary Maish |
---|---|
Provider Type | Practitioner - Thoracic Surgery |
Provider Identifiers | NPI Number: 1750316774 PECOS PAC ID: 0547226789 Enrollment ID: I20181129000993 |
Provider Name | Aswin Nukala |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1093155350 PECOS PAC ID: 2466710637 Enrollment ID: I20190214002970 |
Provider Name | Paolo P Mercado |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1447728183 PECOS PAC ID: 5496094914 Enrollment ID: I20190228000448 |
Provider Name | Carizza Senas |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1801440045 PECOS PAC ID: 7113256660 Enrollment ID: I20190909001022 |
Provider Name | Amin Namazi |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1821475120 PECOS PAC ID: 9537473889 Enrollment ID: I20201102001806 |
Provider Name | Marlon Viloria |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1912514654 PECOS PAC ID: 1153515598 Enrollment ID: I20210218001249 |
Provider Name | Anil Kumar Pattisapu |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1962765503 PECOS PAC ID: 4789820291 Enrollment ID: I20211019000095 |
Provider Name | Aaron Galbraith |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1871835124 PECOS PAC ID: 5597909945 Enrollment ID: I20220223002640 |
Provider Name | Mutsa Vollmer |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1356989032 PECOS PAC ID: 1951727155 Enrollment ID: I20220302001861 |
Provider Name | Shivon Manchanda |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1730640905 PECOS PAC ID: 2466788468 Enrollment ID: I20220903000466 |
Provider Name | Wallis Olivia Edwards |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1427676113 PECOS PAC ID: 5991174310 Enrollment ID: I20230613003783 |
Provider Name | Alonzo Tyrone Sexton |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1780617365 PECOS PAC ID: 3173536265 Enrollment ID: I20230824001941 |
Provider Name | Ahadi Hakki |
---|---|
Provider Type | Practitioner - Thoracic Surgery |
Provider Identifiers | NPI Number: 1194816389 PECOS PAC ID: 5496800997 Enrollment ID: I20231013002708 |
Provider Name | William Keates |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1750579942 PECOS PAC ID: 3971673708 Enrollment ID: I20240528001888 |
Provider Name | David Aaron Rosen |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1558458463 PECOS PAC ID: 7315974730 Enrollment ID: I20240603002104 |
M P M Family Health Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1445 N Hunt Club Rd, Suite 304, Gurnee, IL 60031 Phone: 847-383-5428 | |
Hosep H Deyrmenjian, Md, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6440 Grand Ave, Suite 205, Gurnee, IL 60031 Phone: 847-855-3150 Fax: 847-855-3143 | |
Wai Chee Cheung-o'carroll, M.d., S.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1445 N Hunt Club Rd, Suite 304, Gurnee, IL 60031 Phone: 847-855-0100 Fax: 847-855-0101 | |
Paru K Sharma Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7505 Grand Ave, Gurnee, IL 60031 Phone: 847-245-8448 Fax: 847-245-7070 | |
Chicago Medical Clinic Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 200 S Greenleaf St, Suite A, Gurnee, IL 60031 Phone: 847-596-4521 | |
Gurnee Stone Medical Center P.c Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7505 Grand Ave, Gurnee, IL 60031 Phone: 847-856-7615 | |
Lake Shore Gastroenterolgy Sc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 20 Tower Ct, Suite C, Gurnee, IL 60031 Phone: 847-244-6320 Fax: 847-244-5095 |