| Medical Neurology Associates | |
|
908 N Elm St 202 Hinsdale IL 60521-3635 | |
| (630) 856-8640 | |
| (630) 325-8746 |
| Full Name | Medical Neurology Associates |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 908 N Elm St, Hinsdale, Illinois |
| Authorized Official Name and Position | Ruby Mann (DIRECTOR) |
| Authorized Official Contact | 6308566884 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Medical Neurology Associates 908 N Elm St 202 Hinsdale IL 60521-3635 Ph: (630) 856-8640 | Medical Neurology Associates 908 N Elm St 202 Hinsdale IL 60521-3635 Ph: (630) 856-8640 |
| NPI Number | 1033490651 |
|---|---|
| Provider Enumeration Date | 09/09/2011 |
| Last Update Date | 06/14/2017 |
| Medicare PECOS PAC ID | 0244135762 |
|---|---|
| Medicare Enrollment ID | O20040127000064 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033490651 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
| Provider Name | Ashwani K Garg |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013958388 PECOS PAC ID: 2860305620 Enrollment ID: I20031107000292 |
| Provider Name | Jason C Goliath |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1699873778 PECOS PAC ID: 7810891215 Enrollment ID: I20031126000060 |
| Provider Name | Lisa D Holmes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871550798 PECOS PAC ID: 8123924396 Enrollment ID: I20031209000535 |
| Provider Name | Eileen M Mahoney |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1720012446 PECOS PAC ID: 2062318744 Enrollment ID: I20031211001094 |
| Provider Name | Jesse G Wardlow |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1184653883 PECOS PAC ID: 7911804463 Enrollment ID: I20031215000279 |
| Provider Name | Kathleen M Highhouse |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1245263078 PECOS PAC ID: 8224938337 Enrollment ID: I20040113000423 |
| Provider Name | Joel A Brown |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831157452 PECOS PAC ID: 1951203231 Enrollment ID: I20040126000857 |
| Provider Name | Michael J Brooks |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801844311 PECOS PAC ID: 1153217237 Enrollment ID: I20040225000747 |
| Provider Name | Erin J Vaughan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992756068 PECOS PAC ID: 3971492760 Enrollment ID: I20040311000252 |
| Provider Name | Bruce Corwin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588713374 PECOS PAC ID: 5890685341 Enrollment ID: I20040318000060 |
| Provider Name | Arthur Pettigrew |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699824482 PECOS PAC ID: 6709776255 Enrollment ID: I20040318000132 |
| Provider Name | Julie M Schneider |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770680142 PECOS PAC ID: 1658262985 Enrollment ID: I20040324000600 |
| Provider Name | Vincenzo Bartolomeo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275558629 PECOS PAC ID: 6800883380 Enrollment ID: I20040427001139 |
| Provider Name | Bachar Hamad |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1780690040 PECOS PAC ID: 5092701284 Enrollment ID: I20040504000655 |
| Provider Name | Jill Sobolewski |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760430722 PECOS PAC ID: 4789665902 Enrollment ID: I20040525000958 |
| Provider Name | Scott M Multack |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1275618985 PECOS PAC ID: 2769467489 Enrollment ID: I20040618000593 |
| Provider Name | James H Kim |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1275520132 PECOS PAC ID: 7911982772 Enrollment ID: I20040624000204 |
| Provider Name | William J Meyer |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1073562393 PECOS PAC ID: 9931185295 Enrollment ID: I20040628000206 |
| Provider Name | Victor R Suarez |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1891770988 PECOS PAC ID: 5799762498 Enrollment ID: I20040701000093 |
| Provider Name | Angela M Zekios |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952352254 PECOS PAC ID: 6709869522 Enrollment ID: I20040713000541 |
| Provider Name | Timothy White |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1295721264 PECOS PAC ID: 0648165241 Enrollment ID: I20040715000595 |
| Provider Name | Greg E Sharon |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1619950250 PECOS PAC ID: 6507846029 Enrollment ID: I20040723000796 |
| Provider Name | Geoffrey S Kuhlman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902856925 PECOS PAC ID: 4587636485 Enrollment ID: I20040811000379 |
| Provider Name | Leticia Gonzalez |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1356313720 PECOS PAC ID: 3375511553 Enrollment ID: I20040924000518 |
| Provider Name | Iulia A Oneill |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255381927 PECOS PAC ID: 9537138649 Enrollment ID: I20041008001324 |
| Provider Name | Arati A Reddy |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1306803028 PECOS PAC ID: 9335102698 Enrollment ID: I20041108000593 |
| Provider Name | Robin A Whatley |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1275641003 PECOS PAC ID: 6406810969 Enrollment ID: I20041115000619 |
| Provider Name | Sandra L Barcelona |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1578595633 PECOS PAC ID: 1355306887 Enrollment ID: I20041124000214 |
| Provider Name | Eileen F Mahler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073543427 PECOS PAC ID: 6608824560 Enrollment ID: I20050106000912 |
| Provider Name | Carolyn F Rea |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235188806 PECOS PAC ID: 7911956206 Enrollment ID: I20050113000399 |
| Provider Name | Madhuri R Yemul |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831235209 PECOS PAC ID: 9830144377 Enrollment ID: I20050317000086 |
| Provider Name | Kyoko Misawa |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1912988759 PECOS PAC ID: 6608837356 Enrollment ID: I20050413000904 |
| Provider Name | Heather Ann Marino |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568408995 PECOS PAC ID: 8921048877 Enrollment ID: I20050510000587 |
| Provider Name | Sheri B Merchant |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1043248248 PECOS PAC ID: 7719975796 Enrollment ID: I20050510001163 |
| Provider Name | Michelle M Lipman |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1376548289 PECOS PAC ID: 0143260836 Enrollment ID: I20050512000323 |
| Provider Name | Michael Rezak |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1003975897 PECOS PAC ID: 4284679069 Enrollment ID: I20050622000673 |
| Provider Name | Jonathan D Meek |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366416380 PECOS PAC ID: 8325077761 Enrollment ID: I20050805000821 |
| Provider Name | David A De Ramos |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639120785 PECOS PAC ID: 3375575657 Enrollment ID: I20050907001044 |
| Provider Name | John Chi Yuan Liu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689770232 PECOS PAC ID: 9335173897 Enrollment ID: I20050923000310 |
| Provider Name | John K Song |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1922099084 PECOS PAC ID: 5395779631 Enrollment ID: I20050926000530 |
| Provider Name | John Hoon Lee |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1700847308 PECOS PAC ID: 0446296081 Enrollment ID: I20051018000769 |
| Provider Name | Buthaina M Jabir |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1225241979 PECOS PAC ID: 6800815044 Enrollment ID: I20051116000641 |
| Provider Name | Lisa M Fortman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225095565 PECOS PAC ID: 9739108515 Enrollment ID: I20051122000501 |
| Provider Name | David H Park |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1326057969 PECOS PAC ID: 2264452788 Enrollment ID: I20051129000948 |
| Provider Name | Rashmi C Tomur |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1770686305 PECOS PAC ID: 4486676822 Enrollment ID: I20051230000515 |
| Provider Name | Stephanie M Mauch |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194892232 PECOS PAC ID: 7517974157 Enrollment ID: I20060307000672 |
| Provider Name | Lori L Turnock |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881889616 PECOS PAC ID: 0446268072 Enrollment ID: I20060323000528 |
| Provider Name | John Alberto Yarzagaray |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1982647194 PECOS PAC ID: 0749203925 Enrollment ID: I20060327000663 |
| Provider Name | Rizwan S Bajwa |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1578518569 PECOS PAC ID: 5799798377 Enrollment ID: I20060727000089 |
| Provider Name | John R Johnson |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1083655310 PECOS PAC ID: 9234133406 Enrollment ID: I20060830000194 |
| Provider Name | John E Perch |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1245202530 PECOS PAC ID: 7416954920 Enrollment ID: I20061025000758 |
| Provider Name | Michele A Bucciero |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1255441275 PECOS PAC ID: 7618974981 Enrollment ID: I20061030000162 |
| Provider Name | Asad Rafiq |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1295879666 PECOS PAC ID: 5799887170 Enrollment ID: I20070305000162 |
| Provider Name | Utpal P Parekh |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1285727669 PECOS PAC ID: 3870697220 Enrollment ID: I20070326000038 |
| Provider Name | Robert J Kash |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740358126 PECOS PAC ID: 4082719430 Enrollment ID: I20070413000510 |
| Provider Name | John C Conroy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770626269 PECOS PAC ID: 7810092590 Enrollment ID: I20070425000442 |
| Provider Name | Joanna Wilk |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669553863 PECOS PAC ID: 7517063951 Enrollment ID: I20070502000120 |
| Provider Name | Anish Kirit Oza |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1518050046 PECOS PAC ID: 1355448408 Enrollment ID: I20070524000124 |
| Provider Name | Ann Vogel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336360296 PECOS PAC ID: 4880788751 Enrollment ID: I20070922000166 |
| Provider Name | Aniltta Alex |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720287485 PECOS PAC ID: 4688769748 Enrollment ID: I20071004000084 |
| Provider Name | Sapanjot K Bajwa |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1407048440 PECOS PAC ID: 4688769680 Enrollment ID: I20071005000444 |
| Provider Name | Antony R Tharian |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1780874446 PECOS PAC ID: 6305932393 Enrollment ID: I20071023000092 |
| Provider Name | Vibha Sabharwal |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1235171943 PECOS PAC ID: 5294739520 Enrollment ID: I20071026000725 |
| Provider Name | Pamela E Dorne |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1265512693 PECOS PAC ID: 5597845677 Enrollment ID: I20080102000105 |
| Provider Name | Anthony Digianfilippo |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1629078761 PECOS PAC ID: 7315836939 Enrollment ID: I20080108000874 |
| Provider Name | Nicole Boler |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1528168523 PECOS PAC ID: 3577660521 Enrollment ID: I20080212000640 |
| Provider Name | Daniel R Pitterman |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1235245358 PECOS PAC ID: 0244230621 Enrollment ID: I20080212000673 |
| Provider Name | Elaine R Cheng |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1891885778 PECOS PAC ID: 2961589536 Enrollment ID: I20080407000443 |
| Provider Name | Smitha Rajasekhar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437378569 PECOS PAC ID: 7315025111 Enrollment ID: I20080418000539 |
| Provider Name | Robert A Battista |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1770565947 PECOS PAC ID: 1254384407 Enrollment ID: I20080502000283 |
| Provider Name | Kathy G Supple |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134396211 PECOS PAC ID: 4486724218 Enrollment ID: I20080611000817 |
| Provider Name | Joyce Arcedo Roesler |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1285679993 PECOS PAC ID: 0042234130 Enrollment ID: I20080613000558 |
| Provider Name | Sameer A Barkatullah |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1245426980 PECOS PAC ID: 5799858932 Enrollment ID: I20080721000479 |
| Provider Name | Shakilbanu Meerapatel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255594073 PECOS PAC ID: 2769559210 Enrollment ID: I20080924000701 |
| Provider Name | Ninef E Zaya |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1962624031 PECOS PAC ID: 1759440217 Enrollment ID: I20081112000743 |
| Provider Name | William K Choe |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1548300809 PECOS PAC ID: 7719048446 Enrollment ID: I20081212000343 |
| Provider Name | Daniel Orozco |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1154329399 PECOS PAC ID: 9537221957 Enrollment ID: I20081218000729 |
| Provider Name | Jacqueline G Walker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073563821 PECOS PAC ID: 6709949035 Enrollment ID: I20090113000781 |
| Provider Name | Eric Yt Yang |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1669420113 PECOS PAC ID: 9931266103 Enrollment ID: I20090316000572 |
| Provider Name | Darlene P Peters |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700031804 PECOS PAC ID: 8123185857 Enrollment ID: I20090325000462 |
| Provider Name | Keith L Komnick |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1013913615 PECOS PAC ID: 5698871531 Enrollment ID: I20090415000287 |
| Provider Name | Claudia J Vera |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811966534 PECOS PAC ID: 8729137880 Enrollment ID: I20090519000622 |
| Provider Name | Chong Hsiang Liang |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1407086143 PECOS PAC ID: 5597811174 Enrollment ID: I20090923000477 |
| Provider Name | Matangi P Bala |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1508035213 PECOS PAC ID: 0244379428 Enrollment ID: I20091201000327 |
| Provider Name | Kanesha L Bryant |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1609037662 PECOS PAC ID: 0941373591 Enrollment ID: I20091215000128 |
| Provider Name | Edwin Anderson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710935242 PECOS PAC ID: 8820139975 Enrollment ID: I20100111000811 |
| Provider Name | Christine H Shih |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619925021 PECOS PAC ID: 1658413513 Enrollment ID: I20100115000385 |
| Provider Name | Hank C Graziano |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750361325 PECOS PAC ID: 5193868537 Enrollment ID: I20100206000232 |
| Provider Name | Theodore J Suchy |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1568410546 PECOS PAC ID: 3971609819 Enrollment ID: I20100625000639 |
| Provider Name | Sanjay K Patari |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1083662068 PECOS PAC ID: 8325144264 Enrollment ID: I20100625000661 |
| Provider Name | Sheryl L Lipnick |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1609041565 PECOS PAC ID: 5092882209 Enrollment ID: I20100709000403 |
| Provider Name | John P Beacom |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1811900368 PECOS PAC ID: 3375676158 Enrollment ID: I20100730000091 |
| Provider Name | Meghan E Rodes |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1417101395 PECOS PAC ID: 2769507458 Enrollment ID: I20100917001046 |
| Provider Name | Tabasum Amir |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1891883641 PECOS PAC ID: 8527183052 Enrollment ID: I20100921000327 |
| Provider Name | Charles C Paik |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1629236815 PECOS PAC ID: 3072665926 Enrollment ID: I20100921001377 |
| Provider Name | James Michael Harazin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255410072 PECOS PAC ID: 3173649324 Enrollment ID: I20100925000198 |
| Provider Name | Gayle M Simmons |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1154482024 PECOS PAC ID: 4385837988 Enrollment ID: I20101014001212 |
| Provider Name | Sarah Nazeer Siddiqui |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982847026 PECOS PAC ID: 8729273990 Enrollment ID: I20101112001000 |
| Provider Name | Karen A Peterson |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1699091215 PECOS PAC ID: 2769671569 Enrollment ID: I20110110000583 |
| Provider Name | Doris U Okafor |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659512945 PECOS PAC ID: 6406045863 Enrollment ID: I20110117000065 |
| Provider Name | Jill M Messina |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1144471806 PECOS PAC ID: 7214116789 Enrollment ID: I20110131000111 |
| Provider Name | Stephan G Wyers |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1942365788 PECOS PAC ID: 3072793462 Enrollment ID: I20110201000801 |
| Provider Name | Thomas M Nelson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770535973 PECOS PAC ID: 7810970738 Enrollment ID: I20110222000120 |
| Provider Name | Donald D Higgins |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548211956 PECOS PAC ID: 8921081845 Enrollment ID: I20110222000474 |
| Provider Name | Eric M Spratford |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245289784 PECOS PAC ID: 5193906139 Enrollment ID: I20110223000703 |
| Provider Name | Kenneth S Nelson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700838745 PECOS PAC ID: 2264415082 Enrollment ID: I20110224000150 |
| Provider Name | Carol W Saffold |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1871563627 PECOS PAC ID: 3375558489 Enrollment ID: I20110315000415 |
| Provider Name | Patricia A Mccann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588957013 PECOS PAC ID: 8325225980 Enrollment ID: I20110607000802 |
| Provider Name | Keith M Lertsburapa |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1538318308 PECOS PAC ID: 7911175898 Enrollment ID: I20110720000174 |
| Provider Name | Lola Kwan |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1528245925 PECOS PAC ID: 0446428973 Enrollment ID: I20110727000375 |
| Provider Name | Mark E Giacomi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639334667 PECOS PAC ID: 0941479554 Enrollment ID: I20110816000039 |
| Provider Name | Julianne J Gatlin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386806354 PECOS PAC ID: 5294908208 Enrollment ID: I20111107000587 |
| Provider Name | Azita Ardakani |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1649384256 PECOS PAC ID: 4385648997 Enrollment ID: I20111212000614 |
| Provider Name | Amir Said El Shami |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1487841185 PECOS PAC ID: 9638345358 Enrollment ID: I20111230000388 |
| Provider Name | Sara S Farrero |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1740457852 PECOS PAC ID: 3375710379 Enrollment ID: I20120113000647 |
| Provider Name | Nathan J Fanter |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1194980607 PECOS PAC ID: 9537351820 Enrollment ID: I20120313000979 |
| Provider Name | Luis Antonio Osorio |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568457455 PECOS PAC ID: 4486815388 Enrollment ID: I20120420000334 |
| Provider Name | Melinda M Eckhorn |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1215225859 PECOS PAC ID: 9537321740 Enrollment ID: I20120504000540 |
| Provider Name | Irma Teresa Esposito |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184863672 PECOS PAC ID: 0840453593 Enrollment ID: I20120517000088 |
| Provider Name | Jean A Howard |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053547398 PECOS PAC ID: 7315197241 Enrollment ID: I20121030000270 |
| Provider Name | Beejal Y Amin |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1275742983 PECOS PAC ID: 1153578729 Enrollment ID: I20121211000529 |
| Provider Name | Bertrand D Chauff |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1588908404 PECOS PAC ID: 5890940027 Enrollment ID: I20130219000373 |
| Provider Name | Susan G O'brien |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225388176 PECOS PAC ID: 8628223765 Enrollment ID: I20130221000366 |
| Provider Name | David Vallejo |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1699085381 PECOS PAC ID: 2466699541 Enrollment ID: I20130508000640 |
| Provider Name | Scott R Geraghty |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1871715995 PECOS PAC ID: 8022286343 Enrollment ID: I20130625000608 |
| Provider Name | Maureen Lee Broeker |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1184069890 PECOS PAC ID: 3577703040 Enrollment ID: I20130703000486 |
| Provider Name | Eva L Pilcher |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1033371133 PECOS PAC ID: 2365684446 Enrollment ID: I20130820000857 |
| Provider Name | Jennifer L. Schoenberger |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1689823833 PECOS PAC ID: 2062655947 Enrollment ID: I20130823001245 |
| Provider Name | Guido Grasso-knight |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164644266 PECOS PAC ID: 6103095211 Enrollment ID: I20130925000316 |
| Provider Name | Steven T Singh |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1629232699 PECOS PAC ID: 2365676673 Enrollment ID: I20130927000372 |
| Provider Name | Donald V Woznica |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366751935 PECOS PAC ID: 9234363508 Enrollment ID: I20130930000342 |
| Provider Name | Alphi P Elackattu |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1033372750 PECOS PAC ID: 1850525064 Enrollment ID: I20131001000413 |
| Provider Name | Naitik J Patel |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1437387412 PECOS PAC ID: 0446485593 Enrollment ID: I20131028001368 |
| Provider Name | Carla L Zavala |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700221892 PECOS PAC ID: 3274768973 Enrollment ID: I20131106000232 |
| Provider Name | Luz A Rojas-aguirre |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1760655583 PECOS PAC ID: 2466689930 Enrollment ID: I20131210000017 |
| Provider Name | Sabrina C Fanapour |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386965051 PECOS PAC ID: 9436382843 Enrollment ID: I20140508001111 |
| Provider Name | Dimitria Vandarakis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871767806 PECOS PAC ID: 0042434417 Enrollment ID: I20140605001161 |
| Provider Name | Muhammad Omer M Ansari |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770787673 PECOS PAC ID: 9032235494 Enrollment ID: I20140612001225 |
| Provider Name | Michael J Boyd |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1891924999 PECOS PAC ID: 7911123914 Enrollment ID: I20140729000415 |
| Provider Name | Christopher T Boniquit |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1114152196 PECOS PAC ID: 9133347016 Enrollment ID: I20140908000422 |
| Provider Name | Joshua R Yeager |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1851709166 PECOS PAC ID: 9234358029 Enrollment ID: I20140909001907 |
| Provider Name | Thomas Venkat Mallidi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588924278 PECOS PAC ID: 4486872603 Enrollment ID: I20140924002239 |
| Provider Name | Fares Hamad |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1275831521 PECOS PAC ID: 6204158850 Enrollment ID: I20141210000130 |
| Provider Name | Kimberly Starr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043510597 PECOS PAC ID: 4587988712 Enrollment ID: I20150117000192 |
| Provider Name | Paul Menocci |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1811158462 PECOS PAC ID: 0648436113 Enrollment ID: I20150213001075 |
| Provider Name | Lisa Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174914246 PECOS PAC ID: 0446577142 Enrollment ID: I20150317001921 |
| Provider Name | Mariam R Qureshi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1801113204 PECOS PAC ID: 5294053831 Enrollment ID: I20150413000274 |
| Provider Name | Megan B Belleavia |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1033512207 PECOS PAC ID: 5890016547 Enrollment ID: I20150605001357 |
| Provider Name | Keith Wayne Schmidt |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1407162746 PECOS PAC ID: 2466763115 Enrollment ID: I20150622001330 |
| Provider Name | Katie G Rahoi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124412168 PECOS PAC ID: 0941513642 Enrollment ID: I20150724010096 |
| Provider Name | Sonali Bhatnagar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790046860 PECOS PAC ID: 7214153659 Enrollment ID: I20150728003211 |
| Provider Name | Elizabeth F Phillips |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528321551 PECOS PAC ID: 0840416285 Enrollment ID: I20150730013967 |
| Provider Name | Kayla Hranka |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1982070835 PECOS PAC ID: 8628383494 Enrollment ID: I20150824000820 |
| Provider Name | Danielle M Roach |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548646243 PECOS PAC ID: 1658689567 Enrollment ID: I20150925001657 |
| Provider Name | Tina Sharma Marwaha |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1760794622 PECOS PAC ID: 3577872647 Enrollment ID: I20151013000743 |
| Provider Name | Rajnishpaul K Kular |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1720241839 PECOS PAC ID: 4486848124 Enrollment ID: I20151119002720 |
| Provider Name | Maria E Gallegos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306206305 PECOS PAC ID: 1557669652 Enrollment ID: I20160405002441 |
| Provider Name | Elita Lois Hohner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528309879 PECOS PAC ID: 0749570471 Enrollment ID: I20160608000781 |
| Provider Name | Naoum Pierre Issa |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1902184591 PECOS PAC ID: 9739481474 Enrollment ID: I20160728002093 |
| Provider Name | Hadi Siddiqui |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1639361413 PECOS PAC ID: 3274796560 Enrollment ID: I20160817002730 |
| Provider Name | Roshni Patel |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1487722898 PECOS PAC ID: 8123314820 Enrollment ID: I20160907000199 |
| Provider Name | Laura Marie Norman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982041471 PECOS PAC ID: 2961620919 Enrollment ID: I20160927000378 |
| Provider Name | Kelli T Sekulovich |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1730442773 PECOS PAC ID: 4486933694 Enrollment ID: I20161110001846 |
| Provider Name | Jacob S Orin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609327832 PECOS PAC ID: 5294014171 Enrollment ID: I20161116002643 |
| Provider Name | Carol Gilles |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1942382387 PECOS PAC ID: 2466438700 Enrollment ID: I20170130001860 |
| Provider Name | Avani Patel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366971970 PECOS PAC ID: 5496024705 Enrollment ID: I20170629002486 |
| Provider Name | Ruchi B Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619317229 PECOS PAC ID: 2769605294 Enrollment ID: I20170703000254 |
| Provider Name | Joseph Cadayona |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750803490 PECOS PAC ID: 0143591354 Enrollment ID: I20170807002020 |
| Provider Name | Ivy M Enger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003348103 PECOS PAC ID: 0749551778 Enrollment ID: I20170809000944 |
| Provider Name | Lorraine Weber |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720500689 PECOS PAC ID: 2163794280 Enrollment ID: I20170823003260 |
| Provider Name | Katherine Racanelli |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184140634 PECOS PAC ID: 5991078156 Enrollment ID: I20170911000185 |
| Provider Name | Laura Elizabeth Nemec |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609319755 PECOS PAC ID: 1456625250 Enrollment ID: I20170918001545 |
| Provider Name | Kinsey Meredith Jackson-ford |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1134638240 PECOS PAC ID: 1052687704 Enrollment ID: I20171024002319 |
| Provider Name | Melissa N Tednes |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1740794619 PECOS PAC ID: 1052670452 Enrollment ID: I20180110001330 |
| Provider Name | Erin Radosevich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508374505 PECOS PAC ID: 0648530964 Enrollment ID: I20180207000287 |
| Provider Name | Kelly Aten |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1497100572 PECOS PAC ID: 1153686043 Enrollment ID: I20180524000059 |
| Provider Name | Zoheb Osman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881074599 PECOS PAC ID: 0840564597 Enrollment ID: I20180730003419 |
| Provider Name | Sahib Gill |
|---|---|
| Provider Type | Practitioner - Addiction Medicine |
| Provider Identifiers | NPI Number: 1841603750 PECOS PAC ID: 8820318447 Enrollment ID: I20180808002658 |
| Provider Name | Zeina Rabi |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1205179744 PECOS PAC ID: 5496057390 Enrollment ID: I20180813002030 |
| Provider Name | Brandon Michael Pardi |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1104192947 PECOS PAC ID: 9335459890 Enrollment ID: I20180829000040 |
| Provider Name | Helena Ann Keag |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427439462 PECOS PAC ID: 9537432950 Enrollment ID: I20180921000025 |
| Provider Name | Lydia S Bruce |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316334816 PECOS PAC ID: 2769798529 Enrollment ID: I20181029001961 |
| Provider Name | Agnes G Nawrot |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689023889 PECOS PAC ID: 0244579613 Enrollment ID: I20190228003054 |
| Provider Name | Mary E Bauer |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1215171384 PECOS PAC ID: 5698017820 Enrollment ID: I20190508001742 |
| Provider Name | Kevin Joseph Kalafut |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437508371 PECOS PAC ID: 2567735830 Enrollment ID: I20190711002583 |
| Provider Name | Virginia Smith-bronstein |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1093159634 PECOS PAC ID: 6002110012 Enrollment ID: I20190716003775 |
| Provider Name | Janaki Nandam |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1154709731 PECOS PAC ID: 5890031173 Enrollment ID: I20190801000311 |
| Provider Name | Jaclyn Noto |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1912561267 PECOS PAC ID: 7012246820 Enrollment ID: I20190904000500 |
| Provider Name | Kerry Woss |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073968418 PECOS PAC ID: 0547550964 Enrollment ID: I20190926000071 |
| Provider Name | Brigid Townsend |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1447805759 PECOS PAC ID: 2365874815 Enrollment ID: I20191121001095 |
| Provider Name | Suman Gowda Shaw |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780214718 PECOS PAC ID: 7214364090 Enrollment ID: I20200218001307 |
| Provider Name | Sharon Marie Lundberg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265064927 PECOS PAC ID: 0749618551 Enrollment ID: I20200310000213 |
| Provider Name | Anna Burcenski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821636879 PECOS PAC ID: 8022446269 Enrollment ID: I20200321000058 |
| Provider Name | Stephanie Munns |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1265698849 PECOS PAC ID: 8921279167 Enrollment ID: I20200402003341 |
| Provider Name | Allison K Heilenbach |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114558632 PECOS PAC ID: 1254761190 Enrollment ID: I20200417000275 |
| Provider Name | Laura Hamad |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1699186890 PECOS PAC ID: 3779878806 Enrollment ID: I20200620000091 |
| Provider Name | Tara Dethmers |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1871049635 PECOS PAC ID: 1951728567 Enrollment ID: I20200827002772 |
| Provider Name | Dawn Keming Lei |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1740660554 PECOS PAC ID: 0446568810 Enrollment ID: I20200831001165 |
| Provider Name | Samantha Kaye O'dell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346854049 PECOS PAC ID: 2062831753 Enrollment ID: I20200930000063 |
| Provider Name | Lydia E Odell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275186579 PECOS PAC ID: 3375959083 Enrollment ID: I20210304000093 |
| Provider Name | Jessica Zlotek |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1689271637 PECOS PAC ID: 0547677106 Enrollment ID: I20210325002442 |
| Provider Name | Patricia Braida |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720663024 PECOS PAC ID: 0345658894 Enrollment ID: I20210421001859 |
| Provider Name | Rose Ann Matundan Wan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861913980 PECOS PAC ID: 1759653959 Enrollment ID: I20210525001896 |
| Provider Name | Prachi Shah |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477044204 PECOS PAC ID: 9638572043 Enrollment ID: I20210722002756 |
| Provider Name | Brigit B Karimkuttyil |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659712867 PECOS PAC ID: 1052715521 Enrollment ID: I20210805000071 |
| Provider Name | Thomas Walsh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245723121 PECOS PAC ID: 2567866056 Enrollment ID: I20210805000761 |
| Provider Name | Nicholas Michael Auriemma |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306405642 PECOS PAC ID: 4284068594 Enrollment ID: I20210824000757 |
| Provider Name | Alexandra H Pape |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1396308458 PECOS PAC ID: 9234527037 Enrollment ID: I20211028000186 |
| Provider Name | Kimberly Allison Gregoriou |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982183711 PECOS PAC ID: 0840680724 Enrollment ID: I20211208001700 |
| Provider Name | Shannon Ervin |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1124788898 PECOS PAC ID: 6800289109 Enrollment ID: I20220209001968 |
| Provider Name | Maria Elena Perez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790426377 PECOS PAC ID: 5890173132 Enrollment ID: I20220527001615 |
| Provider Name | Arsalan Kabir |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871085001 PECOS PAC ID: 8426486226 Enrollment ID: I20220607003259 |
| Provider Name | Tumendemberel Byambaa |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306322664 PECOS PAC ID: 2466796297 Enrollment ID: I20220817000583 |
| Provider Name | Xiao Michelle Huang |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1992202006 PECOS PAC ID: 2163778523 Enrollment ID: I20220831001456 |
| Provider Name | Afreeda Hashmi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1386085942 PECOS PAC ID: 8426281882 Enrollment ID: I20220908003494 |
| Provider Name | Brett Chamernik |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1487018925 PECOS PAC ID: 5092006635 Enrollment ID: I20220922002282 |
| Provider Name | Abdul Khan |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1295944163 PECOS PAC ID: 0840391272 Enrollment ID: I20220928001131 |
| Provider Name | Fatima Saifuddin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093196230 PECOS PAC ID: 7618222860 Enrollment ID: I20221021000796 |
| Provider Name | Sophia Deltoro |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1205361243 PECOS PAC ID: 9133499395 Enrollment ID: I20221021001314 |
| Provider Name | Jill Sylvia Greenberg |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1225752793 PECOS PAC ID: 3678949013 Enrollment ID: I20221026001492 |
| Provider Name | Erika Raley |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1265964829 PECOS PAC ID: 2668875188 Enrollment ID: I20230420002526 |
| Provider Name | Walid Sayyed |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508423518 PECOS PAC ID: 7416368618 Enrollment ID: I20230628001452 |
| Provider Name | Nazneen Shaikh |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1770073934 PECOS PAC ID: 7214311232 Enrollment ID: I20230808003199 |
| Provider Name | Jeremy Weiss |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1447451570 PECOS PAC ID: 0042381402 Enrollment ID: I20230828003432 |
| Provider Name | Carla Romero |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1548392368 PECOS PAC ID: 9830213735 Enrollment ID: I20230922001563 |
| Provider Name | Sydney Alexis Walker |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1861985608 PECOS PAC ID: 8426403403 Enrollment ID: I20231011001392 |
| Provider Name | Sehar Fatima |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487274593 PECOS PAC ID: 1254754989 Enrollment ID: I20231013000276 |
| Provider Name | Justin Chacko |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1922532878 PECOS PAC ID: 9032508064 Enrollment ID: I20231019002261 |
| Provider Name | Eric Jon Stanek |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215556527 PECOS PAC ID: 7315369576 Enrollment ID: I20231019003481 |
| Provider Name | Krishna Dipak Modi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982223558 PECOS PAC ID: 0749602936 Enrollment ID: I20231106000991 |
| Provider Name | Yuen-jing Alexis Chen |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1669908208 PECOS PAC ID: 9830546985 Enrollment ID: I20231110000460 |
| Provider Name | Aditya Vora |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1750794087 PECOS PAC ID: 4486999174 Enrollment ID: I20231112000057 |
| Provider Name | Codie Vassar |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1538690995 PECOS PAC ID: 5496009565 Enrollment ID: I20231112000076 |
| Provider Name | Anseruddin Mohammed |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1093978165 PECOS PAC ID: 7719155407 Enrollment ID: I20231113000433 |
| Provider Name | Khoa D Nguyen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1245674159 PECOS PAC ID: 3779784699 Enrollment ID: I20231113001913 |
| Provider Name | Alyxandra Bui |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1508354440 PECOS PAC ID: 8022412527 Enrollment ID: I20231113003498 |
| Provider Name | Larissa Chism-buggs |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1952460933 PECOS PAC ID: 2769579069 Enrollment ID: I20231115002549 |
| Provider Name | Yasmeen Sami Bader |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1649953381 PECOS PAC ID: 9133577752 Enrollment ID: I20231121000480 |
| Provider Name | Oana Andreea Raicu |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1982127114 PECOS PAC ID: 1254789415 Enrollment ID: I20231128002971 |
| Provider Name | Matthew Carter |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063088656 PECOS PAC ID: 7214330992 Enrollment ID: I20231128003010 |
| Provider Name | Cecilia Ong |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1013336734 PECOS PAC ID: 8628427234 Enrollment ID: I20231207003380 |
| Provider Name | Brian Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548713696 PECOS PAC ID: 8628304755 Enrollment ID: I20231211002067 |
| Provider Name | Damian Olejarski |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679103972 PECOS PAC ID: 9537561238 Enrollment ID: I20231213003368 |
| Provider Name | Jorge Jorge |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1366949737 PECOS PAC ID: 9537564687 Enrollment ID: I20231215001052 |
| Provider Name | Bradley T Peet |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1346635380 PECOS PAC ID: 4183920499 Enrollment ID: I20231215002118 |
| Provider Name | Muhammad Asif |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1558709360 PECOS PAC ID: 1759641491 Enrollment ID: I20231219002168 |
| Provider Name | Brian Nocito |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215511027 PECOS PAC ID: 2365844024 Enrollment ID: I20240102002872 |
| Provider Name | Raina Patel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235705955 PECOS PAC ID: 4284037896 Enrollment ID: I20240103003461 |
| Provider Name | Muhammad Bilal |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1538689609 PECOS PAC ID: 1557769064 Enrollment ID: I20240117001421 |
| Provider Name | Jodi L Macaluso |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1497909709 PECOS PAC ID: 7911359518 Enrollment ID: I20240119000270 |
| Provider Name | Craig Smuda |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1679962542 PECOS PAC ID: 9133423197 Enrollment ID: I20240207001281 |
| Provider Name | Maryam Nouhi Arbatani |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1255748182 PECOS PAC ID: 3779851530 Enrollment ID: I20240216000795 |
| Provider Name | Carolina Sarmento |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013583558 PECOS PAC ID: 6002219755 Enrollment ID: I20240228004555 |
| Provider Name | Olusegun Popoola |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1164900205 PECOS PAC ID: 7214271832 Enrollment ID: I20240304000178 |
| Provider Name | Julianne Pedi |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164109757 PECOS PAC ID: 2062858202 Enrollment ID: I20240311002930 |
Alexandra Petrohilos Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 19 N Grant St, Suite Lc, Hinsdale, IL 60521 Phone: 630-286-2785 | |
Hinsdale Psychological Resources, Ltd. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 333 Chestnut St, Ste 206, Hinsdale, IL 60521 Phone: 630-850-9650 Fax: 630-850-9607 | |
Heritage Professional Associates Ltd Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 120 E Ogden Ave 220, Hinsdale, IL 60521 Phone: 630-325-5300 Fax: 630-325-5309 | |
Melon-grace Psychological Services Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 911 N Elm St, Suite 316, Hinsdale, IL 60521 Phone: 630-920-9113 | |
Ces Assoc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 112 South Grant Street, Hinsdale, IL 60521 Phone: 630-654-2596 Fax: 630-654-2596 | |
Mindful Psychiatric Care Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 120 E Ogden Ave Ste 101, Hinsdale, IL 60521 Phone: 630-366-7330 |