| Nch Medical Group | |
|
3040 W Salt Creek Ln Arlington Heights IL 60005-1069 | |
| (847) 618-3481 | |
| (847) 618-3489 |
| Full Name | Nch Medical Group |
|---|---|
| Speciality | Internal Medicine |
| Location | 3040 W Salt Creek Ln, Arlington Heights, Illinois |
| Authorized Official Name and Position | Michael Hartke (CHIEF OPERATING OFFICER) |
| Authorized Official Contact | 8776359229 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Nch Medical Group 3040 W Salt Creek Ln Arlington Heights IL 60005-1069 Ph: (847) 618-3481 | Nch Medical Group 3040 W Salt Creek Ln Arlington Heights IL 60005-1069 Ph: (847) 618-3481 |
| NPI Number | 1134433154 |
|---|---|
| Provider Enumeration Date | 08/02/2010 |
| Last Update Date | 03/17/2021 |
| Certification Date | 03/17/2021 |
| Medicare PECOS PAC ID | 3375737331 |
|---|---|
| Medicare Enrollment ID | O20101103000837 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134433154 | NPI | - | NPPES |
| 1467057513 | Other | IL | GROUP NPI |
| Provider Name | Jeanine M Maurice |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1831149350 PECOS PAC ID: 7618874314 Enrollment ID: I20031218000773 |
| Provider Name | David S Charman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346228954 PECOS PAC ID: 4880599307 Enrollment ID: I20040128000065 |
| Provider Name | Gary N Meyers |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275511883 PECOS PAC ID: 9133024656 Enrollment ID: I20040128000977 |
| Provider Name | Shirley A Stilson |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1700806254 PECOS PAC ID: 6901709898 Enrollment ID: I20040128001091 |
| Provider Name | Mark P Demus |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477571479 PECOS PAC ID: 7012800188 Enrollment ID: I20040203000805 |
| Provider Name | Michael David Frumkin |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1598785263 PECOS PAC ID: 7315830411 Enrollment ID: I20040203000962 |
| Provider Name | Sheilendr Khipple |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083773295 PECOS PAC ID: 9335032705 Enrollment ID: I20040209000110 |
| Provider Name | Gail M Goldberg |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1821066580 PECOS PAC ID: 2668369299 Enrollment ID: I20040301000052 |
| Provider Name | Andrea D Bennett |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1093755670 PECOS PAC ID: 7012804982 Enrollment ID: I20040304000050 |
| Provider Name | Ann M Ressetar |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1225026719 PECOS PAC ID: 1052208931 Enrollment ID: I20040304000078 |
| Provider Name | Sotirios Markuly |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1366466336 PECOS PAC ID: 0749177558 Enrollment ID: I20040304000303 |
| Provider Name | William A Moran |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083700991 PECOS PAC ID: 4486647815 Enrollment ID: I20040403000024 |
| Provider Name | Judith M Knipple |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265426381 PECOS PAC ID: 5092709204 Enrollment ID: I20040412000743 |
| Provider Name | Tammy E Novak |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1376658682 PECOS PAC ID: 4486648284 Enrollment ID: I20040414000072 |
| Provider Name | Michael R Bauer |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1205832128 PECOS PAC ID: 9537158050 Enrollment ID: I20040515000466 |
| Provider Name | Alan M Spiegel |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1770580326 PECOS PAC ID: 7618966144 Enrollment ID: I20040515000480 |
| Provider Name | Ernst R Lengyel |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1447296306 PECOS PAC ID: 0244221729 Enrollment ID: I20040522000175 |
| Provider Name | Leo Kanev |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497748131 PECOS PAC ID: 9830087287 Enrollment ID: I20040525000908 |
| Provider Name | Raymond N Kawasaki |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1578514188 PECOS PAC ID: 2860473923 Enrollment ID: I20040526000207 |
| Provider Name | Franco Michael Campanella |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1609886332 PECOS PAC ID: 3870576176 Enrollment ID: I20040609000105 |
| Provider Name | George Brodsky |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417928714 PECOS PAC ID: 4284619784 Enrollment ID: I20040621000071 |
| Provider Name | Shaun T Oleary |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1841256377 PECOS PAC ID: 8123003365 Enrollment ID: I20040622000239 |
| Provider Name | Madhuri Thota |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851425383 PECOS PAC ID: 0648258350 Enrollment ID: I20040709000636 |
| Provider Name | Timothy C Albion |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1740279827 PECOS PAC ID: 4183604671 Enrollment ID: I20040723001239 |
| Provider Name | David C Beringer |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1740280858 PECOS PAC ID: 1759351794 Enrollment ID: I20040728000531 |
| Provider Name | William S Suhr |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1265439970 PECOS PAC ID: 1951390483 Enrollment ID: I20040823000293 |
| Provider Name | Seiko D Yamada |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1275561409 PECOS PAC ID: 6406821255 Enrollment ID: I20040826000691 |
| Provider Name | Evan S Oblonsky |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1023019973 PECOS PAC ID: 1658347570 Enrollment ID: I20040902000515 |
| Provider Name | Ranae L Yockey |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1073509451 PECOS PAC ID: 4789653742 Enrollment ID: I20040930000150 |
| Provider Name | Nicole M Quigley |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1548353493 PECOS PAC ID: 9032188628 Enrollment ID: I20040930000186 |
| Provider Name | Daniel R Conway |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1477518462 PECOS PAC ID: 0840269593 Enrollment ID: I20040930000818 |
| Provider Name | Robert Rao |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1437114485 PECOS PAC ID: 3476522129 Enrollment ID: I20040930000856 |
| Provider Name | Amy C Shapiro |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1932198041 PECOS PAC ID: 0749253698 Enrollment ID: I20041005000510 |
| Provider Name | Regina Deleon Gomez |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1861432452 PECOS PAC ID: 8022078815 Enrollment ID: I20041015000523 |
| Provider Name | Nurit Crystal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457350118 PECOS PAC ID: 8921068610 Enrollment ID: I20041018000135 |
| Provider Name | Daniel B Cacioppo |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1083662613 PECOS PAC ID: 4183697022 Enrollment ID: I20041021000491 |
| Provider Name | Madhukar Damera |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710932025 PECOS PAC ID: 7416910088 Enrollment ID: I20041105000201 |
| Provider Name | Ronnie G Ghuneim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952427700 PECOS PAC ID: 3577528439 Enrollment ID: I20041119001063 |
| Provider Name | Timothy Vierling |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1336250380 PECOS PAC ID: 9931164415 Enrollment ID: I20041123001133 |
| Provider Name | Indu M Vence |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992805808 PECOS PAC ID: 1456309053 Enrollment ID: I20050111000256 |
| Provider Name | Michelle M Seo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437269545 PECOS PAC ID: 2264481506 Enrollment ID: I20050113000758 |
| Provider Name | Uzoma C Okoli |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1538168620 PECOS PAC ID: 5799737912 Enrollment ID: I20050216000433 |
| Provider Name | Michele J Armenia |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1467441519 PECOS PAC ID: 4082666334 Enrollment ID: I20050216000606 |
| Provider Name | Mark A Stefaniuk |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013932409 PECOS PAC ID: 3072415538 Enrollment ID: I20050218000306 |
| Provider Name | Susana C Lapid |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609894500 PECOS PAC ID: 1658323415 Enrollment ID: I20050221000340 |
| Provider Name | Benjamin A Hasan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922006097 PECOS PAC ID: 5597712588 Enrollment ID: I20050401000308 |
| Provider Name | Kimberlee M Curnyn |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1669575296 PECOS PAC ID: 9335188473 Enrollment ID: I20050428000500 |
| Provider Name | Wendi G Marcus |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548249113 PECOS PAC ID: 7315987302 Enrollment ID: I20050510000156 |
| Provider Name | Stuart S Ferber |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952389413 PECOS PAC ID: 4385684372 Enrollment ID: I20050510000165 |
| Provider Name | Gabriel Kibrit |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477531937 PECOS PAC ID: 9234179227 Enrollment ID: I20050510000207 |
| Provider Name | Susan E Nelson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144208612 PECOS PAC ID: 4284675083 Enrollment ID: I20050520000851 |
| Provider Name | Sean P Barnett |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1245295245 PECOS PAC ID: 2961445754 Enrollment ID: I20050602000719 |
| Provider Name | Christian A Daniels |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063490605 PECOS PAC ID: 8224071634 Enrollment ID: I20050607000531 |
| Provider Name | Ali Shaibani |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1023041720 PECOS PAC ID: 2961445101 Enrollment ID: I20050608000375 |
| Provider Name | Nikos G Christopoulos |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1881708444 PECOS PAC ID: 9436193901 Enrollment ID: I20050615000509 |
| Provider Name | Jennifer A Sabath |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942227566 PECOS PAC ID: 1355386996 Enrollment ID: I20050623000402 |
| Provider Name | Michael J Liptay |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1245338607 PECOS PAC ID: 6608811245 Enrollment ID: I20050623000413 |
| Provider Name | Chong H Pak |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1003926296 PECOS PAC ID: 4284679663 Enrollment ID: I20050627000252 |
| Provider Name | Nigel N Walters |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326073750 PECOS PAC ID: 2365487550 Enrollment ID: I20050628000766 |
| Provider Name | Stacy H Weiss |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1902806086 PECOS PAC ID: 7810924917 Enrollment ID: I20050720000636 |
| Provider Name | Richard John Munson |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1659430007 PECOS PAC ID: 3870525934 Enrollment ID: I20050909000212 |
| Provider Name | Malcolm M Bilimoria |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1548337215 PECOS PAC ID: 9931185949 Enrollment ID: I20050920000803 |
| Provider Name | Andreas Seidler |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063438034 PECOS PAC ID: 7517933294 Enrollment ID: I20050927000071 |
| Provider Name | Elyse P Erlich |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1952371536 PECOS PAC ID: 1850337296 Enrollment ID: I20051003000753 |
| Provider Name | Gilbert A Sita |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1174544274 PECOS PAC ID: 9537154604 Enrollment ID: I20051014000136 |
| Provider Name | Stephen Mark Zaacks |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1225052327 PECOS PAC ID: 9032144175 Enrollment ID: I20051014000166 |
| Provider Name | Ahtesham Hyder |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1740207505 PECOS PAC ID: 3577543925 Enrollment ID: I20051025000657 |
| Provider Name | Joanna Poniatowicz |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1770560864 PECOS PAC ID: 3870515711 Enrollment ID: I20051220000812 |
| Provider Name | Margaret R Nettleton |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1710953617 PECOS PAC ID: 5890717748 Enrollment ID: I20051220000904 |
| Provider Name | Rick L Jobski |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1417971581 PECOS PAC ID: 2769471283 Enrollment ID: I20060112000105 |
| Provider Name | Paul A Ruzumna |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1033133111 PECOS PAC ID: 2668407701 Enrollment ID: I20060112000216 |
| Provider Name | Ankit A Shah |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1962426056 PECOS PAC ID: 2163445495 Enrollment ID: I20060112000302 |
| Provider Name | Steven D Lupovitch |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1710901889 PECOS PAC ID: 8325037856 Enrollment ID: I20060112000415 |
| Provider Name | Brian H Albert |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1629092762 PECOS PAC ID: 1951390475 Enrollment ID: I20060112000433 |
| Provider Name | Lovender Raju |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083654149 PECOS PAC ID: 6901811959 Enrollment ID: I20060213000126 |
| Provider Name | Philip J Kiley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245211366 PECOS PAC ID: 9830106970 Enrollment ID: I20060314000472 |
| Provider Name | Michelle B Goldin |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1942299045 PECOS PAC ID: 8022025766 Enrollment ID: I20060321000371 |
| Provider Name | Randall C Kahan |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1275522377 PECOS PAC ID: 6002898129 Enrollment ID: I20060321000377 |
| Provider Name | Susan M Lupo |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1326037433 PECOS PAC ID: 7911989033 Enrollment ID: I20060321000387 |
| Provider Name | Kristin M Trevino |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982642740 PECOS PAC ID: 9830101450 Enrollment ID: I20060626000065 |
| Provider Name | Aakar Mayur Shah |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669415899 PECOS PAC ID: 7810993144 Enrollment ID: I20061010000651 |
| Provider Name | Sajjad Murtaza |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1881656049 PECOS PAC ID: 1557381282 Enrollment ID: I20061227000276 |
| Provider Name | Deyan R Ortwig |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104859818 PECOS PAC ID: 3173523313 Enrollment ID: I20070111000301 |
| Provider Name | John Rosanova |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366420986 PECOS PAC ID: 2769586064 Enrollment ID: I20070327000028 |
| Provider Name | Robert H Aki |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1639271570 PECOS PAC ID: 1254238363 Enrollment ID: I20070417000353 |
| Provider Name | Thomas H Pae |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1275635120 PECOS PAC ID: 1850496035 Enrollment ID: I20070418000487 |
| Provider Name | Michelle L Turner |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1053483925 PECOS PAC ID: 4082719869 Enrollment ID: I20070424000315 |
| Provider Name | Kathleen A Neacy |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1306801535 PECOS PAC ID: 7416920897 Enrollment ID: I20070627000502 |
| Provider Name | Octavia B Kincaid |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1710194824 PECOS PAC ID: 4385744473 Enrollment ID: I20070702000422 |
| Provider Name | James E Harley |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1174582738 PECOS PAC ID: 2264532936 Enrollment ID: I20070710000742 |
| Provider Name | Aaron I Benson |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1164508453 PECOS PAC ID: 7012017403 Enrollment ID: I20070713000810 |
| Provider Name | Sindhu V Perumal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740494236 PECOS PAC ID: 4486755089 Enrollment ID: I20070726000541 |
| Provider Name | Theresa Ann Desai |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1780806687 PECOS PAC ID: 1557453750 Enrollment ID: I20070817000143 |
| Provider Name | Catherine M Wood |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326266107 PECOS PAC ID: 7810081494 Enrollment ID: I20070913000834 |
| Provider Name | Ketan R Mody |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659562585 PECOS PAC ID: 0345336814 Enrollment ID: I20071013000006 |
| Provider Name | Japhlet Leomil R Aranas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992900609 PECOS PAC ID: 6002902590 Enrollment ID: I20071015000059 |
| Provider Name | Mark J Charman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033197637 PECOS PAC ID: 5496650913 Enrollment ID: I20071106000814 |
| Provider Name | Monika Cohen |
|---|---|
| Provider Type | Practitioner - Other (physician) |
| Provider Identifiers | NPI Number: 1528046224 PECOS PAC ID: 6709781222 Enrollment ID: I20071106000829 |
| Provider Name | Noreen K Galanter |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871514562 PECOS PAC ID: 2860589959 Enrollment ID: I20071106000836 |
| Provider Name | Michael E Glickman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154347128 PECOS PAC ID: 8527155647 Enrollment ID: I20071109000530 |
| Provider Name | Katherine A Kotcherian |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740215177 PECOS PAC ID: 4880781905 Enrollment ID: I20071109000536 |
| Provider Name | Irina C Goldvekht |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154309755 PECOS PAC ID: 5395833206 Enrollment ID: I20071109000570 |
| Provider Name | Carl R Lang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730167339 PECOS PAC ID: 4688579105 Enrollment ID: I20071109000593 |
| Provider Name | Carl D Bakken |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821023243 PECOS PAC ID: 2163498841 Enrollment ID: I20071109000598 |
| Provider Name | Willis G Parsons |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1972578698 PECOS PAC ID: 3173513736 Enrollment ID: I20071113000220 |
| Provider Name | Nita Karnik Lee |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1255374708 PECOS PAC ID: 3173591997 Enrollment ID: I20071120000425 |
| Provider Name | David E Mahon |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1710983325 PECOS PAC ID: 9234037649 Enrollment ID: I20080425000330 |
| Provider Name | Kimberly J Hammon |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1104083799 PECOS PAC ID: 1951472653 Enrollment ID: I20080624000724 |
| Provider Name | Gregory J Lindsay |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942416607 PECOS PAC ID: 2567536485 Enrollment ID: I20080811000253 |
| Provider Name | Pamorn Kulsakdinun |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1528162252 PECOS PAC ID: 0648345512 Enrollment ID: I20080813000088 |
| Provider Name | Anish P Pithadia |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417074774 PECOS PAC ID: 6002982071 Enrollment ID: I20080828000176 |
| Provider Name | Christopher D Fahey |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1780885384 PECOS PAC ID: 6901973619 Enrollment ID: I20080923000143 |
| Provider Name | Sameer A Ansari |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1932214152 PECOS PAC ID: 0042216640 Enrollment ID: I20081029000429 |
| Provider Name | Aimeelee B Valeroso |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801949409 PECOS PAC ID: 4284796475 Enrollment ID: I20081223000051 |
| Provider Name | Kathryn L Eubanks |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487638763 PECOS PAC ID: 0345303145 Enrollment ID: I20090105000483 |
| Provider Name | Syeda A Fatima |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215191408 PECOS PAC ID: 3779646294 Enrollment ID: I20090109000427 |
| Provider Name | Robert M Goldman |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1588879571 PECOS PAC ID: 8729144084 Enrollment ID: I20090311000628 |
| Provider Name | Amy P Gandhi |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1790932234 PECOS PAC ID: 6204993371 Enrollment ID: I20090318000158 |
| Provider Name | Evans R Sirois |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1356310262 PECOS PAC ID: 6406913789 Enrollment ID: I20090401000296 |
| Provider Name | Agnieszka Skop |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447415955 PECOS PAC ID: 2961552450 Enrollment ID: I20090603000478 |
| Provider Name | Yaimet V Bucknor |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1902030836 PECOS PAC ID: 4880745470 Enrollment ID: I20090622000180 |
| Provider Name | Susan D Tafini |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194959684 PECOS PAC ID: 5294886826 Enrollment ID: I20090622000504 |
| Provider Name | Todd M Leverentz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699708149 PECOS PAC ID: 2668524042 Enrollment ID: I20090715000719 |
| Provider Name | Janusz P Srodulski |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467478701 PECOS PAC ID: 4486706876 Enrollment ID: I20090715000728 |
| Provider Name | Michael J Hersh |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1407076888 PECOS PAC ID: 0547313637 Enrollment ID: I20090807000173 |
| Provider Name | Heidi Wehlus |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912163130 PECOS PAC ID: 3072666171 Enrollment ID: I20090807000201 |
| Provider Name | Nathan P Holt |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1518127950 PECOS PAC ID: 5890849731 Enrollment ID: I20090812000432 |
| Provider Name | Kara Ann Vormittag |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497901292 PECOS PAC ID: 1658427760 Enrollment ID: I20090915000230 |
| Provider Name | Andrew S Krock |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881631919 PECOS PAC ID: 3476565060 Enrollment ID: I20090921000113 |
| Provider Name | Thomas E Bleasdale |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366443731 PECOS PAC ID: 5698820892 Enrollment ID: I20090921000158 |
| Provider Name | Ghanshyam M Shah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992752299 PECOS PAC ID: 7113939703 Enrollment ID: I20090921000188 |
| Provider Name | Jongho Ham |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720083777 PECOS PAC ID: 2961557160 Enrollment ID: I20090921000298 |
| Provider Name | Steven S Kim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295771624 PECOS PAC ID: 8022177229 Enrollment ID: I20090922000421 |
| Provider Name | Angela Michelini |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255573127 PECOS PAC ID: 9830245430 Enrollment ID: I20090923000619 |
| Provider Name | Ewa T Dembowski |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1114158821 PECOS PAC ID: 8628114360 Enrollment ID: I20091009000100 |
| Provider Name | Carol A Gilmore |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1508836586 PECOS PAC ID: 0941395826 Enrollment ID: I20091026000205 |
| Provider Name | David A Guthman |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1073585436 PECOS PAC ID: 1850362229 Enrollment ID: I20100109000017 |
| Provider Name | Allyson F Jacobson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1619131133 PECOS PAC ID: 6002950979 Enrollment ID: I20100216000137 |
| Provider Name | Ami S Behara |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1336301027 PECOS PAC ID: 9638208283 Enrollment ID: I20100520000439 |
| Provider Name | Evelyn S White |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699855924 PECOS PAC ID: 1355471475 Enrollment ID: I20100615000788 |
| Provider Name | Ena Elizabeth Hennegan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407851470 PECOS PAC ID: 9032248497 Enrollment ID: I20100708000190 |
| Provider Name | John Dale Lightfoot |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962441659 PECOS PAC ID: 0042242646 Enrollment ID: I20100708000222 |
| Provider Name | Sofia Tirovolas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437366838 PECOS PAC ID: 3476745480 Enrollment ID: I20101008000882 |
| Provider Name | Hyim J Baronofsky |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1528221611 PECOS PAC ID: 8729270624 Enrollment ID: I20101011000839 |
| Provider Name | Arthur N Skladman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447313655 PECOS PAC ID: 4587627468 Enrollment ID: I20101026000040 |
| Provider Name | Sarah C Peterson |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1114174828 PECOS PAC ID: 2163616004 Enrollment ID: I20101104000389 |
| Provider Name | Michael E Grzelak |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1386808913 PECOS PAC ID: 0244424075 Enrollment ID: I20101104001632 |
| Provider Name | Susan Elbaum |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972643633 PECOS PAC ID: 8325080807 Enrollment ID: I20101108001360 |
| Provider Name | Mabria Loqman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891862678 PECOS PAC ID: 1254320096 Enrollment ID: I20101130000620 |
| Provider Name | Haris Aleem |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1063409795 PECOS PAC ID: 1850472374 Enrollment ID: I20101213000715 |
| Provider Name | Jimmy Viet Ninh |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1104088939 PECOS PAC ID: 6608913835 Enrollment ID: I20110204000220 |
| Provider Name | Maria Justina Villano |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1518186824 PECOS PAC ID: 7416044656 Enrollment ID: I20110318000104 |
| Provider Name | Karen Zimmerman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457517054 PECOS PAC ID: 8022293166 Enrollment ID: I20110504000770 |
| Provider Name | Kimberly S Hogan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619293669 PECOS PAC ID: 8224214473 Enrollment ID: I20110524000193 |
| Provider Name | Ali Wasiti |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1770731002 PECOS PAC ID: 5395922058 Enrollment ID: I20110606000430 |
| Provider Name | Thomas R Oryszczak |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1033373717 PECOS PAC ID: 1951589399 Enrollment ID: I20110707000115 |
| Provider Name | Margaret H Fruhbauer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851557102 PECOS PAC ID: 6002084985 Enrollment ID: I20110720000183 |
| Provider Name | George Macrinici |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1659534030 PECOS PAC ID: 7719156975 Enrollment ID: I20110805000092 |
| Provider Name | Timothy J Stevens |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1710108113 PECOS PAC ID: 4688843113 Enrollment ID: I20110817000760 |
| Provider Name | Neil Shah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487801312 PECOS PAC ID: 9739359217 Enrollment ID: I20110822000106 |
| Provider Name | Dipal C Shah |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1235386160 PECOS PAC ID: 7810167236 Enrollment ID: I20110823000192 |
| Provider Name | Aurelian S Ivan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1841467743 PECOS PAC ID: 3274704630 Enrollment ID: I20110915000861 |
| Provider Name | Heather Anne Hall |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1346468105 PECOS PAC ID: 3678744570 Enrollment ID: I20110926000903 |
| Provider Name | Claire G Urbaszewski |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1548426919 PECOS PAC ID: 6103097910 Enrollment ID: I20110927000254 |
| Provider Name | Sulaiman Mohammad |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1407185499 PECOS PAC ID: 2264624568 Enrollment ID: I20111208000078 |
| Provider Name | Hillary E Knowles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215211768 PECOS PAC ID: 3274708912 Enrollment ID: I20111208000526 |
| Provider Name | Nayla Chaptini |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1841434024 PECOS PAC ID: 9830362029 Enrollment ID: I20111215000750 |
| Provider Name | Sharmila Chatterjee |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1558648436 PECOS PAC ID: 9537326269 Enrollment ID: I20120207000555 |
| Provider Name | Sara P Will |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245536887 PECOS PAC ID: 0244497626 Enrollment ID: I20120214000237 |
| Provider Name | Susan M Elrich |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1063675023 PECOS PAC ID: 9739238106 Enrollment ID: I20120606000534 |
| Provider Name | Nicholas Skyba |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932338050 PECOS PAC ID: 2769647601 Enrollment ID: I20120627000605 |
| Provider Name | Megan Dorsey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508132044 PECOS PAC ID: 3577729730 Enrollment ID: I20120717000169 |
| Provider Name | Doron Galili |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215160320 PECOS PAC ID: 3173770633 Enrollment ID: I20120906000188 |
| Provider Name | Ian C Coelho |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1821225533 PECOS PAC ID: 3971750431 Enrollment ID: I20120906000214 |
| Provider Name | Stavonnie Sl Patterson |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1710021100 PECOS PAC ID: 2769632199 Enrollment ID: I20121022000136 |
| Provider Name | Mukesh Kumar Kamboj |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164756920 PECOS PAC ID: 5698925717 Enrollment ID: I20121026000382 |
| Provider Name | Mussarat J Bukhari |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1225266422 PECOS PAC ID: 6901058460 Enrollment ID: I20121206000602 |
| Provider Name | Carrie N May |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437435997 PECOS PAC ID: 3577715911 Enrollment ID: I20121210000410 |
| Provider Name | Simran Jit Kamboj |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336473198 PECOS PAC ID: 0941453716 Enrollment ID: I20130102000312 |
| Provider Name | Victoria Ryvkin |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1881815173 PECOS PAC ID: 6002060191 Enrollment ID: I20130124000384 |
| Provider Name | Kimberly A Miller |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669606281 PECOS PAC ID: 9234383092 Enrollment ID: I20130131000541 |
| Provider Name | Leslie E Bernstein |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1104048776 PECOS PAC ID: 8022199884 Enrollment ID: I20130401000362 |
| Provider Name | Ghouse Mohiuddin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1447413919 PECOS PAC ID: 7911143813 Enrollment ID: I20130419000391 |
| Provider Name | Reena V Blesson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619221900 PECOS PAC ID: 1557507159 Enrollment ID: I20130427000133 |
| Provider Name | Michelle Marie Jurkonie |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073793964 PECOS PAC ID: 4981840311 Enrollment ID: I20130627000766 |
| Provider Name | Rachel L Kulsakdinun |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1407950421 PECOS PAC ID: 8820163793 Enrollment ID: I20130628000291 |
| Provider Name | Archie L Ong |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1093979486 PECOS PAC ID: 0547401010 Enrollment ID: I20130725000361 |
| Provider Name | Benjamin G Vancura |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1023265337 PECOS PAC ID: 7810139433 Enrollment ID: I20130812000415 |
| Provider Name | Shakeel A Chowdhry |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1083811418 PECOS PAC ID: 4880859826 Enrollment ID: I20130819000394 |
| Provider Name | Christopher W Seder |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1467667360 PECOS PAC ID: 3274720370 Enrollment ID: I20130820000550 |
| Provider Name | Scott N Pinchot |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1598713158 PECOS PAC ID: 4183867054 Enrollment ID: I20130823001204 |
| Provider Name | Sharon A Spak- Schreiner |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003054289 PECOS PAC ID: 2062654684 Enrollment ID: I20130916000695 |
| Provider Name | Neal Shukla |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1578823621 PECOS PAC ID: 3779719786 Enrollment ID: I20131121001942 |
| Provider Name | Saju Abraham |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1528191756 PECOS PAC ID: 0446428734 Enrollment ID: I20131212000774 |
| Provider Name | Nisha Sam George |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750723532 PECOS PAC ID: 8820225691 Enrollment ID: I20131226001531 |
| Provider Name | Asad S Mehdi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1003072547 PECOS PAC ID: 3274796792 Enrollment ID: I20140424001846 |
| Provider Name | Jehanzeb Ahmed A Sheikh |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1720066244 PECOS PAC ID: 3072693548 Enrollment ID: I20140502000799 |
| Provider Name | Gergana G Buchkova |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184049108 PECOS PAC ID: 1557594835 Enrollment ID: I20140513000748 |
| Provider Name | Rebecca Jehl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235415597 PECOS PAC ID: 4880819234 Enrollment ID: I20140627001368 |
| Provider Name | Erin L Lynch |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1336448638 PECOS PAC ID: 0547486581 Enrollment ID: I20140728000826 |
| Provider Name | Margarita Valdecantos |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700173226 PECOS PAC ID: 2062643810 Enrollment ID: I20140729002285 |
| Provider Name | Robert E Maslo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972892677 PECOS PAC ID: 6800013541 Enrollment ID: I20140804001888 |
| Provider Name | Michael J Ross |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1740446806 PECOS PAC ID: 3870710528 Enrollment ID: I20140804002373 |
| Provider Name | Newton T Li |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1285897728 PECOS PAC ID: 8820216252 Enrollment ID: I20140827001535 |
| Provider Name | Heidi E Chatham |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659509834 PECOS PAC ID: 6204087174 Enrollment ID: I20140903001620 |
| Provider Name | Jamilah Jamah Okoe |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1871814061 PECOS PAC ID: 5698994275 Enrollment ID: I20140912001310 |
| Provider Name | Andrew J Rosewell |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1124317664 PECOS PAC ID: 5698994747 Enrollment ID: I20140922002888 |
| Provider Name | Manish K Sharma |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1619280708 PECOS PAC ID: 4486801420 Enrollment ID: I20141001002550 |
| Provider Name | Asim M Saeed |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1033421953 PECOS PAC ID: 6901029222 Enrollment ID: I20150112000402 |
| Provider Name | William J Ngu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851655872 PECOS PAC ID: 3779807599 Enrollment ID: I20150126001618 |
| Provider Name | Ibrahim Habib |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1740589969 PECOS PAC ID: 9133444375 Enrollment ID: I20150211001199 |
| Provider Name | Claudia G Schindler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588069728 PECOS PAC ID: 0547585283 Enrollment ID: I20150220001528 |
| Provider Name | Shahaab Uddin |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1669784872 PECOS PAC ID: 1850526336 Enrollment ID: I20150316001253 |
| Provider Name | Heather A Hamell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740678572 PECOS PAC ID: 3870811839 Enrollment ID: I20150423001410 |
| Provider Name | Haley D Glickman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043600190 PECOS PAC ID: 0345569661 Enrollment ID: I20150507000706 |
| Provider Name | Allison Moser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336539980 PECOS PAC ID: 0941520894 Enrollment ID: I20150518001251 |
| Provider Name | Anne E Foster |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679961379 PECOS PAC ID: 9830410778 Enrollment ID: I20150604000841 |
| Provider Name | Ricky H Wong |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1184862336 PECOS PAC ID: 1456672393 Enrollment ID: I20150604000876 |
| Provider Name | Amit Kamdar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912263120 PECOS PAC ID: 6002128097 Enrollment ID: I20150706000478 |
| Provider Name | Leslie Collins |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1073956777 PECOS PAC ID: 0547574717 Enrollment ID: I20150731015479 |
| Provider Name | Karolee Fill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407269038 PECOS PAC ID: 3173837366 Enrollment ID: I20150731016214 |
| Provider Name | Timothy M Volk |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801141726 PECOS PAC ID: 0941448773 Enrollment ID: I20150803000331 |
| Provider Name | Vidya Shivakumar |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1558636647 PECOS PAC ID: 6800104837 Enrollment ID: I20150924002021 |
| Provider Name | Mary Christine V Deato |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992172944 PECOS PAC ID: 9931417383 Enrollment ID: I20151005000663 |
| Provider Name | Yu Yan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124380753 PECOS PAC ID: 0345559035 Enrollment ID: I20151020001869 |
| Provider Name | Kristina Mitton |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1922328640 PECOS PAC ID: 0840509212 Enrollment ID: I20151026001707 |
| Provider Name | Humberto Joseph Martinez-suarez |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1871752394 PECOS PAC ID: 7719202910 Enrollment ID: I20151215002478 |
| Provider Name | Marcin Jungiewicz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851680839 PECOS PAC ID: 8123320355 Enrollment ID: I20160105002702 |
| Provider Name | Gina Marcin |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1205261682 PECOS PAC ID: 9335443001 Enrollment ID: I20160201002512 |
| Provider Name | Tiffany Ferguson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962874032 PECOS PAC ID: 5496059784 Enrollment ID: I20160208000102 |
| Provider Name | Shalu Gugnani |
|---|---|
| Provider Type | Practitioner - Addiction Medicine |
| Provider Identifiers | NPI Number: 1629238746 PECOS PAC ID: 6800018409 Enrollment ID: I20160219001502 |
| Provider Name | Jamie Elaine Hamick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942658257 PECOS PAC ID: 7911297908 Enrollment ID: I20160603000023 |
| Provider Name | George T Thott |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1124317367 PECOS PAC ID: 0042535619 Enrollment ID: I20160615000962 |
| Provider Name | Jessica Knight |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1942565593 PECOS PAC ID: 7113218207 Enrollment ID: I20160621000685 |
| Provider Name | Tommy J Kwak |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1235472820 PECOS PAC ID: 6608172291 Enrollment ID: I20160623002184 |
| Provider Name | Sonia P Gandhi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225371370 PECOS PAC ID: 2860797883 Enrollment ID: I20160629000058 |
| Provider Name | Juli Aistars |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1861883209 PECOS PAC ID: 8527350164 Enrollment ID: I20160630000687 |
| Provider Name | John W Moroney |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1518930601 PECOS PAC ID: 3971640079 Enrollment ID: I20160728002410 |
| Provider Name | Fulvio Roberto Gil |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1801185822 PECOS PAC ID: 2365736972 Enrollment ID: I20160804001171 |
| Provider Name | Pinki A Patel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053764878 PECOS PAC ID: 4880988765 Enrollment ID: I20160816001454 |
| Provider Name | Pamela V Soberano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962891648 PECOS PAC ID: 2769708601 Enrollment ID: I20160816001764 |
| Provider Name | Morgan L Kieffer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851744304 PECOS PAC ID: 5092000992 Enrollment ID: I20160816002674 |
| Provider Name | Snehal Patel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962852897 PECOS PAC ID: 9537454087 Enrollment ID: I20160823000330 |
| Provider Name | Rushim S Bains |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154334316 PECOS PAC ID: 3173627148 Enrollment ID: I20160909002552 |
| Provider Name | Ann L Khimani |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821443623 PECOS PAC ID: 4486941713 Enrollment ID: I20160929001624 |
| Provider Name | Martina Lomibao Santiago |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710430392 PECOS PAC ID: 7113214412 Enrollment ID: I20160930000912 |
| Provider Name | Andrea M Man |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659716728 PECOS PAC ID: 1355639907 Enrollment ID: I20161013001713 |
| Provider Name | Joel Kalavelil |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1801234810 PECOS PAC ID: 3577796457 Enrollment ID: I20161027001768 |
| Provider Name | Nicole M Geissen |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1841422482 PECOS PAC ID: 1254641244 Enrollment ID: I20161205001868 |
| Provider Name | Dany Mamou |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679704100 PECOS PAC ID: 2961653092 Enrollment ID: I20170526000586 |
| Provider Name | Ahmad Subhi Jabbar |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1831538289 PECOS PAC ID: 5193026888 Enrollment ID: I20170616000607 |
| Provider Name | Narayan Michael Saha |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1396033825 PECOS PAC ID: 8123246154 Enrollment ID: I20170705001573 |
| Provider Name | Jessica N Marabella |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275951808 PECOS PAC ID: 8426358516 Enrollment ID: I20170720002928 |
| Provider Name | Rohan H Shah |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811314792 PECOS PAC ID: 3971729229 Enrollment ID: I20170720003096 |
| Provider Name | Trevor J Pfaendtner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528485174 PECOS PAC ID: 4981999166 Enrollment ID: I20170724003039 |
| Provider Name | Zayn S Husain |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1952728958 PECOS PAC ID: 7416251293 Enrollment ID: I20170802002495 |
| Provider Name | Kushal Patel |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1639504640 PECOS PAC ID: 3274825617 Enrollment ID: I20170807000196 |
| Provider Name | Dany Boulos |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780830703 PECOS PAC ID: 0446428767 Enrollment ID: I20170807002615 |
| Provider Name | Justin M Karush |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1891016606 PECOS PAC ID: 8820369788 Enrollment ID: I20170810002468 |
| Provider Name | Elizabeth M Perez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316232796 PECOS PAC ID: 1850610064 Enrollment ID: I20170815002328 |
| Provider Name | Ruchi Dhiren Shah |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1821224403 PECOS PAC ID: 3870800204 Enrollment ID: I20170825000241 |
| Provider Name | Yun J Lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922471457 PECOS PAC ID: 4587937065 Enrollment ID: I20170905002207 |
| Provider Name | Josephine S Kim |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1699086173 PECOS PAC ID: 1153623913 Enrollment ID: I20170920001206 |
| Provider Name | Stephanie Quach |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316488976 PECOS PAC ID: 1355615600 Enrollment ID: I20170925003273 |
| Provider Name | Zehra Jaffery |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1841401460 PECOS PAC ID: 8426228883 Enrollment ID: I20171019003047 |
| Provider Name | Bhavna Sharma |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326567173 PECOS PAC ID: 1052678810 Enrollment ID: I20171204000148 |
| Provider Name | Nida Ahmed |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1902164437 PECOS PAC ID: 0749571735 Enrollment ID: I20171218000359 |
| Provider Name | Yaqoob Mujtaba Syed |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801200456 PECOS PAC ID: 9133487952 Enrollment ID: I20171227000534 |
| Provider Name | Nancy Sarudzayi Kinyanjui |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023524485 PECOS PAC ID: 9234498361 Enrollment ID: I20180118001920 |
| Provider Name | Jowella Real Pineda |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790016004 PECOS PAC ID: 4688818578 Enrollment ID: I20180119000463 |
| Provider Name | Jessica M. Kim |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730694274 PECOS PAC ID: 2466713862 Enrollment ID: I20180227002928 |
| Provider Name | Katherine E Hansen |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1235360553 PECOS PAC ID: 9335464304 Enrollment ID: I20180503000307 |
| Provider Name | Nadalia Kargenian |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619471281 PECOS PAC ID: 7416211032 Enrollment ID: I20180508001195 |
| Provider Name | Srikala Ayyagari |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1114180643 PECOS PAC ID: 7719158765 Enrollment ID: I20180515001588 |
| Provider Name | Ayham Alagha |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1851779151 PECOS PAC ID: 0749598209 Enrollment ID: I20180619002540 |
| Provider Name | Robert Ander |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588051122 PECOS PAC ID: 4789930736 Enrollment ID: I20180703003080 |
| Provider Name | Christopher Atticus Henry |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1306073044 PECOS PAC ID: 5991007270 Enrollment ID: I20180725003483 |
| Provider Name | Arthur Arbor Hong |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538420583 PECOS PAC ID: 2567612534 Enrollment ID: I20180815002346 |
| Provider Name | Mayur Parepally |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1447549787 PECOS PAC ID: 2365746906 Enrollment ID: I20180824001145 |
| Provider Name | Hiteksha C Patel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871071431 PECOS PAC ID: 6507116399 Enrollment ID: I20180828003248 |
| Provider Name | Courtney Snyder |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184001778 PECOS PAC ID: 9234425711 Enrollment ID: I20180904002033 |
| Provider Name | Sandeep Mahajan |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1700142395 PECOS PAC ID: 2567746050 Enrollment ID: I20180904002801 |
| Provider Name | Anthony J Casini |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1558625251 PECOS PAC ID: 3173818481 Enrollment ID: I20180906002925 |
| Provider Name | Jimmy J Varghese |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1477993715 PECOS PAC ID: 8325289630 Enrollment ID: I20180910002787 |
| Provider Name | Jennifer Mayuri Douglass |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922512458 PECOS PAC ID: 8921359795 Enrollment ID: I20180919000125 |
| Provider Name | Erik T Schultz |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1063894780 PECOS PAC ID: 6608183173 Enrollment ID: I20181001000027 |
| Provider Name | April A Szafran |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1194015503 PECOS PAC ID: 1951672203 Enrollment ID: I20181012000936 |
| Provider Name | Maen Nusair |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1942393137 PECOS PAC ID: 7113060187 Enrollment ID: I20181101002410 |
| Provider Name | Michelle Patricia Rose |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1609850981 PECOS PAC ID: 7012261134 Enrollment ID: I20181108000543 |
| Provider Name | Jaimi P. Mathew |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497224943 PECOS PAC ID: 8628313442 Enrollment ID: I20181226002253 |
| Provider Name | Brian Jacover |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417124769 PECOS PAC ID: 3870632565 Enrollment ID: I20190316000011 |
| Provider Name | Lena Virasch |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780094714 PECOS PAC ID: 6103129267 Enrollment ID: I20190329001956 |
| Provider Name | Dena Pelletreau |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083177489 PECOS PAC ID: 6406199470 Enrollment ID: I20190514001681 |
| Provider Name | Melissa Vitale |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952867681 PECOS PAC ID: 1153664149 Enrollment ID: I20190514002587 |
| Provider Name | Bindu Finnell |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1851327340 PECOS PAC ID: 8729180245 Enrollment ID: I20190523001415 |
| Provider Name | Lauren A Lea |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720644297 PECOS PAC ID: 9133462559 Enrollment ID: I20190528000646 |
| Provider Name | Brian Walcott |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1093975500 PECOS PAC ID: 7416115118 Enrollment ID: I20190628001277 |
| Provider Name | Whitney Michelle Dawson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1376906164 PECOS PAC ID: 1355623919 Enrollment ID: I20190709000142 |
| Provider Name | Ricardo Salgado |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982059937 PECOS PAC ID: 2567798853 Enrollment ID: I20190724001945 |
| Provider Name | Kosta Nikolov Matrov |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1104121623 PECOS PAC ID: 7113178146 Enrollment ID: I20190725000821 |
| Provider Name | Devin Dhiren Mehta |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1922361344 PECOS PAC ID: 3779873666 Enrollment ID: I20190725003036 |
| Provider Name | Kathryn Anne Mills |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1033471131 PECOS PAC ID: 6901109792 Enrollment ID: I20190725003495 |
| Provider Name | Jin Sol Oh |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1962842658 PECOS PAC ID: 4688817380 Enrollment ID: I20190726000373 |
| Provider Name | Rachana Patel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801359039 PECOS PAC ID: 9436486032 Enrollment ID: I20190805002710 |
| Provider Name | Diana Margarita Plata |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619329380 PECOS PAC ID: 2062705304 Enrollment ID: I20190813002467 |
| Provider Name | Anne Marie Viollt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093197220 PECOS PAC ID: 4587967930 Enrollment ID: I20190813002840 |
| Provider Name | Preyanshu M Parekh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063864734 PECOS PAC ID: 6103111851 Enrollment ID: I20190905000350 |
| Provider Name | Mhd Hashem Rajabbik |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1528422631 PECOS PAC ID: 3375888431 Enrollment ID: I20190911001479 |
| Provider Name | Inyoung Na |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902205107 PECOS PAC ID: 4385914761 Enrollment ID: I20190919001813 |
| Provider Name | Katherine C Kurnit |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1902194269 PECOS PAC ID: 8921375064 Enrollment ID: I20191002002886 |
| Provider Name | Patricia Renee Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730735879 PECOS PAC ID: 6608107750 Enrollment ID: I20191004000174 |
| Provider Name | Susan J Dunning |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871910430 PECOS PAC ID: 1850684945 Enrollment ID: I20191007000655 |
| Provider Name | Jennifer E Carson |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1346656493 PECOS PAC ID: 2961711692 Enrollment ID: I20191023002635 |
| Provider Name | Jaime Rebecca Obszanski |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518228170 PECOS PAC ID: 4284966177 Enrollment ID: I20191025001089 |
| Provider Name | Chuck Richard Vrasich |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114214111 PECOS PAC ID: 7618282963 Enrollment ID: I20191127000518 |
| Provider Name | Shayan Khazaei |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1114313210 PECOS PAC ID: 2769722594 Enrollment ID: I20191205000044 |
| Provider Name | Danielle Altepeter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114569415 PECOS PAC ID: 7012342215 Enrollment ID: I20200116000959 |
| Provider Name | Danielle R Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326688714 PECOS PAC ID: 7911335815 Enrollment ID: I20200306001146 |
| Provider Name | Sylwia K Trninic |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033745427 PECOS PAC ID: 3072943935 Enrollment ID: I20200417000889 |
| Provider Name | Rosemary Weaver |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1598094237 PECOS PAC ID: 6901236561 Enrollment ID: I20200422000826 |
| Provider Name | Melinda Beth Ficarra |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992369201 PECOS PAC ID: 4183054711 Enrollment ID: I20200423000832 |
| Provider Name | Hemlatta Patel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366075319 PECOS PAC ID: 0648601658 Enrollment ID: I20200507000339 |
| Provider Name | Jason J Maslana |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467084038 PECOS PAC ID: 3870914773 Enrollment ID: I20200602000255 |
| Provider Name | Daniel Linden |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1720519911 PECOS PAC ID: 2668744376 Enrollment ID: I20200811001031 |
| Provider Name | Gillian Alex |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1851730907 PECOS PAC ID: 5496052680 Enrollment ID: I20200909002570 |
| Provider Name | Trikina Banks |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639619406 PECOS PAC ID: 1557789781 Enrollment ID: I20200918002506 |
| Provider Name | Ammara Aziz |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1336407998 PECOS PAC ID: 4284886797 Enrollment ID: I20200922001334 |
| Provider Name | Lenny Deguzman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285240473 PECOS PAC ID: 0244640159 Enrollment ID: I20201104002443 |
| Provider Name | Rosina Victor |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1871035121 PECOS PAC ID: 5496030207 Enrollment ID: I20201110000523 |
| Provider Name | David Moy |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1871941427 PECOS PAC ID: 9638469836 Enrollment ID: I20201116001045 |
| Provider Name | Megan Bishoff |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1407455306 PECOS PAC ID: 1850703166 Enrollment ID: I20201210000796 |
| Provider Name | Nicholas Yerkes |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1720225436 PECOS PAC ID: 4385944107 Enrollment ID: I20210209002565 |
| Provider Name | Sangita C Patel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043810211 PECOS PAC ID: 0244647675 Enrollment ID: I20210330002635 |
| Provider Name | David Mark Jandura |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1992199947 PECOS PAC ID: 8224348230 Enrollment ID: I20210714002451 |
| Provider Name | Nader Tehrani |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1013322973 PECOS PAC ID: 3072738152 Enrollment ID: I20210806000730 |
| Provider Name | Alex Zachary Stoller |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1417549098 PECOS PAC ID: 8729482690 Enrollment ID: I20210814000330 |
| Provider Name | Nidhi Shah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982201158 PECOS PAC ID: 5698170702 Enrollment ID: I20210826002349 |
| Provider Name | Thuyen Nguyen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336803899 PECOS PAC ID: 7517356264 Enrollment ID: I20211118000208 |
| Provider Name | Maria Magdalena Colta |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912662651 PECOS PAC ID: 8426449935 Enrollment ID: I20211216002295 |
| Provider Name | Rushabh A Shah |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1588169379 PECOS PAC ID: 7810244522 Enrollment ID: I20220118001631 |
| Provider Name | Patrick J Gordon |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1538181375 PECOS PAC ID: 4981606613 Enrollment ID: I20220309002969 |
| Provider Name | Sharon Abraham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396485884 PECOS PAC ID: 2264829332 Enrollment ID: I20220420002711 |
| Provider Name | Roseann Melo Perez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568112589 PECOS PAC ID: 3476931635 Enrollment ID: I20220601000806 |
| Provider Name | Neil Joseph Mier |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1891354593 PECOS PAC ID: 9739560269 Enrollment ID: I20220714004103 |
| Provider Name | David Kim |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831753201 PECOS PAC ID: 6507248077 Enrollment ID: I20220729002500 |
| Provider Name | Peter Wookjin Lee |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1326509647 PECOS PAC ID: 4587998364 Enrollment ID: I20220811001902 |
| Provider Name | Madiha Rizvi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1063973469 PECOS PAC ID: 1759719438 Enrollment ID: I20220811002603 |
| Provider Name | Ari J Epstein |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952861486 PECOS PAC ID: 1355675950 Enrollment ID: I20220812001579 |
| Provider Name | Taylor Burke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982338844 PECOS PAC ID: 4385027002 Enrollment ID: I20220812002431 |
| Provider Name | Nayab Qureshi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548619281 PECOS PAC ID: 0143512335 Enrollment ID: I20220816002239 |
| Provider Name | Arshiya Khalid |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194287441 PECOS PAC ID: 1456685452 Enrollment ID: I20220829001570 |
| Provider Name | Kristen Michele Sigler |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1871212936 PECOS PAC ID: 6507241288 Enrollment ID: I20220915003486 |
| Provider Name | Nicole Lomotan |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1093203036 PECOS PAC ID: 5294070512 Enrollment ID: I20220919000599 |
| Provider Name | Elena Baltag |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1437718442 PECOS PAC ID: 2769895838 Enrollment ID: I20220922001928 |
| Provider Name | Michelle Leong |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1609309368 PECOS PAC ID: 2860739208 Enrollment ID: I20220929000515 |
| Provider Name | Mohammed Ahmed |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932691672 PECOS PAC ID: 1052718574 Enrollment ID: I20220930001742 |
| Provider Name | Robyn Brownell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386174571 PECOS PAC ID: 4880960996 Enrollment ID: I20220930002607 |
| Provider Name | Mauricio Orlando Pineda |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407595192 PECOS PAC ID: 7315313236 Enrollment ID: I20221018002424 |
| Provider Name | Katarzyna M Walus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437879855 PECOS PAC ID: 4688040405 Enrollment ID: I20221019002938 |
| Provider Name | Matt Vatanatunyakum |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821766221 PECOS PAC ID: 7416325295 Enrollment ID: I20221129001844 |
| Provider Name | Luiza Johnson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659863991 PECOS PAC ID: 8527463546 Enrollment ID: I20230410000344 |
| Provider Name | Ahmad Alsibai |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1265741235 PECOS PAC ID: 0446415541 Enrollment ID: I20230601002921 |
| Provider Name | Madhur M Dass |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487356333 PECOS PAC ID: 4880053966 Enrollment ID: I20230707001229 |
| Provider Name | Asadullah Khan |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1003836107 PECOS PAC ID: 2860497468 Enrollment ID: I20230712002022 |
| Provider Name | Neil Patel |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1063906436 PECOS PAC ID: 4587024732 Enrollment ID: I20230719001982 |
| Provider Name | Sushmita Kasireddy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518596725 PECOS PAC ID: 5991115347 Enrollment ID: I20230808000563 |
| Provider Name | Misbah Razvi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740819747 PECOS PAC ID: 1456713742 Enrollment ID: I20230818000354 |
| Provider Name | Misbah Razvi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740819747 PECOS PAC ID: 1456713742 Enrollment ID: I20230829002827 |
| Provider Name | Lucie Bianchi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750381729 PECOS PAC ID: 2668484205 Enrollment ID: I20230914002711 |
| Provider Name | Han T Cun |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1649666942 PECOS PAC ID: 8224345160 Enrollment ID: I20231013000310 |
| Provider Name | Tony Lynell Sanders |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538772033 PECOS PAC ID: 6305252461 Enrollment ID: I20231115002208 |
Brian Richardson, Psyd, Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3233 N Arlington Heights Rd, Suite 301, Arlington Heights, IL 60004 Phone: 847-650-0307 Fax: 847-222-9769 | |
Light Side Therapy Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1845 E Rand Rd Ste L109, Arlington Heights, IL 60004 Phone: 773-490-8863 | |
Amphora Counseling, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3205 N Wilke Rd Ste 102c, Arlington Heights, IL 60004 Phone: 224-349-2594 Fax: 224-350-8500 | |
Jura Adams, M.d., Ltd. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3405 N. Kennicott Avenue, Suite C, Arlington Heights, IL 60004 Phone: 847-483-0303 Fax: 847-483-0305 | |
Amy J. Wilder, Lcsw, Inc. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 2025 S Arlington Heights Rd, Arlington Heights, IL 60005 Phone: 847-545-0400 Fax: 847-545-0405 | |
Northwest Adhd Center Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 121 S Wilke Rd, Suite 403, Arlington Heights, IL 60005 Phone: 847-577-7705 Fax: 847-577-7712 | |
Tria A Murphy, Phd Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 855 E Golf Rd Ste 1131, Arlington Heights, IL 60005 Phone: 773-631-8337 Fax: 773-302-1247 |