| Physiatry Consultants Of Nj Llc | |
|
9400 Marion Ave Morton Grove IL 60053-1255 | |
| (855) 611-8783 | |
| Not Available |
| Full Name | Physiatry Consultants Of Nj Llc |
|---|---|
| Speciality | Physical Medicine & Rehabilitation |
| Location | 9400 Marion Ave, Morton Grove, Illinois |
| Authorized Official Name and Position | Omar Osman (PRESIDENT) |
| Authorized Official Contact | 8556118783 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Physiatry Consultants Of Nj Llc 415 W Golf Rd Ste 26 Arlington Heights IL 60005-3923 Ph: (855) 611-8783 | Physiatry Consultants Of Nj Llc 9400 Marion Ave Morton Grove IL 60053-1255 Ph: (855) 611-8783 |
| NPI Number | 1710690631 |
|---|---|
| Provider Enumeration Date | 01/05/2023 |
| Last Update Date | 03/12/2024 |
| Certification Date | 10/30/2023 |
| Medicare PECOS PAC ID | 3375914419 |
|---|---|
| Medicare Enrollment ID | O20230127000195 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710690631 | NPI | - | NPPES |
| Provider Name | Annette Barragan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265475693 PECOS PAC ID: 0749268704 Enrollment ID: I20040708000094 |
| Provider Name | Kathryn L Kumta |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376970467 PECOS PAC ID: 9335376672 Enrollment ID: I20131212001182 |
| Provider Name | Diana John |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316328008 PECOS PAC ID: 4486969268 Enrollment ID: I20150824001053 |
| Provider Name | Elizabeth Pancrazio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942674445 PECOS PAC ID: 7618270331 Enrollment ID: I20160129000288 |
| Provider Name | Latia M Pierce |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740640309 PECOS PAC ID: 6406139542 Enrollment ID: I20170215000867 |
| Provider Name | Genevieve Suaner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376200287 PECOS PAC ID: 1951798172 Enrollment ID: I20220418001880 |
| Provider Name | Omar Osman |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1841678653 PECOS PAC ID: 5193018257 Enrollment ID: I20230127000253 |
| Provider Name | Justyna Wozniak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801557756 PECOS PAC ID: 8921490541 Enrollment ID: I20231109000091 |
| Provider Name | Gina C Krementz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225813850 PECOS PAC ID: 7113378498 Enrollment ID: I20240111000646 |
| Provider Name | Faye Colon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558137331 PECOS PAC ID: 4284087164 Enrollment ID: I20240126001935 |
| Provider Name | Natasha Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194166355 PECOS PAC ID: 2264757277 Enrollment ID: I20240309000619 |
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