Infant Welfare Society Of Chicago | |
3600 W Fullerton Ave, Chicago, IL 60647 | |
(773) 782-2800 | |
(773) 782-5042 |
Full Name | Infant Welfare Society Of Chicago |
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Type | Facility |
Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
Location | 3600 W Fullerton Ave, Chicago, Illinois |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1497872543 | NPI | - | NPPES |
Provider Name | Paola A Portela |
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Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1891917720 PECOS PAC ID: 7517153786 Enrollment ID: I20101130000806 |
Provider Name | Jennifer M Powell |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1124131966 PECOS PAC ID: 9931345832 Enrollment ID: I20130419000372 |
Provider Name | Luis L Rivera |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1619396371 PECOS PAC ID: 6901187996 Enrollment ID: I20170105002316 |
Provider Name | Maria Isabel Angulo |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1659647865 PECOS PAC ID: 0840590196 Enrollment ID: I20170106001196 |
Provider Name | Azalea Vicenteno |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1386187912 PECOS PAC ID: 3072897586 Enrollment ID: I20170301001119 |
Provider Name | Jessica Espinosa |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1063930907 PECOS PAC ID: 2769723931 Enrollment ID: I20190416002894 |
Provider Name | Daniel Ceballos |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1659449767 PECOS PAC ID: 9436490612 Enrollment ID: I20190417000372 |
Provider Name | Jennifer Julia Stagl Morrison |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1649572934 PECOS PAC ID: 8426399619 Enrollment ID: I20190417000463 |
Provider Name | Xiomara Nieto |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1619476116 PECOS PAC ID: 6507107794 Enrollment ID: I20190417000547 |
Provider Name | Karen Callan |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1447681259 PECOS PAC ID: 1254672447 Enrollment ID: I20190417000865 |
Provider Name | Sandra Frank |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1003942723 PECOS PAC ID: 9436491461 Enrollment ID: I20190423002319 |
Provider Name | Elba-julie Quinones |
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Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1073615563 PECOS PAC ID: 0345582102 Enrollment ID: I20190425002519 |
Provider Name | Laura Cabrales |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1366848400 PECOS PAC ID: 4284976002 Enrollment ID: I20190426002032 |
Provider Name | Joann Reyes |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1255970141 PECOS PAC ID: 9638507270 Enrollment ID: I20200316000066 |
Provider Name | Susely Guevara |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1962049452 PECOS PAC ID: 3779997556 Enrollment ID: I20210208001000 |
Provider Name | Tara Chongsuwat Ioffe |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1780175612 PECOS PAC ID: 3274884572 Enrollment ID: I20210831002724 |
Provider Name | Banesa Chavez |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1780297457 PECOS PAC ID: 0648661900 Enrollment ID: I20211221000086 |
Provider Name | Emeline Ramos |
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Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1184912891 PECOS PAC ID: 9537438486 Enrollment ID: I20230321001201 |
Provider Name | Mariel Dayana Miagusko |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1962184507 PECOS PAC ID: 5698219285 Enrollment ID: I20240708001597 |
Provider Name | Maria Fox |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1528740958 PECOS PAC ID: 7618412206 Enrollment ID: I20240708001898 |
Mailing Address | Practice Location Address |
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Infant Welfare Society Of Chicago 3600 W Fullerton Ave, Chicago, IL 60647 Ph: (773) 782-2800 | Infant Welfare Society Of Chicago 3600 W Fullerton Ave, Chicago, IL 60647 Ph: (773) 782-2800 |