| Advocate Medical Group (dreyer) | |
|
2285 Sequoia Dr Aurora IL 60506-6209 | |
| (630) 859-6700 | |
| Not Available |
| Full Name | Advocate Medical Group (dreyer) |
|---|---|
| Speciality | Clinic/Center |
| Location | 2285 Sequoia Dr, Aurora, Illinois |
| Authorized Official Name and Position | Nan Nelson (EVP FINANCIAL OPS) |
| Authorized Official Contact | 4142991610 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Advocate Medical Group (dreyer) 8550 W Bryn Mawr Ave Ste 800 Chicago IL 60631-3200 Ph: (847) 390-5900 | Advocate Medical Group (dreyer) 2285 Sequoia Dr Aurora IL 60506-6209 Ph: (630) 859-6700 |
| NPI Number | 1003542184 |
|---|---|
| Provider Enumeration Date | 07/29/2022 |
| Last Update Date | 02/09/2024 |
| Medicare PECOS PAC ID | 7810800935 |
|---|---|
| Medicare Enrollment ID | O20220930002728 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003542184 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | Stephen M Neuberger |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1447268362 PECOS PAC ID: 7911804380 Enrollment ID: I20031215000419 |
| Provider Name | Mark Coulter Rafferty |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1912913047 PECOS PAC ID: 5890692610 Enrollment ID: I20031218000298 |
| Provider Name | Jill H Austin |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1730164047 PECOS PAC ID: 0648171694 Enrollment ID: I20040114000332 |
| Provider Name | Richard Hunter Bone |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1407887938 PECOS PAC ID: 2365343704 Enrollment ID: I20040119000029 |
| Provider Name | Tehmina A Bajwa |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922083476 PECOS PAC ID: 9335040799 Enrollment ID: I20040119000113 |
| Provider Name | Marie E Garcia |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1225133242 PECOS PAC ID: 9436051919 Enrollment ID: I20040124000026 |
| Provider Name | Bonnie J Meyer |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1386740728 PECOS PAC ID: 5092617589 Enrollment ID: I20040124000055 |
| Provider Name | Katherine M Snyder |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1174531552 PECOS PAC ID: 0244123909 Enrollment ID: I20040205000885 |
| Provider Name | Lawrence Alberti |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1720015431 PECOS PAC ID: 8628965225 Enrollment ID: I20040228000464 |
| Provider Name | Tina L Williams |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1780789735 PECOS PAC ID: 4284522939 Enrollment ID: I20040305000421 |
| Provider Name | Carolyn N Mills |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1548354731 PECOS PAC ID: 8426948639 Enrollment ID: I20040319000074 |
| Provider Name | Jeffrey Rosen |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1073570271 PECOS PAC ID: 8729985262 Enrollment ID: I20040323001426 |
| Provider Name | Dave Yu Chua |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1508807280 PECOS PAC ID: 7618869249 Enrollment ID: I20040327000103 |
| Provider Name | Matthew Paul Evans |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1144246828 PECOS PAC ID: 4183516644 Enrollment ID: I20040329000623 |
| Provider Name | Michael R Dantzer |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1124044474 PECOS PAC ID: 8123010550 Enrollment ID: I20040402000997 |
| Provider Name | James Lee |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1598767295 PECOS PAC ID: 0143216622 Enrollment ID: I20040421000756 |
| Provider Name | Linda Diane Benton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881675023 PECOS PAC ID: 4688660905 Enrollment ID: I20040422000655 |
| Provider Name | Titus Chang |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1316988850 PECOS PAC ID: 9335137702 Enrollment ID: I20040504001022 |
| Provider Name | Brian T Hubbard |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447284476 PECOS PAC ID: 2668463464 Enrollment ID: I20040520000797 |
| Provider Name | Brent T Fonner |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1477555308 PECOS PAC ID: 0244221083 Enrollment ID: I20040520001087 |
| Provider Name | James Studlo |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1407857105 PECOS PAC ID: 2668454869 Enrollment ID: I20040602000839 |
| Provider Name | Michelle K Venhuizen |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1851493654 PECOS PAC ID: 2860472057 Enrollment ID: I20040720000890 |
| Provider Name | Joseph A Kmiecik |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1942317839 PECOS PAC ID: 7315927548 Enrollment ID: I20040720001203 |
| Provider Name | Douglas G Dorman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891711958 PECOS PAC ID: 9931189412 Enrollment ID: I20040723001114 |
| Provider Name | Lisa Groskopf |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1295753689 PECOS PAC ID: 2264402718 Enrollment ID: I20040730000515 |
| Provider Name | Mark E Peterson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114030384 PECOS PAC ID: 4981676251 Enrollment ID: I20040807000102 |
| Provider Name | Sharon C Ollee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013076504 PECOS PAC ID: 4284607904 Enrollment ID: I20040819000355 |
| Provider Name | Raja Chatterji |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1245246065 PECOS PAC ID: 8628042207 Enrollment ID: I20040825000839 |
| Provider Name | Aruna Galla Pagadala |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033310024 PECOS PAC ID: 3375519903 Enrollment ID: I20040907000078 |
| Provider Name | Saba B Khan |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1548289994 PECOS PAC ID: 8527036102 Enrollment ID: I20040921001115 |
| Provider Name | Karen L Rittgarn |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1861584872 PECOS PAC ID: 9032187497 Enrollment ID: I20040923000022 |
| Provider Name | John R Tauscher |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1902894231 PECOS PAC ID: 0345203170 Enrollment ID: I20041111000635 |
| Provider Name | Helen M Kellett |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1659373587 PECOS PAC ID: 1254394000 Enrollment ID: I20041111000762 |
| Provider Name | Kumar B Raigaga |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1285713669 PECOS PAC ID: 7214990076 Enrollment ID: I20041111000883 |
| Provider Name | Keith E Weiler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184733321 PECOS PAC ID: 9830148477 Enrollment ID: I20050120000665 |
| Provider Name | Alyson R Entwhistle |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1306938972 PECOS PAC ID: 2062463227 Enrollment ID: I20050204000131 |
| Provider Name | Richard P Kelly |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831118264 PECOS PAC ID: 5799736823 Enrollment ID: I20050207000542 |
| Provider Name | Michael Collins |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366467680 PECOS PAC ID: 3577514306 Enrollment ID: I20050209000193 |
| Provider Name | Mark J Bowman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194750075 PECOS PAC ID: 7911958756 Enrollment ID: I20050209000228 |
| Provider Name | Bharti K Patel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902819139 PECOS PAC ID: 7113978842 Enrollment ID: I20050209001029 |
| Provider Name | William J Obrien |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1831101955 PECOS PAC ID: 3375596661 Enrollment ID: I20050228000040 |
| Provider Name | Prasun K Das |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295768778 PECOS PAC ID: 0244132702 Enrollment ID: I20050308000472 |
| Provider Name | Judith L Prena |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1477592947 PECOS PAC ID: 6406894963 Enrollment ID: I20050425000571 |
| Provider Name | Sandy M Kwak |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1033148291 PECOS PAC ID: 4587607536 Enrollment ID: I20050609000993 |
| Provider Name | Arnold M Herskovic |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1538185095 PECOS PAC ID: 5496734691 Enrollment ID: I20050624000279 |
| Provider Name | Roman Dreyer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376576793 PECOS PAC ID: 5799720272 Enrollment ID: I20050624000541 |
| Provider Name | Leonid Raskin |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1558471748 PECOS PAC ID: 9931138062 Enrollment ID: I20050809001050 |
| Provider Name | Jignasa Puri |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447283908 PECOS PAC ID: 0941230676 Enrollment ID: I20050812000756 |
| Provider Name | Jyoti S Kalra |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1619079670 PECOS PAC ID: 6305877176 Enrollment ID: I20050822001399 |
| Provider Name | Sunil K Malkani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538153655 PECOS PAC ID: 9032143052 Enrollment ID: I20050920000617 |
| Provider Name | Kimberly N Allen |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1487695011 PECOS PAC ID: 5193742559 Enrollment ID: I20051026000177 |
| Provider Name | Sarah Jane Ryerson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1659358729 PECOS PAC ID: 1951329143 Enrollment ID: I20051107000208 |
| Provider Name | Ibrahim Awad Taha |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1487763678 PECOS PAC ID: 5395764799 Enrollment ID: I20051115000633 |
| Provider Name | Jude R Duval |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1235171877 PECOS PAC ID: 0345269700 Enrollment ID: I20051116000060 |
| Provider Name | Jamil Jacobs-el |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1912931932 PECOS PAC ID: 6103847165 Enrollment ID: I20051219000210 |
| Provider Name | Alan Jacobson |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1770501900 PECOS PAC ID: 5496784209 Enrollment ID: I20051227000253 |
| Provider Name | Noel Christian Taylor |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1740256353 PECOS PAC ID: 3476568254 Enrollment ID: I20060215000500 |
| Provider Name | Edward Mark Newman |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1053304741 PECOS PAC ID: 8224048871 Enrollment ID: I20060427000280 |
| Provider Name | Mohammed A Raheem |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1750394805 PECOS PAC ID: 7315956398 Enrollment ID: I20060501000704 |
| Provider Name | Kristin M Keller |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1740385368 PECOS PAC ID: 3476563743 Enrollment ID: I20060501000720 |
| Provider Name | Ted J Kulczycki |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558311738 PECOS PAC ID: 8628080165 Enrollment ID: I20060626000243 |
| Provider Name | Shilpa S Dave |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881624245 PECOS PAC ID: 6204849953 Enrollment ID: I20060724000260 |
| Provider Name | Karen N Burgner |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598785792 PECOS PAC ID: 1254334402 Enrollment ID: I20060809000158 |
| Provider Name | Atif Fakhruddin |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1952349516 PECOS PAC ID: 0941204234 Enrollment ID: I20060829000033 |
| Provider Name | Natalie K Roche |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1710906235 PECOS PAC ID: 7315941572 Enrollment ID: I20060831000347 |
| Provider Name | Aparna Vootkur |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1477593325 PECOS PAC ID: 1052315009 Enrollment ID: I20060905000297 |
| Provider Name | Amar Bansal |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1710929716 PECOS PAC ID: 6608870464 Enrollment ID: I20060908000424 |
| Provider Name | Mirela Galatanu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568497691 PECOS PAC ID: 8628073731 Enrollment ID: I20060925000161 |
| Provider Name | Basil S Hernandez |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1144327602 PECOS PAC ID: 0840297875 Enrollment ID: I20061103000286 |
| Provider Name | Mona H Waheed |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063510659 PECOS PAC ID: 6800873019 Enrollment ID: I20061207000019 |
| Provider Name | Rupesh I Patel |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1568557692 PECOS PAC ID: 9537168919 Enrollment ID: I20061212000630 |
| Provider Name | Mary K Formea |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1558467613 PECOS PAC ID: 1850358318 Enrollment ID: I20061215000339 |
| Provider Name | Robert G Ireland |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235154337 PECOS PAC ID: 1254330343 Enrollment ID: I20061219000463 |
| Provider Name | Tarek Karaman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104846674 PECOS PAC ID: 6406855469 Enrollment ID: I20061220000457 |
| Provider Name | Suveer B Tatineni |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1275579401 PECOS PAC ID: 3577563659 Enrollment ID: I20070115000220 |
| Provider Name | Ryan H Engel |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1740336718 PECOS PAC ID: 3870698400 Enrollment ID: I20070410000488 |
| Provider Name | Neena Samra Szuch |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1992842116 PECOS PAC ID: 4789642174 Enrollment ID: I20070517000487 |
| Provider Name | Christina L Willis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942241492 PECOS PAC ID: 7810992633 Enrollment ID: I20070713000095 |
| Provider Name | Bina I Mirza |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1437158334 PECOS PAC ID: 3173550142 Enrollment ID: I20070713000125 |
| Provider Name | Farah K Hussain |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1417076449 PECOS PAC ID: 5294836615 Enrollment ID: I20070728000172 |
| Provider Name | Jerry G Morton |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1760603930 PECOS PAC ID: 8325139967 Enrollment ID: I20070810000284 |
| Provider Name | Andrea A Silver |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1861436453 PECOS PAC ID: 7810990314 Enrollment ID: I20070816000426 |
| Provider Name | Siddharth Arvind Kakodkar |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1548306533 PECOS PAC ID: 3870689516 Enrollment ID: I20071011000249 |
| Provider Name | Richard William Puls |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407818230 PECOS PAC ID: 3779670914 Enrollment ID: I20071105000053 |
| Provider Name | Katherine Kouvelis |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1861493165 PECOS PAC ID: 2163479544 Enrollment ID: I20071106000355 |
| Provider Name | Kabir Julka |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1548473143 PECOS PAC ID: 9436247350 Enrollment ID: I20071109000611 |
| Provider Name | Rachel Bohringer |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1285828301 PECOS PAC ID: 2668560939 Enrollment ID: I20071120000401 |
| Provider Name | Kristen M Cosgrovecounts |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255393732 PECOS PAC ID: 4183727027 Enrollment ID: I20071203000248 |
| Provider Name | Balakrishna Sundar |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1841217551 PECOS PAC ID: 0648182295 Enrollment ID: I20080303000180 |
| Provider Name | Maria T Arzadon Mercado |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356448872 PECOS PAC ID: 2264517960 Enrollment ID: I20080305000254 |
| Provider Name | Stephanie R Beetham |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1336313352 PECOS PAC ID: 5092884148 Enrollment ID: I20080515000626 |
| Provider Name | Ali A Valika |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1760696314 PECOS PAC ID: 8022910678 Enrollment ID: I20080630000590 |
| Provider Name | Priyadarshini Verma |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1053443895 PECOS PAC ID: 7113015009 Enrollment ID: I20080729000316 |
| Provider Name | Karen J Chorvat |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1245402932 PECOS PAC ID: 0840364238 Enrollment ID: I20080802000037 |
| Provider Name | Alexis P Dunne |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336324367 PECOS PAC ID: 5294801221 Enrollment ID: I20080827000493 |
| Provider Name | Janel E Glover |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588650451 PECOS PAC ID: 1153497888 Enrollment ID: I20080904000213 |
| Provider Name | Aman Sethi |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1447446349 PECOS PAC ID: 2860560877 Enrollment ID: I20081003000589 |
| Provider Name | Irum Shahab |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1811165962 PECOS PAC ID: 2961570452 Enrollment ID: I20081010000389 |
| Provider Name | Kiranjit K Deol |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841486198 PECOS PAC ID: 4981764362 Enrollment ID: I20081114000271 |
| Provider Name | Michael R Nuyles |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1003055179 PECOS PAC ID: 8628125168 Enrollment ID: I20090420000552 |
| Provider Name | Richard L Kersch |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1487689600 PECOS PAC ID: 8729136213 Enrollment ID: I20090512000200 |
| Provider Name | Michael J Sherrow |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1528221579 PECOS PAC ID: 0840341509 Enrollment ID: I20090619000521 |
| Provider Name | Reyna M Trevino |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1669551115 PECOS PAC ID: 0446301337 Enrollment ID: I20090707000180 |
| Provider Name | Bonnie J Vastola Lewan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558529909 PECOS PAC ID: 1850445065 Enrollment ID: I20090821000189 |
| Provider Name | Guy Steinberg |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1366545360 PECOS PAC ID: 3173606084 Enrollment ID: I20090917000025 |
| Provider Name | Allen Tewfik Mikhail |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1710152343 PECOS PAC ID: 3476611492 Enrollment ID: I20090925000318 |
| Provider Name | Erin A Sinnaeve |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649432287 PECOS PAC ID: 8729151329 Enrollment ID: I20091006000152 |
| Provider Name | Karen M Lee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417022351 PECOS PAC ID: 8527105709 Enrollment ID: I20091020000540 |
| Provider Name | Deanna J Wyatt |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1679703946 PECOS PAC ID: 4587705249 Enrollment ID: I20100104000482 |
| Provider Name | Kristin D Davis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457441537 PECOS PAC ID: 3678616638 Enrollment ID: I20100130000120 |
| Provider Name | Rachna Arora |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1114187200 PECOS PAC ID: 1355485541 Enrollment ID: I20100226000061 |
| Provider Name | Paula C Gewarges |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1699713347 PECOS PAC ID: 7911035100 Enrollment ID: I20100508000113 |
| Provider Name | Brian D Oostman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316950496 PECOS PAC ID: 7810027042 Enrollment ID: I20100614000683 |
| Provider Name | Imelda Huerta-galvez |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1811001100 PECOS PAC ID: 5799815858 Enrollment ID: I20100616000415 |
| Provider Name | William M Zander |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1518038488 PECOS PAC ID: 6800926791 Enrollment ID: I20100621000453 |
| Provider Name | Misty M Otte |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1144325770 PECOS PAC ID: 7517098916 Enrollment ID: I20100629000586 |
| Provider Name | John W Karesh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932127917 PECOS PAC ID: 1850415357 Enrollment ID: I20100907000508 |
| Provider Name | Catherine M Dudley |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1912923095 PECOS PAC ID: 5890819296 Enrollment ID: I20100907000597 |
| Provider Name | Guoshi C Zhang |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1528164829 PECOS PAC ID: 9335263755 Enrollment ID: I20100907000863 |
| Provider Name | Ernesto A Godoy Romero |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1124051198 PECOS PAC ID: 0941324362 Enrollment ID: I20100907000898 |
| Provider Name | John L Chu |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1548285844 PECOS PAC ID: 8022132448 Enrollment ID: I20100907000909 |
| Provider Name | William P Dagiantis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972511822 PECOS PAC ID: 7012031438 Enrollment ID: I20100907000918 |
| Provider Name | Huma Abbas |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1609039163 PECOS PAC ID: 5092830745 Enrollment ID: I20100917000554 |
| Provider Name | Reena R Shah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972597524 PECOS PAC ID: 9931297215 Enrollment ID: I20100917000736 |
| Provider Name | Nancy E Whereatt |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1003829169 PECOS PAC ID: 4082806542 Enrollment ID: I20101004000354 |
| Provider Name | Ryan P Holehan |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1316266810 PECOS PAC ID: 9133312499 Enrollment ID: I20101019000582 |
| Provider Name | Nisha C Kakodkar |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1902001118 PECOS PAC ID: 3779778501 Enrollment ID: I20101105001257 |
| Provider Name | Jennifer K Yin |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1528224169 PECOS PAC ID: 3274728712 Enrollment ID: I20101110000978 |
| Provider Name | Sandeep S Jejurikar |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1871632018 PECOS PAC ID: 2365638087 Enrollment ID: I20101119001218 |
| Provider Name | Dipti M Patel |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1639385651 PECOS PAC ID: 3870789985 Enrollment ID: I20101130001350 |
| Provider Name | Ann M Iglesias |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700983228 PECOS PAC ID: 0547457897 Enrollment ID: I20101213000325 |
| Provider Name | Sandra L Harris |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1861410268 PECOS PAC ID: 6800084559 Enrollment ID: I20101221001012 |
| Provider Name | Roy F Houlahan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720011752 PECOS PAC ID: 9739377425 Enrollment ID: I20101222000235 |
| Provider Name | Navinchandra J Dodhia |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1740213149 PECOS PAC ID: 3072425941 Enrollment ID: I20101222000298 |
| Provider Name | Keith E Benziger |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1073543112 PECOS PAC ID: 0749478303 Enrollment ID: I20101223000145 |
| Provider Name | Fatema M Photowala |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1669674610 PECOS PAC ID: 8527257732 Enrollment ID: I20110104000524 |
| Provider Name | Dominic K Leung |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144230335 PECOS PAC ID: 8820287097 Enrollment ID: I20110104001235 |
| Provider Name | Nicolle Unger |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1710083951 PECOS PAC ID: 5890984306 Enrollment ID: I20110114000463 |
| Provider Name | Jennifer R Crane |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689699902 PECOS PAC ID: 4688863061 Enrollment ID: I20110117000223 |
| Provider Name | Daniel R Piazza |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1629029020 PECOS PAC ID: 1557451010 Enrollment ID: I20110124000693 |
| Provider Name | Edward J Heinisch |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1558394569 PECOS PAC ID: 9234318098 Enrollment ID: I20110125001127 |
| Provider Name | Sonia Sharma |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1194981563 PECOS PAC ID: 0446439970 Enrollment ID: I20110128000815 |
| Provider Name | Audie Veloria |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1396050993 PECOS PAC ID: 3577742956 Enrollment ID: I20110201000596 |
| Provider Name | Ashwin Kumar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457517005 PECOS PAC ID: 2769663343 Enrollment ID: I20110302000586 |
| Provider Name | Jeffrey J Sroka |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1316962012 PECOS PAC ID: 8022290360 Enrollment ID: I20110308000932 |
| Provider Name | Bruce G Gershenhorn |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1588796478 PECOS PAC ID: 5294835443 Enrollment ID: I20110428000406 |
| Provider Name | Joanna Katsigiannis |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1710283866 PECOS PAC ID: 3173709045 Enrollment ID: I20110511000442 |
| Provider Name | Michael J Hutchinson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1376707513 PECOS PAC ID: 1052590619 Enrollment ID: I20110713000632 |
| Provider Name | Parag G Merai |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1992905335 PECOS PAC ID: 9931378734 Enrollment ID: I20110812000105 |
| Provider Name | Tanya K Bulj |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1316144892 PECOS PAC ID: 2567631286 Enrollment ID: I20110812000526 |
| Provider Name | Diana C Bottari |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1477797041 PECOS PAC ID: 9234300930 Enrollment ID: I20110928000484 |
| Provider Name | Jayasri Dasar Raju |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679748552 PECOS PAC ID: 5395918114 Enrollment ID: I20111024000104 |
| Provider Name | Carli T Spanik |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740446392 PECOS PAC ID: 5092989681 Enrollment ID: I20111116000611 |
| Provider Name | Jordan W Case |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1023302858 PECOS PAC ID: 2466619630 Enrollment ID: I20120131000868 |
| Provider Name | Julianna E Eshbach |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1093731770 PECOS PAC ID: 5597922583 Enrollment ID: I20120202000403 |
| Provider Name | Joseph J Coda |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1669759981 PECOS PAC ID: 9032379821 Enrollment ID: I20120402000668 |
| Provider Name | Ramesh Chillal Kashinath |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1245548130 PECOS PAC ID: 9032371950 Enrollment ID: I20120510000021 |
| Provider Name | Jeffrey R Schiltz |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1528116050 PECOS PAC ID: 9436312964 Enrollment ID: I20120521000631 |
| Provider Name | Stephanie R Parks |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1194012872 PECOS PAC ID: 5890959704 Enrollment ID: I20120605000531 |
| Provider Name | Anisha R Shetty |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1629247465 PECOS PAC ID: 5496901951 Enrollment ID: I20120816000101 |
| Provider Name | Shelley A Benson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346515715 PECOS PAC ID: 0941458798 Enrollment ID: I20120919000777 |
| Provider Name | Brendan M Thomas |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1497989644 PECOS PAC ID: 8628228004 Enrollment ID: I20121019000405 |
| Provider Name | Ankush Goel |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1821315961 PECOS PAC ID: 1153571534 Enrollment ID: I20121019000429 |
| Provider Name | Igor Kosciuch |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1306093380 PECOS PAC ID: 3577714237 Enrollment ID: I20121107000054 |
| Provider Name | Cassandra L Peterson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1114289428 PECOS PAC ID: 5597916023 Enrollment ID: I20121109000629 |
| Provider Name | Randi Lynn Luxmore |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1710235205 PECOS PAC ID: 0446401491 Enrollment ID: I20121121000419 |
| Provider Name | Tabatha E Greene |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1144554510 PECOS PAC ID: 2567615081 Enrollment ID: I20130114000166 |
| Provider Name | Jessica L Helon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841527538 PECOS PAC ID: 5799826327 Enrollment ID: I20130118000424 |
| Provider Name | Bryan G Navaleza |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1467700229 PECOS PAC ID: 0749435451 Enrollment ID: I20130304000250 |
| Provider Name | Wendy M Bingham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871830083 PECOS PAC ID: 7810136108 Enrollment ID: I20130618000131 |
| Provider Name | Prameela Chunduru |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619285905 PECOS PAC ID: 9537309182 Enrollment ID: I20130703000148 |
| Provider Name | Richard H. Hsu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679521827 PECOS PAC ID: 9335331974 Enrollment ID: I20130711000472 |
| Provider Name | Naveen Divakaruni |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1386801751 PECOS PAC ID: 7416199864 Enrollment ID: I20130814000317 |
| Provider Name | Eleanor T Ross |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1801054549 PECOS PAC ID: 7719112143 Enrollment ID: I20131021000582 |
| Provider Name | Kelly M Byrnes |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1225462955 PECOS PAC ID: 3476788811 Enrollment ID: I20131021000832 |
| Provider Name | Catherine Wilmington |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1891120473 PECOS PAC ID: 7618102062 Enrollment ID: I20131021001331 |
| Provider Name | Luke Jacobson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1255765913 PECOS PAC ID: 9032344205 Enrollment ID: I20131023001505 |
| Provider Name | Jaskiran K Cheema |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1275795932 PECOS PAC ID: 0345475323 Enrollment ID: I20131029000390 |
| Provider Name | Sarah E Smith |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1275796260 PECOS PAC ID: 4486889102 Enrollment ID: I20131104001487 |
| Provider Name | Shelly M Sinatra |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467666453 PECOS PAC ID: 8325273980 Enrollment ID: I20131107000256 |
| Provider Name | Maria Holgado Cocjin |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1164407508 PECOS PAC ID: 4082840913 Enrollment ID: I20131122000838 |
| Provider Name | Heather Erdman |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1598199168 PECOS PAC ID: 3476789199 Enrollment ID: I20131202000232 |
| Provider Name | James R Meier |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104191253 PECOS PAC ID: 1759518095 Enrollment ID: I20131212001320 |
| Provider Name | Peter T Rasmussen |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1194150763 PECOS PAC ID: 7517196710 Enrollment ID: I20140211001119 |
| Provider Name | Lauren E Saujani |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255752549 PECOS PAC ID: 6901035005 Enrollment ID: I20140213001022 |
| Provider Name | Ann E Hackfort |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1538470398 PECOS PAC ID: 6608008552 Enrollment ID: I20140408002216 |
| Provider Name | Vincent Botta |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992121156 PECOS PAC ID: 3779716535 Enrollment ID: I20140501000058 |
| Provider Name | Reggie M Augusthy |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1760579361 PECOS PAC ID: 9537254693 Enrollment ID: I20140514001938 |
| Provider Name | Amelia Hub |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437566692 PECOS PAC ID: 7911126552 Enrollment ID: I20140915001104 |
| Provider Name | Kelly Lynn Holben |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972925097 PECOS PAC ID: 0840410502 Enrollment ID: I20140930002310 |
| Provider Name | Bryan Steve Oconnor |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1376944090 PECOS PAC ID: 5991925398 Enrollment ID: I20141007002167 |
| Provider Name | Adam J Mallinger |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1154620300 PECOS PAC ID: 2466672605 Enrollment ID: I20141009002216 |
| Provider Name | Corlyne S Mulder |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1124254602 PECOS PAC ID: 7719108877 Enrollment ID: I20141015001143 |
| Provider Name | Benjamin Mathew |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1477781466 PECOS PAC ID: 2466506555 Enrollment ID: I20141015001346 |
| Provider Name | Christian Lee Hollis |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1235532409 PECOS PAC ID: 3274754965 Enrollment ID: I20141022000371 |
| Provider Name | Amanda K Corum |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1023309093 PECOS PAC ID: 0143454306 Enrollment ID: I20141028001257 |
| Provider Name | Ying R Zhang |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1518196377 PECOS PAC ID: 4880815141 Enrollment ID: I20141030000567 |
| Provider Name | Anita C Manogura |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1124176987 PECOS PAC ID: 3476653676 Enrollment ID: I20141103000038 |
| Provider Name | Raed Fuad Abusuwwa |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1861701351 PECOS PAC ID: 1153644257 Enrollment ID: I20141222001196 |
| Provider Name | Kurt B Heist |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1316345317 PECOS PAC ID: 6901123603 Enrollment ID: I20150317001914 |
| Provider Name | Heidi A Solache |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053719989 PECOS PAC ID: 8426375775 Enrollment ID: I20150325000720 |
| Provider Name | Marc P Hilgers |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1548300395 PECOS PAC ID: 6305935347 Enrollment ID: I20150417001334 |
| Provider Name | Rebecca J Mortland |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1164850905 PECOS PAC ID: 5799004917 Enrollment ID: I20150508001741 |
| Provider Name | Socrates A Brito |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1962639609 PECOS PAC ID: 6305159245 Enrollment ID: I20150721001291 |
| Provider Name | Annaliese M Boot |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1770970857 PECOS PAC ID: 8628382868 Enrollment ID: I20150803000391 |
| Provider Name | Kristyn S Funasaki-fiene |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1952533028 PECOS PAC ID: 7113231283 Enrollment ID: I20150803001584 |
| Provider Name | Nashira A Sey |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1831498377 PECOS PAC ID: 5395059133 Enrollment ID: I20150806011648 |
| Provider Name | Ravi K Prakash |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1053575399 PECOS PAC ID: 1850545823 Enrollment ID: I20150812006487 |
| Provider Name | Li Shien Low |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1760643373 PECOS PAC ID: 3678883006 Enrollment ID: I20151113001804 |
| Provider Name | Melissa M New |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700118874 PECOS PAC ID: 3971632779 Enrollment ID: I20151208002198 |
| Provider Name | Ayeza Mohsin |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1619235264 PECOS PAC ID: 4385948942 Enrollment ID: I20160202002746 |
| Provider Name | Danielle Marie Valentino |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144694639 PECOS PAC ID: 4587969514 Enrollment ID: I20160229001708 |
| Provider Name | Rachel Jenkins |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316304587 PECOS PAC ID: 3971800970 Enrollment ID: I20160317002026 |
| Provider Name | Muhammad Adnan Habib |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144362773 PECOS PAC ID: 9537244579 Enrollment ID: I20160324002032 |
| Provider Name | Matthew R Johnson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1952757882 PECOS PAC ID: 7719276385 Enrollment ID: I20160520001314 |
| Provider Name | Rebekah L Pershing |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1114213675 PECOS PAC ID: 1153596770 Enrollment ID: I20160523001336 |
| Provider Name | Moon-woo Nam |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1154524973 PECOS PAC ID: 9830276872 Enrollment ID: I20160527001605 |
| Provider Name | Adam Joseph Sanchez |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1023365681 PECOS PAC ID: 8224330006 Enrollment ID: I20160614001461 |
| Provider Name | Seth J Alper |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1689993768 PECOS PAC ID: 4880985357 Enrollment ID: I20160614001819 |
| Provider Name | Michael A Paul |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1093998874 PECOS PAC ID: 7517258379 Enrollment ID: I20160624001978 |
| Provider Name | Joshua H Wong |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1831493816 PECOS PAC ID: 1759698590 Enrollment ID: I20160628000519 |
| Provider Name | Riddhi Shah |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1538401849 PECOS PAC ID: 1254636442 Enrollment ID: I20160706000636 |
| Provider Name | Agnes Kathy Stoch |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497192983 PECOS PAC ID: 8224256318 Enrollment ID: I20160831000417 |
| Provider Name | Kathleen Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427404516 PECOS PAC ID: 1254627730 Enrollment ID: I20160909000242 |
| Provider Name | Mihir Shah |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1972730893 PECOS PAC ID: 6709105018 Enrollment ID: I20160923000456 |
| Provider Name | Bryan R Gaynor |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1942543558 PECOS PAC ID: 7911208244 Enrollment ID: I20160928000136 |
| Provider Name | Margaret S Figgins |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1508314378 PECOS PAC ID: 3274820576 Enrollment ID: I20160930001067 |
| Provider Name | Addie Alkhas |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1649242736 PECOS PAC ID: 7012216781 Enrollment ID: I20160930001512 |
| Provider Name | Jurate Kunickaite |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013320100 PECOS PAC ID: 2264650225 Enrollment ID: I20161128002400 |
| Provider Name | Suwan Mehra |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1396948659 PECOS PAC ID: 6608056189 Enrollment ID: I20161205001818 |
| Provider Name | Asif Hussain |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760680912 PECOS PAC ID: 5092881706 Enrollment ID: I20161228001237 |
| Provider Name | Amber A Qureshi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1285975680 PECOS PAC ID: 2264714070 Enrollment ID: I20170131000004 |
| Provider Name | Raman P Singh |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1205033156 PECOS PAC ID: 4981980869 Enrollment ID: I20170406002489 |
| Provider Name | Dhanya Sunil |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669880951 PECOS PAC ID: 7315167939 Enrollment ID: I20170511001721 |
| Provider Name | Ronald Scott Sokovich |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1396796074 PECOS PAC ID: 3870552250 Enrollment ID: I20170629001485 |
| Provider Name | Maribel Serrato |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1447564000 PECOS PAC ID: 2961771068 Enrollment ID: I20170705002955 |
| Provider Name | Rohan H Shah |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811314792 PECOS PAC ID: 3971729229 Enrollment ID: I20170720003096 |
| Provider Name | Humera F Baig |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1356639942 PECOS PAC ID: 0941593461 Enrollment ID: I20170823002310 |
| Provider Name | Samuel J Ligon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003342296 PECOS PAC ID: 6901178094 Enrollment ID: I20170824001608 |
| Provider Name | David Allan Sarcu |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1467740217 PECOS PAC ID: 7416220785 Enrollment ID: I20170907003419 |
| Provider Name | Michael Ross |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366855454 PECOS PAC ID: 8426276627 Enrollment ID: I20170922000036 |
| Provider Name | Ellen J Butz |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1497285506 PECOS PAC ID: 2365717311 Enrollment ID: I20171002002308 |
| Provider Name | Rahul Sharma |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1083979124 PECOS PAC ID: 9133350697 Enrollment ID: I20171023002036 |
| Provider Name | Juraj Zahatnansky |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1588001754 PECOS PAC ID: 1658502083 Enrollment ID: I20171201001936 |
| Provider Name | Adam Estrada |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083126619 PECOS PAC ID: 6305103029 Enrollment ID: I20171205000021 |
| Provider Name | Spencer Saline Kirk |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1265847941 PECOS PAC ID: 1658637574 Enrollment ID: I20171228001935 |
| Provider Name | Kelly Ryan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386156917 PECOS PAC ID: 0143581926 Enrollment ID: I20180220000765 |
| Provider Name | Firas Ramahi |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1205102019 PECOS PAC ID: 0345510509 Enrollment ID: I20180626000989 |
| Provider Name | Melisa Lott |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1760770671 PECOS PAC ID: 3678877180 Enrollment ID: I20180709000200 |
| Provider Name | Ravi M Sheth |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1114364106 PECOS PAC ID: 8527359751 Enrollment ID: I20180717000519 |
| Provider Name | Michael P Wemhoff |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1083906838 PECOS PAC ID: 3971804493 Enrollment ID: I20180727002797 |
| Provider Name | Owais Malick |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1326337130 PECOS PAC ID: 0143523217 Enrollment ID: I20180730000138 |
| Provider Name | James C Sibbett |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1962849992 PECOS PAC ID: 7315244845 Enrollment ID: I20180809000809 |
| Provider Name | Sylwia Patrycja Smutny |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1922452432 PECOS PAC ID: 7315296571 Enrollment ID: I20180821002258 |
| Provider Name | Mohammed Salman Siddiqui |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1922361773 PECOS PAC ID: 5496986747 Enrollment ID: I20180824002957 |
| Provider Name | Nicholas Bowe |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1689155871 PECOS PAC ID: 5294085965 Enrollment ID: I20180830002757 |
| Provider Name | Michael R Carli |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1053805622 PECOS PAC ID: 4183974769 Enrollment ID: I20180830003398 |
| Provider Name | Rebecca Ann Vannorsdel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144733783 PECOS PAC ID: 9133479611 Enrollment ID: I20180904001768 |
| Provider Name | Nilam B Patel |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1104113091 PECOS PAC ID: 2365672409 Enrollment ID: I20180913002766 |
| Provider Name | Maaria Syed |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1972878080 PECOS PAC ID: 0547569816 Enrollment ID: I20181010002135 |
| Provider Name | Hailey Elaine Sibbett |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1306226246 PECOS PAC ID: 7517260045 Enrollment ID: I20181018001734 |
| Provider Name | Lauren E Bentley |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1477029247 PECOS PAC ID: 7517201353 Enrollment ID: I20181204003500 |
| Provider Name | Andrea M Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992280507 PECOS PAC ID: 1759625551 Enrollment ID: I20181205001909 |
| Provider Name | Catherine Chase |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366830275 PECOS PAC ID: 3072858513 Enrollment ID: I20190102002468 |
| Provider Name | Hamad M Chaudhary |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1679884118 PECOS PAC ID: 0547492720 Enrollment ID: I20190415000095 |
| Provider Name | Oliver Acosta Dela Rosa |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1558920769 PECOS PAC ID: 8426381906 Enrollment ID: I20190617000559 |
| Provider Name | Nishant N Patel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497104335 PECOS PAC ID: 6507139821 Enrollment ID: I20190624000062 |
| Provider Name | Joseph B Gastala |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1801152517 PECOS PAC ID: 6406090448 Enrollment ID: I20190628001332 |
| Provider Name | Safi Mohammed |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1891100889 PECOS PAC ID: 5193044816 Enrollment ID: I20190719001228 |
| Provider Name | Ismail Mert |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1316251796 PECOS PAC ID: 2567687270 Enrollment ID: I20190801001593 |
| Provider Name | Saad Ali Khan |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1629318977 PECOS PAC ID: 8729201884 Enrollment ID: I20190813000244 |
| Provider Name | Priyanka Pitroda |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1366885766 PECOS PAC ID: 6507102191 Enrollment ID: I20190813003303 |
| Provider Name | Senuri Layer |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1982051017 PECOS PAC ID: 7416244371 Enrollment ID: I20190816001325 |
| Provider Name | Nicole L Phelps |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1184086381 PECOS PAC ID: 1658609391 Enrollment ID: I20190820001395 |
| Provider Name | Catherine Chu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043586035 PECOS PAC ID: 1153545298 Enrollment ID: I20190821004556 |
| Provider Name | Sakshi Sahni |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1902251234 PECOS PAC ID: 6608156799 Enrollment ID: I20190912000179 |
| Provider Name | Karyn L Skleney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619310059 PECOS PAC ID: 2062742075 Enrollment ID: I20190917004307 |
| Provider Name | Rudy S Suidan |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1265765812 PECOS PAC ID: 9638456189 Enrollment ID: I20190923000661 |
| Provider Name | Suraj Chandrasekar |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1720321367 PECOS PAC ID: 6901100130 Enrollment ID: I20191231000505 |
| Provider Name | Bradley John Zarling |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1881012383 PECOS PAC ID: 0648572156 Enrollment ID: I20200506002509 |
| Provider Name | Benjamin Kase |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1881896637 PECOS PAC ID: 7012104565 Enrollment ID: I20200522000861 |
| Provider Name | Calla Holmgren |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1194805002 PECOS PAC ID: 8022083385 Enrollment ID: I20200526002432 |
| Provider Name | Janet Nickels |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1205454287 PECOS PAC ID: 7113344748 Enrollment ID: I20200827003213 |
| Provider Name | Tharani Rajeswaran |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1861806440 PECOS PAC ID: 5092085704 Enrollment ID: I20201106000271 |
| Provider Name | Christine Cox |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1154620458 PECOS PAC ID: 8527356880 Enrollment ID: I20201119002423 |
| Provider Name | Jessica Nicole Suchaczewski |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1023619806 PECOS PAC ID: 9133530280 Enrollment ID: I20201123000822 |
| Provider Name | Ellen Sue Hollon |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1598812661 PECOS PAC ID: 8729499686 Enrollment ID: I20201124003028 |
| Provider Name | Megan Rossio |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1972165264 PECOS PAC ID: 6901133420 Enrollment ID: I20210129000624 |
| Provider Name | Lisa Dempsey |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1588254528 PECOS PAC ID: 6103234570 Enrollment ID: I20210423001031 |
| Provider Name | Patrick Lloyd Davis |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1942739396 PECOS PAC ID: 2860896305 Enrollment ID: I20210805003022 |
| Provider Name | Noah G King |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1538663562 PECOS PAC ID: 9739417932 Enrollment ID: I20210805003355 |
| Provider Name | Laurie Toman Polakoff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902577752 PECOS PAC ID: 0143628081 Enrollment ID: I20211007001782 |
| Provider Name | Arshad Khan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154825271 PECOS PAC ID: 9638425010 Enrollment ID: I20211013000987 |
| Provider Name | Ariana J. Galvan |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1184390148 PECOS PAC ID: 2365831351 Enrollment ID: I20211112001124 |
| Provider Name | Nikole Adamczyk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508533290 PECOS PAC ID: 3678965605 Enrollment ID: I20220124002560 |
| Provider Name | Taliya Farooq |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1215339221 PECOS PAC ID: 6901144286 Enrollment ID: I20220125000879 |
| Provider Name | Brooke Manley |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1689327736 PECOS PAC ID: 7618360025 Enrollment ID: I20220208001041 |
| Provider Name | Colleen Marie Costin |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1609339670 PECOS PAC ID: 9133508229 Enrollment ID: I20220621000782 |
| Provider Name | Hashir Kusro Saeed |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1902251929 PECOS PAC ID: 4688966773 Enrollment ID: I20220627002614 |
| Provider Name | Mahmoud K Amarna |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1538321518 PECOS PAC ID: 8022234079 Enrollment ID: I20220811003153 |
| Provider Name | Irene L Israel |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1629431739 PECOS PAC ID: 5991096455 Enrollment ID: I20220927002476 |
| Provider Name | Shahtaj Bhatti |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447817879 PECOS PAC ID: 1658708433 Enrollment ID: I20220930002361 |
| Provider Name | Olivia Zolnik |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1093443541 PECOS PAC ID: 1557738085 Enrollment ID: I20221111002376 |
| Provider Name | Donna Stewart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578275202 PECOS PAC ID: 1557732476 Enrollment ID: I20230131002711 |
| Provider Name | Renee Middleton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720714926 PECOS PAC ID: 3779956818 Enrollment ID: I20230310000981 |
| Provider Name | Michael Agro |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1104516343 PECOS PAC ID: 2466819115 Enrollment ID: I20230612001092 |
| Provider Name | Janaki Patel |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1205251113 PECOS PAC ID: 3577881069 Enrollment ID: I20230713000946 |
| Provider Name | Jayal Mehta |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1770014870 PECOS PAC ID: 2668744038 Enrollment ID: I20230914001704 |
| Provider Name | Megan A Jennings |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1982488847 PECOS PAC ID: 8123472834 Enrollment ID: I20230929000404 |
| Provider Name | Ayesha Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184253544 PECOS PAC ID: 6002262219 Enrollment ID: I20231024003794 |
| Provider Name | Calvin Luu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093372609 PECOS PAC ID: 6507190063 Enrollment ID: I20231031000884 |
| Provider Name | Patricia E Rosenmann |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1710032404 PECOS PAC ID: 9133570633 Enrollment ID: I20240109003370 |
| Provider Name | Melanie Anne Dewey |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1679857577 PECOS PAC ID: 3870945082 Enrollment ID: I20240123002824 |
| Provider Name | Komal Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417585043 PECOS PAC ID: 0446694335 Enrollment ID: I20240219003741 |
| Provider Name | Kandise Rose Marie Mooneyham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962181115 PECOS PAC ID: 3779928221 Enrollment ID: I20240223003640 |
Vna Health Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 49 E Downer Pl, Aurora, IL 60505 Phone: 630-978-2532 Fax: 630-978-2709 | |
Riverwalk Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1300 N Highland Ave, Aurora, IL 60506 Phone: 630-892-7629 | |
A&s Medical Group Limited Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3535 E New York St, Suite 117, Aurora, IL 60504 Phone: 630-862-1999 | |
Vna Health Care Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 500 Tomcat Ln, Aurora, IL 60505 Phone: 630-978-2532 | |
Aunt Martha's Youth Service Center Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1941 Selmarten Rd, Aurora, IL 60505 Phone: 708-754-1044 | |
Vna Health Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 525 College Ave, Aurora, IL 60505 Phone: 630-978-2532 Fax: 630-978-2709 |