| Avaya Therapy, Ltd | |
|
10700 W Higgins Road Suite 340 Rosemont IL 60018-3729 | |
| (847) 324-5550 | |
| Not Available |
| Full Name | Avaya Therapy, Ltd |
|---|---|
| Speciality | Family Medicine |
| Location | 10700 W Higgins Road, Rosemont, Illinois |
| Authorized Official Name and Position | Anna Melissa Pacis (PRESIDENT) |
| Authorized Official Contact | 8154633700 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Avaya Therapy, Ltd 10700 W Higgins Road Suite 340 Rosemont IL 60018-3729 Ph: (847) 324-3434 | Avaya Therapy, Ltd 10700 W Higgins Road Suite 340 Rosemont IL 60018-3729 Ph: (847) 324-5550 |
| NPI Number | 1447808712 |
|---|---|
| Provider Enumeration Date | 08/29/2019 |
| Last Update Date | 09/30/2025 |
| Certification Date | 09/30/2025 |
| Medicare PECOS PAC ID | 4880021831 |
|---|---|
| Medicare Enrollment ID | O20200304000033 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447808712 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
| Provider Name | Anna Melissa Pacis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891016580 PECOS PAC ID: 3072754050 Enrollment ID: I20130802000718 |
| Provider Name | Solomon R Katta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265668750 PECOS PAC ID: 2264667096 Enrollment ID: I20131031001666 |
| Provider Name | Marybell Ramirez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558833699 PECOS PAC ID: 6305739103 Enrollment ID: I20190212000834 |
| Provider Name | Marlin Reyes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164998258 PECOS PAC ID: 0345654547 Enrollment ID: I20210129001477 |
| Provider Name | Dean Michael Villon Gorospe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265117204 PECOS PAC ID: 1759742943 Enrollment ID: I20230803004107 |
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