| Bridgecare, Inc. | |
|
2250 E Devon Ave Suite 333 Des Plaines IL 60018-4511 | |
| (224) 803-2273 | |
| (224) 803-2274 |
| Full Name | Bridgecare, Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 2250 E Devon Ave, Des Plaines, Illinois |
| Authorized Official Name and Position | Hemali Shah (CEO) |
| Authorized Official Contact | 2248032273 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bridgecare, Inc. 2250 E Devon Ave Suite 333 Des Plaines IL 60018-4511 Ph: (224) 803-2273 | Bridgecare, Inc. 2250 E Devon Ave Suite 333 Des Plaines IL 60018-4511 Ph: (224) 803-2273 |
| NPI Number | 1033507249 |
|---|---|
| Provider Enumeration Date | 12/23/2014 |
| Last Update Date | 03/11/2015 |
| Medicare PECOS PAC ID | 2769709062 |
|---|---|
| Medicare Enrollment ID | O20150325002497 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033507249 | NPI | - | NPPES |
| Provider Name | Elizabeth Carazo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922140300 PECOS PAC ID: 3476573726 Enrollment ID: I20051201000079 |
| Provider Name | Thomas Pawlowski |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093867921 PECOS PAC ID: 8123154283 Enrollment ID: I20100327000380 |
| Provider Name | Teresa F Asam Jensen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487851184 PECOS PAC ID: 0749458271 Enrollment ID: I20110727000443 |
| Provider Name | Bilquis Mohammed |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801148580 PECOS PAC ID: 1153560842 Enrollment ID: I20140417001373 |
| Provider Name | Pratiksha J Trivedi |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1801102678 PECOS PAC ID: 3375769722 Enrollment ID: I20140722000425 |
| Provider Name | Rakeshkumar S Patel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649660903 PECOS PAC ID: 0749506970 Enrollment ID: I20150306001119 |
| Provider Name | Vandana Babulal Patel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992197933 PECOS PAC ID: 4587983952 Enrollment ID: I20150506001871 |
| Provider Name | Amitaben K Patel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033642251 PECOS PAC ID: 6709146350 Enrollment ID: I20180131000531 |
| Provider Name | Yuting Wang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790265742 PECOS PAC ID: 2668725318 Enrollment ID: I20181025001643 |
| Provider Name | Rockie Vanga |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104473784 PECOS PAC ID: 9436563285 Enrollment ID: I20210206000033 |
| Provider Name | Sarangi R. Patel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801401088 PECOS PAC ID: 6204244825 Enrollment ID: I20210421000360 |
| Provider Name | John Raju |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013621283 PECOS PAC ID: 5496128803 Enrollment ID: I20230306002874 |
| Provider Name | Alowonle Mudashir Aweda |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598543175 PECOS PAC ID: 4284082405 Enrollment ID: I20231129001555 |
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