Care Connections Of Illinois, P.c. | |
1266 E Main St Ste 619 Stamford CT 06902-3546 | |
(347) 252-9771 | |
Not Available |
Full Name | Care Connections Of Illinois, P.c. |
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Speciality | Clinic/Center |
Location | 1266 E Main St Ste 619, Stamford, Connecticut |
Authorized Official Name and Position | Allie Silver (VP) |
Authorized Official Contact | 9132321472 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Care Connections Of Illinois, P.c. 1125 17th St Ste 1000 Denver CO 80202-2043 Ph: (980) 443-4852 | Care Connections Of Illinois, P.c. 1266 E Main St Ste 619 Stamford CT 06902-3546 Ph: (347) 252-9771 |
NPI Number | 1003684176 |
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Provider Enumeration Date | 12/18/2023 |
Last Update Date | 07/07/2025 |
Medicare PECOS PAC ID | 1557714813 |
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Medicare Enrollment ID | O20240202000919 |
Identifier | Type | State | Issuer |
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1003684176 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Provider Name | Laura B Gers |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1992085583 PECOS PAC ID: 6002066453 Enrollment ID: I20130329000052 |
Provider Name | Christy M Gernhofer |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1679904403 PECOS PAC ID: 5496985335 Enrollment ID: I20140220000939 |
Provider Name | Samantha M Walton |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1568013928 PECOS PAC ID: 5193159168 Enrollment ID: I20191227001393 |
Provider Name | Lauren Alferez |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1316331150 PECOS PAC ID: 8921424896 Enrollment ID: I20200824000122 |
Provider Name | Christine A Gallup |
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Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
Provider Identifiers | NPI Number: 1083981831 PECOS PAC ID: 8224422597 Enrollment ID: I20220414000814 |
Provider Name | Haley D Justus |
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Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
Provider Identifiers | NPI Number: 1861896672 PECOS PAC ID: 9638565633 Enrollment ID: I20220504001231 |
Provider Name | Karen E Brautigam |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1821197583 PECOS PAC ID: 3678662863 Enrollment ID: I20220513002191 |
Provider Name | Tammy L Hookham |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1750011391 PECOS PAC ID: 8426439241 Enrollment ID: I20220725002318 |
Provider Name | Vibhuti J Patel |
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Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
Provider Identifiers | NPI Number: 1629723481 PECOS PAC ID: 6002200102 Enrollment ID: I20220921000123 |
Provider Name | Farhad Modarai |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1497098610 PECOS PAC ID: 8224310289 Enrollment ID: I20220921000199 |
Provider Name | Syed Akhtar |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1710211669 PECOS PAC ID: 1153562376 Enrollment ID: I20221118002196 |
Provider Name | Kimberly A Ryan |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1760890958 PECOS PAC ID: 7214211648 Enrollment ID: I20230501000569 |
Provider Name | Darci F Johnson |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1144990532 PECOS PAC ID: 7416346119 Enrollment ID: I20231101003297 |
Provider Name | Margaret A Warner |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1093843732 PECOS PAC ID: 3779552690 Enrollment ID: I20231215001000 |
Provider Name | Heather Palmer |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1760059125 PECOS PAC ID: 5799140588 Enrollment ID: I20240126000673 |
Provider Name | Ann M Fitzgerald |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1396255063 PECOS PAC ID: 0042569162 Enrollment ID: I20240729001257 |
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