| Care Connections Of Illinois, P.c. | |
|
1600 Stout St Ste 2000 Denver CO 80202-3113 | |
| (720) 204-5760 | |
| Not Available |
| Full Name | Care Connections Of Illinois, P.c. |
|---|---|
| Speciality | Clinic/Center |
| Location | 1600 Stout St Ste 2000, Denver, Colorado |
| Authorized Official Name and Position | Aaron Molitor (COO) |
| Authorized Official Contact | 9132321472 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Care Connections Of Illinois, P.c. 1600 Stout St Ste 2000 Denver CO 80202-3113 Ph: (720) 204-5760 | Care Connections Of Illinois, P.c. 1600 Stout St Ste 2000 Denver CO 80202-3113 Ph: (720) 204-5760 |
| NPI Number | 1003684176 |
|---|---|
| Provider Enumeration Date | 12/18/2023 |
| Last Update Date | 12/18/2023 |
| Medicare PECOS PAC ID | 1557714813 |
|---|---|
| Medicare Enrollment ID | O20240202000919 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003684176 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Kenya S Everette |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205021268 PECOS PAC ID: 3072415496 Enrollment ID: I20040124000262 |
| Provider Name | Keith A Hopkins |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1083778765 PECOS PAC ID: 3577752781 Enrollment ID: I20120308000111 |
| Provider Name | Laura Gers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992085583 PECOS PAC ID: 6002066453 Enrollment ID: I20130329000052 |
| Provider Name | Christy Gernhofer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679904403 PECOS PAC ID: 5496985335 Enrollment ID: I20140220000939 |
| Provider Name | Samantha Walton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568013928 PECOS PAC ID: 5193159168 Enrollment ID: I20191227001393 |
| Provider Name | Alyson Jane Skurka |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174117832 PECOS PAC ID: 1456768951 Enrollment ID: I20210330000992 |
| Provider Name | Christine Gallup |
|---|---|
| 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 |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1861896672 PECOS PAC ID: 9638565633 Enrollment ID: I20220504001231 |
| Provider Name | Karen Brautigam |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821197583 PECOS PAC ID: 3678662863 Enrollment ID: I20220513002191 |
| Provider Name | Carol Newmark |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336880848 PECOS PAC ID: 9537556154 Enrollment ID: I20220607000446 |
| Provider Name | Tammy Hookham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750011391 PECOS PAC ID: 8426439241 Enrollment ID: I20220725002318 |
| Provider Name | Farhad Modarai |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497098610 PECOS PAC ID: 8224310289 Enrollment ID: I20220921000199 |
| Provider Name | Syed Akhtar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710211669 PECOS PAC ID: 1153562376 Enrollment ID: I20221118002196 |
| Provider Name | Darci F Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144990532 PECOS PAC ID: 7416346119 Enrollment ID: I20231101003297 |
| Provider Name | Justin M Heinz |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1790302057 PECOS PAC ID: 8325401201 Enrollment ID: I20240119001251 |
| Provider Name | Heather L Palmer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1760059125 PECOS PAC ID: 5799140588 Enrollment ID: I20240126000673 |
| Provider Name | Alina Egolf |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1205550266 PECOS PAC ID: 3678939238 Enrollment ID: I20240205000229 |
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