| Cep America-illinois Hospitalists, Llp | |
|
4500 Memorial Dr Belleville IL 62226-5360 | |
| (618) 233-7750 | |
| Not Available |
| Full Name | Cep America-illinois Hospitalists, Llp |
|---|---|
| Speciality | Internal Medicine |
| Location | 4500 Memorial Dr, Belleville, Illinois |
| Authorized Official Name and Position | Theophile Koury (COO) |
| Authorized Official Contact | 5103502600 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cep America-illinois Hospitalists, Llp 2100 Powell St Suite 920 Emeryville CA 94608-1826 Ph: (510) 350-2600 | Cep America-illinois Hospitalists, Llp 4500 Memorial Dr Belleville IL 62226-5360 Ph: (618) 233-7750 |
| NPI Number | 1841613403 |
|---|---|
| Provider Enumeration Date | 01/31/2014 |
| Last Update Date | 01/31/2014 |
| Medicare PECOS PAC ID | 3274765904 |
|---|---|
| Medicare Enrollment ID | O20140411001788 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841613403 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Syed M Ala |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235233792 PECOS PAC ID: 7214836469 Enrollment ID: I20040107000216 |
| Provider Name | Douglas Filipov |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992855175 PECOS PAC ID: 3577452994 Enrollment ID: I20040313000196 |
| Provider Name | Michael Harris |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083716476 PECOS PAC ID: 3072502277 Enrollment ID: I20040512000036 |
| Provider Name | Paul C Tack |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265446017 PECOS PAC ID: 9335129634 Enrollment ID: I20040726000381 |
| Provider Name | Kevin D Egly |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710092655 PECOS PAC ID: 0042289118 Enrollment ID: I20040927000836 |
| Provider Name | Ryan L Jennings |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1477588499 PECOS PAC ID: 0941279632 Enrollment ID: I20040929000664 |
| Provider Name | Ann Marie Hagedorn |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245237825 PECOS PAC ID: 1850339581 Enrollment ID: I20050421001470 |
| Provider Name | Leopoldo S. Pardo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114913274 PECOS PAC ID: 4688608904 Enrollment ID: I20050926000332 |
| Provider Name | Syed Hassan Khalid Jafri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942226949 PECOS PAC ID: 2466455738 Enrollment ID: I20060808000013 |
| Provider Name | Sabrina Orenstein |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679684229 PECOS PAC ID: 9638163074 Enrollment ID: I20070207000280 |
| Provider Name | Asim I Elmahboub |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316984859 PECOS PAC ID: 4284538893 Enrollment ID: I20070314000259 |
| Provider Name | Sayeeda A Jabeen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891882601 PECOS PAC ID: 2062517691 Enrollment ID: I20070410000485 |
| Provider Name | Satyen Patel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1154482131 PECOS PAC ID: 8527142777 Enrollment ID: I20080226000675 |
| Provider Name | Ahsan Usman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215016571 PECOS PAC ID: 6507864998 Enrollment ID: I20080823000101 |
| Provider Name | Ashish Tokhi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811151806 PECOS PAC ID: 2961578885 Enrollment ID: I20080829000099 |
| Provider Name | Anshu Sood |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1659598225 PECOS PAC ID: 6608934666 Enrollment ID: I20081020000239 |
| Provider Name | Omer Yusaf |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1669585956 PECOS PAC ID: 7618931627 Enrollment ID: I20081101000103 |
| Provider Name | Hana Filipova |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619129632 PECOS PAC ID: 4880741578 Enrollment ID: I20090415000582 |
| Provider Name | Behfar Dianati |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558580852 PECOS PAC ID: 4789785775 Enrollment ID: I20091006000307 |
| Provider Name | Kim M Mank |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639406879 PECOS PAC ID: 1951443530 Enrollment ID: I20100120000246 |
| Provider Name | Ashley H Malcolm |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205030913 PECOS PAC ID: 8224164025 Enrollment ID: I20100331000731 |
| Provider Name | Sasidhar Somuri |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1285954206 PECOS PAC ID: 4981898400 Enrollment ID: I20101028001252 |
| Provider Name | Ibrahim B Elayyan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023207115 PECOS PAC ID: 6507051943 Enrollment ID: I20101111000738 |
| Provider Name | Jill R Schindler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447568761 PECOS PAC ID: 7911195789 Enrollment ID: I20101221000115 |
| Provider Name | Andrew Mahtani |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659579613 PECOS PAC ID: 4880882687 Enrollment ID: I20101221000445 |
| Provider Name | Sara A Mchale |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235399304 PECOS PAC ID: 9830368075 Enrollment ID: I20110804000607 |
| Provider Name | Fareed N Mardani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336303775 PECOS PAC ID: 0941479844 Enrollment ID: I20110810000504 |
| Provider Name | Mary C Rybak |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1962665059 PECOS PAC ID: 5092985085 Enrollment ID: I20110830000758 |
| Provider Name | Joshua A Niebruegge |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1710140645 PECOS PAC ID: 5193990083 Enrollment ID: I20111205000208 |
| Provider Name | Crystal M Carmicheal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619138682 PECOS PAC ID: 9739347279 Enrollment ID: I20120229000864 |
| Provider Name | Jayne A Morrison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154697233 PECOS PAC ID: 7113188194 Enrollment ID: I20120418000728 |
| Provider Name | Jami Davis-jackson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629243886 PECOS PAC ID: 7810050804 Enrollment ID: I20120521000125 |
| Provider Name | Bhavin Vallabhbhai Sonani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639495971 PECOS PAC ID: 7315101334 Enrollment ID: I20120604000104 |
| Provider Name | Henry Lawrence A Dumbab |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1841495785 PECOS PAC ID: 5294984969 Enrollment ID: I20121012000754 |
| Provider Name | Ahmad Osama Rez |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1356537179 PECOS PAC ID: 1951435510 Enrollment ID: I20130107000025 |
| Provider Name | Pankaj Kaul |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376771105 PECOS PAC ID: 8123211919 Enrollment ID: I20130110000495 |
| Provider Name | Deanna L Rodenberg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013265248 PECOS PAC ID: 0446404982 Enrollment ID: I20130208000102 |
| Provider Name | Khaled Jumean |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134351448 PECOS PAC ID: 5294881611 Enrollment ID: I20130313000301 |
| Provider Name | Bobby R Blum |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235403643 PECOS PAC ID: 7618139106 Enrollment ID: I20130503000198 |
| Provider Name | Payton Mcgowen |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1629381256 PECOS PAC ID: 5597905935 Enrollment ID: I20130709000381 |
| Provider Name | Sai Prashanth Babu Palepu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558673152 PECOS PAC ID: 3072757616 Enrollment ID: I20130920000142 |
| Provider Name | Naveenkumar B Krishna |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417180704 PECOS PAC ID: 6709010085 Enrollment ID: I20130930000477 |
| Provider Name | Venu Rangu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689819138 PECOS PAC ID: 8123206034 Enrollment ID: I20140319000773 |
| Provider Name | Mary C Littlejohn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255779955 PECOS PAC ID: 3577795806 Enrollment ID: I20140421000127 |
| Provider Name | Muhammad Rk Orakzai |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033402672 PECOS PAC ID: 1456574276 Enrollment ID: I20140523002143 |
| Provider Name | Changqing Zhao |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700183142 PECOS PAC ID: 5698992311 Enrollment ID: I20140804001345 |
| Provider Name | Josia N Henry |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1063709236 PECOS PAC ID: 9537388343 Enrollment ID: I20140909002563 |
| Provider Name | Arli M Bumatayo |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1639439177 PECOS PAC ID: 6305065830 Enrollment ID: I20140916001780 |
| Provider Name | Mahmud Al Furgani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528369782 PECOS PAC ID: 2365670809 Enrollment ID: I20141231000517 |
| Provider Name | Anne Leslie Kramer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326441478 PECOS PAC ID: 0345564787 Enrollment ID: I20150113002191 |
| Provider Name | Crystal M Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508260761 PECOS PAC ID: 3577889237 Enrollment ID: I20150224001880 |
| Provider Name | Srinivasarao C Yaganti |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1245252972 PECOS PAC ID: 7012004351 Enrollment ID: I20150519000257 |
| Provider Name | Serageldin Raslan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1053675827 PECOS PAC ID: 7315267663 Enrollment ID: I20150528000137 |
| Provider Name | Jemila Maxine Crawford |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154683860 PECOS PAC ID: 6103137419 Enrollment ID: I20150612000774 |
| Provider Name | Grace Salame |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1518229897 PECOS PAC ID: 1951613009 Enrollment ID: I20150702001758 |
| Provider Name | Saad N Ahmad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649526740 PECOS PAC ID: 5395967251 Enrollment ID: I20150710001767 |
| Provider Name | Yashaswi Belvadi |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1104075035 PECOS PAC ID: 8921162991 Enrollment ID: I20150727000857 |
| Provider Name | Yveline D Jean-claude |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730127945 PECOS PAC ID: 8527018837 Enrollment ID: I20150819008071 |
| Provider Name | Rita Mukerji |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1023218807 PECOS PAC ID: 6305961673 Enrollment ID: I20150831002407 |
| Provider Name | Emily A Yakel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215302781 PECOS PAC ID: 5496058638 Enrollment ID: I20160122000563 |
| Provider Name | Michelle V Jacob |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033548045 PECOS PAC ID: 9436462066 Enrollment ID: I20160330001486 |
| Provider Name | Dacre Knight |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255695433 PECOS PAC ID: 3375845183 Enrollment ID: I20160418000011 |
| Provider Name | Darah R Dodt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124472196 PECOS PAC ID: 7618276106 Enrollment ID: I20160505000240 |
| Provider Name | Oriade Adeoye |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1417397688 PECOS PAC ID: 8123317583 Enrollment ID: I20160525001364 |
| Provider Name | Michael G Guignon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942542931 PECOS PAC ID: 3779886791 Enrollment ID: I20160630001414 |
| Provider Name | Seema Verma |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1326380908 PECOS PAC ID: 4385946722 Enrollment ID: I20160725000214 |
| Provider Name | Adam D Cox |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003158338 PECOS PAC ID: 9133421688 Enrollment ID: I20160815000381 |
| Provider Name | Crystal Vaughn Kondowe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366702870 PECOS PAC ID: 7618192428 Enrollment ID: I20160906000126 |
| Provider Name | Danielle Elise Mahon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568705523 PECOS PAC ID: 8426353962 Enrollment ID: I20160926000014 |
| Provider Name | Cheryl L Lamb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821546581 PECOS PAC ID: 3375577372 Enrollment ID: I20161014000118 |
| Provider Name | Angela Marie Kage |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881145159 PECOS PAC ID: 4385923408 Enrollment ID: I20161114000895 |
| Provider Name | Christopher G Engele |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013464031 PECOS PAC ID: 8729367487 Enrollment ID: I20161121000858 |
| Provider Name | Darcy Leann Porter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922478726 PECOS PAC ID: 1557661758 Enrollment ID: I20170330000481 |
| Provider Name | Kelly Denise Riney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205375151 PECOS PAC ID: 9133405749 Enrollment ID: I20170414000317 |
| Provider Name | Kamran Hussaini |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1215347125 PECOS PAC ID: 5597067918 Enrollment ID: I20170515000418 |
| Provider Name | Sanjay Kishore Udani |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1578604690 PECOS PAC ID: 0648586271 Enrollment ID: I20170615002455 |
| Provider Name | Therese Krause |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336670454 PECOS PAC ID: 3870865702 Enrollment ID: I20170828000727 |
| Provider Name | Omar Ali Mohammad Mahasneh |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1124361746 PECOS PAC ID: 3274831417 Enrollment ID: I20171101000858 |
| Provider Name | Jennifer L Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336659523 PECOS PAC ID: 7416214846 Enrollment ID: I20171120002437 |
| Provider Name | Katy Jo Lorenzo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205348133 PECOS PAC ID: 8820357247 Enrollment ID: I20180110002563 |
| Provider Name | Adria Marie Jerkovich |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1427463322 PECOS PAC ID: 6103128467 Enrollment ID: I20180313000633 |
| Provider Name | Uzair Rehman |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1609242924 PECOS PAC ID: 8325303282 Enrollment ID: I20180523001705 |
| Provider Name | Abraham J Testa |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1528375078 PECOS PAC ID: 3870899230 Enrollment ID: I20180626001830 |
| Provider Name | Basil Ahmad Ali |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437531811 PECOS PAC ID: 6507112018 Enrollment ID: I20180712002705 |
| Provider Name | Maaroof Islam |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1548656747 PECOS PAC ID: 0042512907 Enrollment ID: I20180810002159 |
| Provider Name | Muhammad Nauman Javed Tarar |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1194191544 PECOS PAC ID: 3173827540 Enrollment ID: I20180821003405 |
| Provider Name | Bijan Naghibi Harat |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548788524 PECOS PAC ID: 9638444771 Enrollment ID: I20180912003693 |
| Provider Name | Laura Michelle Mahaffey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255763173 PECOS PAC ID: 2264667526 Enrollment ID: I20181003003347 |
| Provider Name | Jennifer Helmholt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588143002 PECOS PAC ID: 1557613221 Enrollment ID: I20181008001224 |
| Provider Name | Sarah E Nangle |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1487940961 PECOS PAC ID: 3375846827 Enrollment ID: I20181015002079 |
| Provider Name | Elizabeth J Johns |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164832705 PECOS PAC ID: 9537054622 Enrollment ID: I20190226001626 |
| Provider Name | Adesuwa Ruby Okesanya |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1194982579 PECOS PAC ID: 9032241658 Enrollment ID: I20190305001688 |
| Provider Name | Glenn Banegura |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1770744989 PECOS PAC ID: 7315111010 Enrollment ID: I20190416003251 |
| Provider Name | Kimberly H Harsy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437555653 PECOS PAC ID: 7113247651 Enrollment ID: I20190509002191 |
| Provider Name | Ashfaq Ullah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013178235 PECOS PAC ID: 3870624679 Enrollment ID: I20190511000045 |
| Provider Name | Kevin A Lin |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1124135843 PECOS PAC ID: 3678740107 Enrollment ID: I20190523002689 |
| Provider Name | Salim Shackour |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1760673099 PECOS PAC ID: 3870661358 Enrollment ID: I20190611001631 |
| Provider Name | Charles Ryan Fields |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609252444 PECOS PAC ID: 8628385234 Enrollment ID: I20190624003213 |
| Provider Name | Kaci Alexander |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427439363 PECOS PAC ID: 1254648140 Enrollment ID: I20190628000834 |
| Provider Name | Adebunmi Ojulari |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1538510458 PECOS PAC ID: 2567750052 Enrollment ID: I20190711001977 |
| Provider Name | Amit Bhandari |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1144606583 PECOS PAC ID: 7113275835 Enrollment ID: I20190712000535 |
| Provider Name | Isaac Tran |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1154777597 PECOS PAC ID: 3870881147 Enrollment ID: I20190807002251 |
| Provider Name | Benson Lan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1164876595 PECOS PAC ID: 4587957162 Enrollment ID: I20190812000239 |
| Provider Name | Leann Nitz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952701666 PECOS PAC ID: 2769709658 Enrollment ID: I20190816001914 |
| Provider Name | John Fikry Mityas Ibrahim |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1134675218 PECOS PAC ID: 2264761055 Enrollment ID: I20190903003080 |
| Provider Name | Numan Jahangir |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174985634 PECOS PAC ID: 8022303999 Enrollment ID: I20190905000022 |
| Provider Name | Ankit R Parikh |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1386093177 PECOS PAC ID: 4284926965 Enrollment ID: I20190926002670 |
| Provider Name | Lavada Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164691945 PECOS PAC ID: 8921184813 Enrollment ID: I20191002001731 |
| Provider Name | Reza Bashtar |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1285868729 PECOS PAC ID: 8325289366 Enrollment ID: I20191016003167 |
| Provider Name | Danielle Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164809737 PECOS PAC ID: 9335421791 Enrollment ID: I20191105001405 |
| Provider Name | Janna Henry |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1801249115 PECOS PAC ID: 6507146982 Enrollment ID: I20191204001614 |
| Provider Name | Linda M Fields |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770121980 PECOS PAC ID: 9931535333 Enrollment ID: I20200203002067 |
| Provider Name | Deborah Goldberg |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1326338849 PECOS PAC ID: 9436479318 Enrollment ID: I20200424000079 |
| Provider Name | Jeanna Tabrizi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922647205 PECOS PAC ID: 9436585809 Enrollment ID: I20200511002076 |
| Provider Name | Madhusudhan Tarigopula |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235340621 PECOS PAC ID: 5890880371 Enrollment ID: I20200601000836 |
| Provider Name | Amber Criswell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174146906 PECOS PAC ID: 0042631772 Enrollment ID: I20200604000191 |
| Provider Name | Kayla Ann Pryor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093345415 PECOS PAC ID: 6608299318 Enrollment ID: I20200713003228 |
| Provider Name | Neehal Wali |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1770002578 PECOS PAC ID: 4082958921 Enrollment ID: I20200714001381 |
| Provider Name | Zubair Zaheer |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1508215708 PECOS PAC ID: 2365866050 Enrollment ID: I20200728003042 |
| Provider Name | Vincent J Duenas |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1083142152 PECOS PAC ID: 6901171354 Enrollment ID: I20200730002896 |
| Provider Name | Anum Niazi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1679005730 PECOS PAC ID: 1052651197 Enrollment ID: I20200903003295 |
| Provider Name | Michelle Marie Lovsey |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1689283723 PECOS PAC ID: 4587083837 Enrollment ID: I20201006001525 |
| Provider Name | Mariah Day Chambers |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093178790 PECOS PAC ID: 5890081103 Enrollment ID: I20201110002779 |
| Provider Name | Gilbert J Gutierrez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922660042 PECOS PAC ID: 1153741590 Enrollment ID: I20201120000488 |
| Provider Name | Kimberly M Boyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033601356 PECOS PAC ID: 3971920455 Enrollment ID: I20210106000022 |
| Provider Name | Tiffany Toney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912503673 PECOS PAC ID: 2264847680 Enrollment ID: I20210217002265 |
| Provider Name | Kahee Mohammed |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1215382189 PECOS PAC ID: 9234427386 Enrollment ID: I20210420000389 |
| Provider Name | Gregory Bismack |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1619293149 PECOS PAC ID: 2466604921 Enrollment ID: I20210512002587 |
| Provider Name | Jennings Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285148882 PECOS PAC ID: 0749542926 Enrollment ID: I20210629000523 |
| Provider Name | Chi Man Lei |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1891280624 PECOS PAC ID: 7810236486 Enrollment ID: I20210630003578 |
| Provider Name | Stephanie Simpson |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1598183378 PECOS PAC ID: 4688976160 Enrollment ID: I20210713003488 |
| Provider Name | Jan Michael Dulalas Racoma |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902390099 PECOS PAC ID: 1153666862 Enrollment ID: I20210719001843 |
| Provider Name | Imran Akhtar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063917946 PECOS PAC ID: 5496002321 Enrollment ID: I20210923000674 |
| Provider Name | Danielle Lynn Frueh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013524487 PECOS PAC ID: 2668883257 Enrollment ID: I20211026001945 |
| Provider Name | Sarah Halliday |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487113999 PECOS PAC ID: 7911249867 Enrollment ID: I20220217001169 |
| Provider Name | Willette Davis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205901410 PECOS PAC ID: 4688628183 Enrollment ID: I20220318001377 |
| Provider Name | Muhammad Sheikh |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1194107524 PECOS PAC ID: 3971893959 Enrollment ID: I20220401001457 |
| Provider Name | Ali Syed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205321171 PECOS PAC ID: 7810246352 Enrollment ID: I20220524001534 |
| Provider Name | Arslan Inayat |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1235791914 PECOS PAC ID: 3779810031 Enrollment ID: I20220525000887 |
| Provider Name | Robinder Sahi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1386200657 PECOS PAC ID: 6507195542 Enrollment ID: I20220603000958 |
| Provider Name | Asad Nadeem Ahmed |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1770149387 PECOS PAC ID: 2860726411 Enrollment ID: I20220706003692 |
| Provider Name | Jeffrey Schenck |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447713409 PECOS PAC ID: 2769711712 Enrollment ID: I20220707003430 |
| Provider Name | Umair Majoka |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1174084909 PECOS PAC ID: 7416282231 Enrollment ID: I20220915001312 |
| Provider Name | Daniel Elizondo |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1366002362 PECOS PAC ID: 1456687672 Enrollment ID: I20220927002210 |
| Provider Name | Junaid Munshi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629411129 PECOS PAC ID: 1254657216 Enrollment ID: I20221208002975 |
| Provider Name | Akiko Okabe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073910162 PECOS PAC ID: 4789908724 Enrollment ID: I20230111002489 |
| Provider Name | April L Schmidt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558468546 PECOS PAC ID: 6901804954 Enrollment ID: I20230215002587 |
| Provider Name | Brandon Chase Kruse |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386148872 PECOS PAC ID: 1456780170 Enrollment ID: I20230324002320 |
| Provider Name | Asif Masood |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194715656 PECOS PAC ID: 2264497106 Enrollment ID: I20230407001493 |
| Provider Name | Daniel Nwankwo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639526007 PECOS PAC ID: 2860735248 Enrollment ID: I20230413001718 |
| Provider Name | Adnan Shahid Khan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1558865097 PECOS PAC ID: 8628324852 Enrollment ID: I20230606002178 |
| Provider Name | Ashwath Senthil Kumar |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1881213437 PECOS PAC ID: 8729490743 Enrollment ID: I20230831002475 |
| Provider Name | Luke Andrew Foshee |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1497304299 PECOS PAC ID: 5597158071 Enrollment ID: I20230918000628 |
| Provider Name | Aditya Suresh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366902090 PECOS PAC ID: 3779818513 Enrollment ID: I20230918002494 |
| Provider Name | Kandace Chere Lamonica |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952864977 PECOS PAC ID: 7517296668 Enrollment ID: I20230928001026 |
| Provider Name | Atul Medavaram |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487215638 PECOS PAC ID: 0749690501 Enrollment ID: I20231002002371 |
| Provider Name | Muhammad Ali Naveed |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1093291502 PECOS PAC ID: 1951640580 Enrollment ID: I20231019002876 |
| Provider Name | Mhd Adeeb Sebai |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740755321 PECOS PAC ID: 7618331927 Enrollment ID: I20231115000455 |
| Provider Name | Marissa Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720480015 PECOS PAC ID: 9638491590 Enrollment ID: I20231218000910 |
| Provider Name | Naushaba Hasan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942298559 PECOS PAC ID: 1456359306 Enrollment ID: I20240208002020 |
| Provider Name | Khan Alam |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1487282547 PECOS PAC ID: 7618391277 Enrollment ID: I20240212004161 |
| Provider Name | Juliene Gentry |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1144205329 PECOS PAC ID: 8426058140 Enrollment ID: I20240216000054 |
| Provider Name | Joline Darouichi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1275191850 PECOS PAC ID: 4183093040 Enrollment ID: I20240216000071 |
| Provider Name | James Collins |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1386107266 PECOS PAC ID: 7012241359 Enrollment ID: I20240216001859 |
| Provider Name | Bahaa Elzein |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1689294100 PECOS PAC ID: 4981025780 Enrollment ID: I20240216003717 |
| Provider Name | Zoe Ann Lewis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437336302 PECOS PAC ID: 2860423431 Enrollment ID: I20240222002072 |
| Provider Name | Osama Quasem |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1437425675 PECOS PAC ID: 6305158437 Enrollment ID: I20240223000433 |
| Provider Name | Puneet Raman |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1659909612 PECOS PAC ID: 9931522018 Enrollment ID: I20240223002260 |
| Provider Name | Daniel A Reikher |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1881048445 PECOS PAC ID: 3870836786 Enrollment ID: I20240226002548 |
| Provider Name | Vikas Maan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1871521070 PECOS PAC ID: 7113823642 Enrollment ID: I20240315003581 |
Pc Associate, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4600 Memorial Dr, Ste 160, Belleville, IL 62226 Phone: 618-235-0460 Fax: 618-235-1464 | |
Cep America - Illinois Snf, Llp Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4500 Memorial Dr, Belleville, IL 62226 Phone: 618-233-7750 | |
Pc Associates ,llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4600 Memorial Drive, Ste. 220, Belleville, IL 62226 Phone: 618-235-6191 Fax: 618-235-6716 | |
Healthcare Physicians Of Southern Illinois, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4600 Memorial Dr, Suite 100, Belleville, IL 62226 Phone: 618-222-9999 Fax: 618-222-9337 | |
Pc Associate, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4600 Memorial Dr Ste 400, Belleville, IL 62226 Phone: 618-235-0460 Fax: 618-235-1464 | |
Albarcha Primary Care Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4500 Memorial Dr, Belleville, IL 62226 Phone: 618-233-7750 Fax: 618-355-9972 | |
Cep America - Illinois Snf, Llp Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 150 N 27th St, Belleville, IL 62226 Phone: 618-235-6600 |