| Chicagoland Integrated Professionals,inc | |
|
1132 Manchester Ave Westchester IL 60154-2723 | |
| (219) 934-5300 | |
| (219) 934-5389 |
| Full Name | Chicagoland Integrated Professionals,inc |
|---|---|
| Speciality | Family Medicine |
| Location | 1132 Manchester Ave, Westchester, Illinois |
| Authorized Official Name and Position | Ushma Sharma (PRESIDENT) |
| Authorized Official Contact | 2175535936 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Chicagoland Integrated Professionals,inc 534 Plainfield Rd Willowbrook IL 60527-5342 Ph: (217) 553-5766 | Chicagoland Integrated Professionals,inc 1132 Manchester Ave Westchester IL 60154-2723 Ph: (219) 934-5300 |
| NPI Number | 1649688409 |
|---|---|
| Provider Enumeration Date | 07/24/2014 |
| Last Update Date | 09/17/2019 |
| Medicare PECOS PAC ID | 8022330745 |
|---|---|
| Medicare Enrollment ID | O20141209001166 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649688409 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Sagun Gautam |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205049046 PECOS PAC ID: 3476746462 Enrollment ID: I20101022000479 |
| Provider Name | Stacey Rogers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033621024 PECOS PAC ID: 0648531749 Enrollment ID: I20180307000317 |
| Provider Name | Chinnu Varkey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114418803 PECOS PAC ID: 8527394121 Enrollment ID: I20190719000082 |
| Provider Name | Jennifer A Kubelka |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982162715 PECOS PAC ID: 2062847288 Enrollment ID: I20200116001957 |
| Provider Name | Raquel Lyn Szarfinski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235855529 PECOS PAC ID: 0547606386 Enrollment ID: I20240314002548 |
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