| Elmhurst Clinic | |
|
1200 S York St Elmhurst IL 60126-5626 | |
| (331) 221-9000 | |
| (331) 221-2706 |
| Full Name | Elmhurst Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 1200 S York St, Elmhurst, Illinois |
| Authorized Official Name and Position | Michael Hoffman (CEO) |
| Authorized Official Contact | 3312219000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Elmhurst Clinic Po Box 776977 Chicago IL 60677-6977 Ph: (630) 946-2961 | Elmhurst Clinic 1200 S York St Elmhurst IL 60126-5626 Ph: (331) 221-9000 |
| NPI Number | 1457493454 |
|---|---|
| Provider Enumeration Date | 02/13/2007 |
| Last Update Date | 05/18/2021 |
| Medicare PECOS PAC ID | 9638168602 |
|---|---|
| Medicare Enrollment ID | O20040506001298 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457493454 | NPI | - | NPPES |
| 0398570001 | Other | IL | DMERC |
| 2215149 | Other | IL | BLUE CROSS BLUE SHIELD |
| CM0811 | Other | IL | RAILROAD MEDICARE GROUP # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | Michael J Moore |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1285668772 PECOS PAC ID: 0244139897 Enrollment ID: I20040102000739 |
| Provider Name | Elaine M Biester |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1841300464 PECOS PAC ID: 2163324583 Enrollment ID: I20040124000270 |
| Provider Name | Thomas P King |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1073514220 PECOS PAC ID: 9133013253 Enrollment ID: I20040210000910 |
| Provider Name | Katherine Lynch |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821038720 PECOS PAC ID: 8325935091 Enrollment ID: I20040228000212 |
| Provider Name | Philip J Vanreken |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457302523 PECOS PAC ID: 6406752443 Enrollment ID: I20040302000165 |
| Provider Name | Moeen A Saleem |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1386696508 PECOS PAC ID: 2163314766 Enrollment ID: I20040329000182 |
| Provider Name | Timothy James Larkin |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1215975578 PECOS PAC ID: 5991786329 Enrollment ID: I20040601000228 |
| Provider Name | Daniel P Sullivan |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1104872944 PECOS PAC ID: 1658283205 Enrollment ID: I20040601000346 |
| Provider Name | Jordan L Weinstein |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1952353872 PECOS PAC ID: 8921089392 Enrollment ID: I20040601000520 |
| Provider Name | Gaile K Sabaliauskas |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1326094699 PECOS PAC ID: 1557343654 Enrollment ID: I20040602001579 |
| Provider Name | Michael F Otoole |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1225083462 PECOS PAC ID: 4082526637 Enrollment ID: I20040603000213 |
| Provider Name | Robert M Pasciak |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1760430037 PECOS PAC ID: 3678556677 Enrollment ID: I20040610001047 |
| Provider Name | Maggie E Chacko |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417993734 PECOS PAC ID: 1153304084 Enrollment ID: I20040617000221 |
| Provider Name | Robert A Rauh |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1437103256 PECOS PAC ID: 8426959719 Enrollment ID: I20040701001044 |
| Provider Name | Marianne Senese |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1083664106 PECOS PAC ID: 8123008281 Enrollment ID: I20040721000445 |
| Provider Name | Manfred J Pyka |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1396796389 PECOS PAC ID: 9537137096 Enrollment ID: I20040922000486 |
| Provider Name | Susan M Smith |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1407929326 PECOS PAC ID: 4385613819 Enrollment ID: I20040930000632 |
| Provider Name | Teressa L Alexander |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1851387328 PECOS PAC ID: 6901865260 Enrollment ID: I20041004000783 |
| Provider Name | Michael Hugar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558343913 PECOS PAC ID: 4385601657 Enrollment ID: I20041217000746 |
| Provider Name | Victoria Uribe |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1013967124 PECOS PAC ID: 1456301266 Enrollment ID: I20050129000137 |
| Provider Name | Kirsten Zeitler |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1811947930 PECOS PAC ID: 7416908363 Enrollment ID: I20050208000632 |
| Provider Name | Forrest J Robinson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740283803 PECOS PAC ID: 3375596810 Enrollment ID: I20050224000829 |
| Provider Name | Christine R Jankowski |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1891867156 PECOS PAC ID: 0143274613 Enrollment ID: I20050308000574 |
| Provider Name | Michelle Lynn Kosik |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1760431563 PECOS PAC ID: 3375581390 Enrollment ID: I20050420000972 |
| Provider Name | William M Noorlag |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1538163456 PECOS PAC ID: 9931148749 Enrollment ID: I20050502000418 |
| Provider Name | Emela Vukomanovic |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932112067 PECOS PAC ID: 9436190782 Enrollment ID: I20050517000357 |
| Provider Name | David M Matusiak |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1487605556 PECOS PAC ID: 2668415720 Enrollment ID: I20050609000187 |
| Provider Name | Robert S Andersen |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1588615637 PECOS PAC ID: 1456397397 Enrollment ID: I20050630001069 |
| Provider Name | Ninel Kandel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184674376 PECOS PAC ID: 9931136777 Enrollment ID: I20050722000551 |
| Provider Name | Denise T Ibrahim |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1164418869 PECOS PAC ID: 8527096866 Enrollment ID: I20050728000910 |
| Provider Name | Feras Bankosly |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1891785044 PECOS PAC ID: 1658300058 Enrollment ID: I20050805000578 |
| Provider Name | Cathleen M Cronin |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1114986296 PECOS PAC ID: 8426089293 Enrollment ID: I20050822001368 |
| Provider Name | Martin K Kittaka |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1649220765 PECOS PAC ID: 4486670981 Enrollment ID: I20051024000134 |
| Provider Name | Shah Aziz Alam |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164450672 PECOS PAC ID: 3173542305 Enrollment ID: I20051117000186 |
| Provider Name | Jeffrey J Kulik |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1134219942 PECOS PAC ID: 0547289464 Enrollment ID: I20051121000038 |
| Provider Name | Don Jay Williams |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447288287 PECOS PAC ID: 6800800079 Enrollment ID: I20060127000104 |
| Provider Name | Patrick J Lynch |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1356392419 PECOS PAC ID: 2365456837 Enrollment ID: I20060203000544 |
| Provider Name | Barbara E Potaczek |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1043290141 PECOS PAC ID: 4587679402 Enrollment ID: I20060214000624 |
| Provider Name | Janet M Gifford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962413112 PECOS PAC ID: 5799791786 Enrollment ID: I20060228000733 |
| Provider Name | Tina Marie Mingo |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1114978822 PECOS PAC ID: 3072522549 Enrollment ID: I20060411000402 |
| Provider Name | Cheryl Ann Boss |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760436109 PECOS PAC ID: 5890706261 Enrollment ID: I20060523000066 |
| Provider Name | Christopher A Boutin |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1760440259 PECOS PAC ID: 1355353335 Enrollment ID: I20060609000079 |
| Provider Name | David B Cespedes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699775650 PECOS PAC ID: 0547272197 Enrollment ID: I20060622000154 |
| Provider Name | Bryan W Lapinski |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1891734935 PECOS PAC ID: 1456396969 Enrollment ID: I20060829000094 |
| Provider Name | Madhavi E Ryali |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1356453823 PECOS PAC ID: 3476551680 Enrollment ID: I20061127000088 |
| Provider Name | Hariklia K Horwath |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1396828521 PECOS PAC ID: 0840298790 Enrollment ID: I20061201000213 |
| Provider Name | Gerald E Lynch |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1740285733 PECOS PAC ID: 8820193428 Enrollment ID: I20070410000286 |
| Provider Name | Jeffrey J Fitzer |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1487664769 PECOS PAC ID: 5991800492 Enrollment ID: I20070411000337 |
| Provider Name | Mary C Hutton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164415808 PECOS PAC ID: 0446156574 Enrollment ID: I20070529000036 |
| Provider Name | Maria L Fassari |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1295860500 PECOS PAC ID: 3779681515 Enrollment ID: I20070601000495 |
| Provider Name | Asma M Ayub |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063413326 PECOS PAC ID: 2860419439 Enrollment ID: I20070606000525 |
| Provider Name | Raymond Janevicius |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1669475794 PECOS PAC ID: 7214035658 Enrollment ID: I20070607000464 |
| Provider Name | Carlo La Forgia |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1922130202 PECOS PAC ID: 4082714506 Enrollment ID: I20070713000154 |
| Provider Name | Minh B Luu |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1639386790 PECOS PAC ID: 9931209335 Enrollment ID: I20070714000042 |
| Provider Name | Khalid Badwan |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1912923236 PECOS PAC ID: 1759483860 Enrollment ID: I20070716000480 |
| Provider Name | Linas A Smulkstys |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1275655292 PECOS PAC ID: 0941301972 Enrollment ID: I20070720000601 |
| Provider Name | Amy L Funnell |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1780802579 PECOS PAC ID: 5698876209 Enrollment ID: I20070726000604 |
| Provider Name | Laura Beth Boyd |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427251503 PECOS PAC ID: 5092807313 Enrollment ID: I20070816000359 |
| Provider Name | Therese M Gracey |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1932263605 PECOS PAC ID: 9133215478 Enrollment ID: I20071017000606 |
| Provider Name | Ricardo Martinez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033307863 PECOS PAC ID: 8527155795 Enrollment ID: I20071105000315 |
| Provider Name | Margaret P Knight |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1487864070 PECOS PAC ID: 9335237932 Enrollment ID: I20071115000275 |
| Provider Name | Christopher R Thorp |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1730127739 PECOS PAC ID: 5991886293 Enrollment ID: I20080111000706 |
| Provider Name | Vineet Singla |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740228840 PECOS PAC ID: 6709861784 Enrollment ID: I20080221000246 |
| Provider Name | Brian D Sklar |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1740270024 PECOS PAC ID: 4587748785 Enrollment ID: I20080227000120 |
| Provider Name | John D Ortega |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1740231810 PECOS PAC ID: 9436233350 Enrollment ID: I20080229000484 |
| Provider Name | Joseph J Abraham |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982809356 PECOS PAC ID: 9739264532 Enrollment ID: I20080304000374 |
| Provider Name | Robert J Marselle |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1841241981 PECOS PAC ID: 2668558081 Enrollment ID: I20080326000417 |
| Provider Name | Phillip J Cozzi |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1205887353 PECOS PAC ID: 0648356071 Enrollment ID: I20080326000543 |
| Provider Name | George Stathopoulos |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1740231828 PECOS PAC ID: 8325124662 Enrollment ID: I20080326000718 |
| Provider Name | Jeff A Damico |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639350978 PECOS PAC ID: 2062583339 Enrollment ID: I20080612000874 |
| Provider Name | Farah S Ghouse |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1669695458 PECOS PAC ID: 8820169139 Enrollment ID: I20080613000303 |
| Provider Name | Ali A Valika |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1760696314 PECOS PAC ID: 8022910678 Enrollment ID: I20080630000590 |
| Provider Name | Ahmad O Raslan |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1841371648 PECOS PAC ID: 1557301769 Enrollment ID: I20080707000660 |
| Provider Name | Moni Abraham |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275729436 PECOS PAC ID: 1355415357 Enrollment ID: I20080809000120 |
| Provider Name | Jennifer Kossoris |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1497928873 PECOS PAC ID: 7012083058 Enrollment ID: I20080827000599 |
| Provider Name | Daryl L Oconnor |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1154323541 PECOS PAC ID: 7214004704 Enrollment ID: I20081002000512 |
| Provider Name | Jeffrey S Meisles |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1982606372 PECOS PAC ID: 5395793640 Enrollment ID: I20081003000016 |
| Provider Name | Ryon M Hennessy |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1093717480 PECOS PAC ID: 5496822983 Enrollment ID: I20081007000341 |
| Provider Name | Roshan Sher Ali |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1376646828 PECOS PAC ID: 5799787693 Enrollment ID: I20081025000146 |
| Provider Name | Marybeth Waldorf |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1336395805 PECOS PAC ID: 1759445133 Enrollment ID: I20090129000446 |
| Provider Name | Emmanuel Linchangco |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922095546 PECOS PAC ID: 2062303456 Enrollment ID: I20090205000576 |
| Provider Name | Kenneth H Zygmunt |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1154325074 PECOS PAC ID: 8426945163 Enrollment ID: I20090423000662 |
| Provider Name | Brock A Franklin |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1972729291 PECOS PAC ID: 6002964707 Enrollment ID: I20090529000027 |
| Provider Name | Sakeena I Haq |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1790946689 PECOS PAC ID: 1658420211 Enrollment ID: I20090601000470 |
| Provider Name | Armando A San Juan |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1235220518 PECOS PAC ID: 7214087667 Enrollment ID: I20090605000597 |
| Provider Name | Antonio J Bravo |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1326139676 PECOS PAC ID: 8123178571 Enrollment ID: I20090605000603 |
| Provider Name | Michael L Cohan |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1144271297 PECOS PAC ID: 5597819391 Enrollment ID: I20090813000150 |
| Provider Name | Purani P Palaniswami |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1164568507 PECOS PAC ID: 4082768817 Enrollment ID: I20090813000441 |
| Provider Name | Wayne D Wong |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1164442703 PECOS PAC ID: 4486651866 Enrollment ID: I20090817000142 |
| Provider Name | Mahesh N Raju |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1811143548 PECOS PAC ID: 4082760400 Enrollment ID: I20090925000263 |
| Provider Name | Samuel J Hayward |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1336354620 PECOS PAC ID: 1557407491 Enrollment ID: I20091007000620 |
| Provider Name | Rupal Bhatnagar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225295504 PECOS PAC ID: 3870633167 Enrollment ID: I20091217000313 |
| Provider Name | James Y Ha |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1932251527 PECOS PAC ID: 1557402021 Enrollment ID: I20100106000083 |
| Provider Name | Sherry A Henricks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841422623 PECOS PAC ID: 2567503832 Enrollment ID: I20100111000160 |
| Provider Name | Laura U Vetrone |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205835980 PECOS PAC ID: 6800921651 Enrollment ID: I20100318000031 |
| Provider Name | Karen A Kowalczyk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316189343 PECOS PAC ID: 7517094287 Enrollment ID: I20100429000109 |
| Provider Name | Ronald F Cheff |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326144643 PECOS PAC ID: 8921993460 Enrollment ID: I20100520000421 |
| Provider Name | Timothy J Bresnahan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265538433 PECOS PAC ID: 0446232441 Enrollment ID: I20100520000441 |
| Provider Name | Elaine E Spirakes |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164528253 PECOS PAC ID: 9234268897 Enrollment ID: I20100520000488 |
| Provider Name | William T Orourke |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013013119 PECOS PAC ID: 0941339501 Enrollment ID: I20100520000510 |
| Provider Name | David J Kraman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497851570 PECOS PAC ID: 6709868706 Enrollment ID: I20100521000797 |
| Provider Name | Lawrence D Lieber |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1316933120 PECOS PAC ID: 7911894647 Enrollment ID: I20100528000088 |
| Provider Name | Ellen I Voronov |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1730170523 PECOS PAC ID: 2961531066 Enrollment ID: I20100528000108 |
| Provider Name | Steven E Mather |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1346236163 PECOS PAC ID: 5395773543 Enrollment ID: I20100528000124 |
| Provider Name | John L Reilly |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1396731014 PECOS PAC ID: 7012806649 Enrollment ID: I20100528000373 |
| Provider Name | Steven Mash |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1629064449 PECOS PAC ID: 2466349196 Enrollment ID: I20100603000726 |
| Provider Name | Kathryn M Thomas |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1528019692 PECOS PAC ID: 6800926833 Enrollment ID: I20100617000311 |
| Provider Name | Matthew J Spiewak |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417908583 PECOS PAC ID: 5597895524 Enrollment ID: I20100617000349 |
| Provider Name | Maelen M Pantano |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023068152 PECOS PAC ID: 7012047046 Enrollment ID: I20100617000375 |
| Provider Name | Cynthia A Page |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1295786366 PECOS PAC ID: 8022148063 Enrollment ID: I20100617000494 |
| Provider Name | Nirali J Ghia |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1366492555 PECOS PAC ID: 8325178379 Enrollment ID: I20100617000598 |
| Provider Name | Michael T Nosek |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598716656 PECOS PAC ID: 6406986454 Enrollment ID: I20100617000616 |
| Provider Name | Julie L Kim |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1669423703 PECOS PAC ID: 6608906557 Enrollment ID: I20100619000138 |
| Provider Name | Tanja S Boskov |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811943632 PECOS PAC ID: 3870623721 Enrollment ID: I20100619000149 |
| Provider Name | Nathaniel Pae |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396796462 PECOS PAC ID: 4789714635 Enrollment ID: I20100619000153 |
| Provider Name | Lori S Shelnitz |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1538119938 PECOS PAC ID: 7315077260 Enrollment ID: I20100619000158 |
| Provider Name | Anita P Pillai |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972554038 PECOS PAC ID: 8224168174 Enrollment ID: I20100619000161 |
| Provider Name | Roger A Macduff |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1154371359 PECOS PAC ID: 2961533641 Enrollment ID: I20100624000057 |
| Provider Name | Paul Szorc |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1407807571 PECOS PAC ID: 2668503343 Enrollment ID: I20100624000090 |
| Provider Name | Joseph S Kaliski |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235180381 PECOS PAC ID: 5193857597 Enrollment ID: I20100721000255 |
| Provider Name | Uzma Muneer |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1558477604 PECOS PAC ID: 5193859627 Enrollment ID: I20100818001270 |
| Provider Name | Julie M Lopatka |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1891746954 PECOS PAC ID: 2668596917 Enrollment ID: I20100824000580 |
| Provider Name | Michael T Hoffman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1396796447 PECOS PAC ID: 5597889865 Enrollment ID: I20100824000822 |
| Provider Name | Ernest B Lindell |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1003802810 PECOS PAC ID: 9931137189 Enrollment ID: I20100914001277 |
| Provider Name | Vijay Thangamani |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1376709204 PECOS PAC ID: 5092861088 Enrollment ID: I20100927000790 |
| Provider Name | Colleen M Weiler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619134996 PECOS PAC ID: 0042403990 Enrollment ID: I20101022001316 |
| Provider Name | Judith G Benka |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063463115 PECOS PAC ID: 6204021116 Enrollment ID: I20101117000297 |
| Provider Name | Evelyn Rodriguez |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1780905604 PECOS PAC ID: 7517153398 Enrollment ID: I20101118000846 |
| Provider Name | Barbara A Lewallen |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1447291794 PECOS PAC ID: 0446446835 Enrollment ID: I20101124000654 |
| Provider Name | Kimberley Darey |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1942478441 PECOS PAC ID: 7113116211 Enrollment ID: I20110105000399 |
| Provider Name | Michelle Jackowski |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1194039669 PECOS PAC ID: 5597944892 Enrollment ID: I20110119000276 |
| Provider Name | Joseph Dearie |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1770697989 PECOS PAC ID: 3072410752 Enrollment ID: I20110121000975 |
| Provider Name | Joseph J Furlin |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1316988389 PECOS PAC ID: 6608056429 Enrollment ID: I20110211000303 |
| Provider Name | Amit Gupta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205982600 PECOS PAC ID: 8426231663 Enrollment ID: I20110324000629 |
| Provider Name | Mary E Saracco |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1750416467 PECOS PAC ID: 0648455162 Enrollment ID: I20110427000611 |
| Provider Name | Susan B Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164736047 PECOS PAC ID: 0941478309 Enrollment ID: I20110729000522 |
| Provider Name | Pratik S Parikh |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1093899619 PECOS PAC ID: 7113197344 Enrollment ID: I20110826000082 |
| Provider Name | Samiya Hashmi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1730337106 PECOS PAC ID: 1456523398 Enrollment ID: I20111018000776 |
| Provider Name | Rebecca E Hagensee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992089890 PECOS PAC ID: 3870767759 Enrollment ID: I20111111000389 |
| Provider Name | Yasmin Irfan Kagzi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659525103 PECOS PAC ID: 0547423717 Enrollment ID: I20120525000417 |
| Provider Name | Laura M Cozzi |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1982701017 PECOS PAC ID: 0345403077 Enrollment ID: I20120530000491 |
| Provider Name | Ramzi Zureikat |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1851529119 PECOS PAC ID: 1153577358 Enrollment ID: I20120803000058 |
| Provider Name | Susan M Hudec |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1659539070 PECOS PAC ID: 2769638238 Enrollment ID: I20120816000214 |
| Provider Name | Maria D Ariza Altahona |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073746871 PECOS PAC ID: 3577719988 Enrollment ID: I20120816000898 |
| Provider Name | Lalitha Dileep-ansal |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1053549303 PECOS PAC ID: 2264689207 Enrollment ID: I20120828000204 |
| Provider Name | Shubha Singh |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1538397617 PECOS PAC ID: 9032367503 Enrollment ID: I20120907000567 |
| Provider Name | Joanne Labriola |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1518904739 PECOS PAC ID: 9830101005 Enrollment ID: I20121022000029 |
| Provider Name | Samantha R Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689926784 PECOS PAC ID: 1557513157 Enrollment ID: I20121205000475 |
| Provider Name | Richard H. Hsu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679521827 PECOS PAC ID: 9335331974 Enrollment ID: I20130711000472 |
| Provider Name | Agron B Elezi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679886121 PECOS PAC ID: 5890966709 Enrollment ID: I20131002000610 |
| Provider Name | Arlinda Elezi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295173466 PECOS PAC ID: 2769617695 Enrollment ID: I20131031001529 |
| Provider Name | Lindsay J Willgohs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740618768 PECOS PAC ID: 3173750973 Enrollment ID: I20131227001093 |
| Provider Name | Wajahat M Hussain |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1730318858 PECOS PAC ID: 8022231380 Enrollment ID: I20140514001544 |
| Provider Name | Dhara S Naik |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053607333 PECOS PAC ID: 0941427298 Enrollment ID: I20140808001847 |
| Provider Name | Carrie F Daly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821406257 PECOS PAC ID: 1850510017 Enrollment ID: I20140919002382 |
| Provider Name | Sivakami Krishnan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174812374 PECOS PAC ID: 7315166303 Enrollment ID: I20140924002216 |
| Provider Name | Saamer M Siddiqi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1295023604 PECOS PAC ID: 2769604206 Enrollment ID: I20141117001488 |
| Provider Name | Elmer Murdock |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1700064730 PECOS PAC ID: 7618024043 Enrollment ID: I20141120000672 |
| Provider Name | Azemina K Poonja |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1295962843 PECOS PAC ID: 8527216407 Enrollment ID: I20141209001211 |
| Provider Name | Nausheen Ahmed |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235322215 PECOS PAC ID: 5991861312 Enrollment ID: I20141224000668 |
| Provider Name | Svetla Elmatari |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578953535 PECOS PAC ID: 5991025785 Enrollment ID: I20150519000728 |
| Provider Name | Kinley C Berger |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1669764791 PECOS PAC ID: 5799096962 Enrollment ID: I20150616000347 |
| Provider Name | Emily Mcreynolds Barszcz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407100381 PECOS PAC ID: 8628381746 Enrollment ID: I20150720000600 |
| Provider Name | Shakthi D Kumar |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1881853596 PECOS PAC ID: 1759694409 Enrollment ID: I20150723008485 |
| Provider Name | Aarti Manchanda |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1669788709 PECOS PAC ID: 6204142284 Enrollment ID: I20150908000201 |
| Provider Name | Brianne M Nolan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063898393 PECOS PAC ID: 6507173051 Enrollment ID: I20150915003035 |
| Provider Name | Elsie-linda Nketia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376911461 PECOS PAC ID: 8123328226 Enrollment ID: I20151120002598 |
| Provider Name | Samantha M Long |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962897082 PECOS PAC ID: 5092016931 Enrollment ID: I20151217001194 |
| Provider Name | Jenna R Haeberle |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1033577762 PECOS PAC ID: 6800191388 Enrollment ID: I20160222000411 |
| Provider Name | Rayyan M Siddiqi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1144563594 PECOS PAC ID: 7517257611 Enrollment ID: I20160601002750 |
| Provider Name | Matthew A Zuckerman |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1619243607 PECOS PAC ID: 8729382627 Enrollment ID: I20160628002061 |
| Provider Name | Michael B. Greenspan |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1942520127 PECOS PAC ID: 5193015345 Enrollment ID: I20160721000341 |
| Provider Name | Sence E Feldmann |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1710060819 PECOS PAC ID: 5395030126 Enrollment ID: I20160818000891 |
| Provider Name | Theodora K Kanjama |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1164650248 PECOS PAC ID: 0840441580 Enrollment ID: I20161108000269 |
| Provider Name | Kathryn E Sas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639597560 PECOS PAC ID: 2567744634 Enrollment ID: I20170125001004 |
| Provider Name | Krista G Hensley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265977656 PECOS PAC ID: 7911289798 Enrollment ID: I20170201000096 |
| Provider Name | Carla A Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346780756 PECOS PAC ID: 1254616121 Enrollment ID: I20170316001661 |
| Provider Name | Amy Westbrook |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447473707 PECOS PAC ID: 6103102371 Enrollment ID: I20170425000554 |
| Provider Name | Sudha Yalamanchi |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1962722553 PECOS PAC ID: 0648458968 Enrollment ID: I20170427002640 |
| Provider Name | Victoria L Schmitt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154783264 PECOS PAC ID: 7911276886 Enrollment ID: I20170707003133 |
| Provider Name | Chang Yang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902219611 PECOS PAC ID: 8820390644 Enrollment ID: I20170808001473 |
| Provider Name | Pablo N Quintana |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043624760 PECOS PAC ID: 4486946811 Enrollment ID: I20170808002715 |
| Provider Name | Paul Metzger |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1760688378 PECOS PAC ID: 5991008922 Enrollment ID: I20170823004314 |
| Provider Name | Delia M Lacavera |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174718787 PECOS PAC ID: 8325133135 Enrollment ID: I20170901002146 |
| Provider Name | Anna Koperdowski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932524196 PECOS PAC ID: 2466753264 Enrollment ID: I20170921000191 |
| Provider Name | Enes M Mugnolo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609396860 PECOS PAC ID: 7719251164 Enrollment ID: I20170922002223 |
| Provider Name | Courtney Erin Iwersen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164932653 PECOS PAC ID: 3072871359 Enrollment ID: I20171213003352 |
| Provider Name | Timothy Edward Schainker |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093125502 PECOS PAC ID: 1153541859 Enrollment ID: I20180308000150 |
| Provider Name | Darius M Radvila |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1538456264 PECOS PAC ID: 5991066987 Enrollment ID: I20180308001759 |
| Provider Name | Robyn A Householder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093218836 PECOS PAC ID: 5496001406 Enrollment ID: I20180705001811 |
| Provider Name | Zuhair Hussaini |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1194015248 PECOS PAC ID: 3274804919 Enrollment ID: I20180807000191 |
| Provider Name | Mariam A Khan |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1225317464 PECOS PAC ID: 4880815885 Enrollment ID: I20180828002817 |
| Provider Name | Maria Romano Mcgann |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1790058717 PECOS PAC ID: 4688960107 Enrollment ID: I20180829001164 |
| Provider Name | Eric H Meshulam |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1720427040 PECOS PAC ID: 4082854021 Enrollment ID: I20180905003922 |
| Provider Name | Susan Obman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447746201 PECOS PAC ID: 6305196619 Enrollment ID: I20180907001010 |
| Provider Name | Kathryn Mary Pardue |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1588943567 PECOS PAC ID: 2264784073 Enrollment ID: I20181005001183 |
| Provider Name | Mark H Sahlol |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1184930604 PECOS PAC ID: 3274721428 Enrollment ID: I20181101001529 |
| Provider Name | Krunal R Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396127239 PECOS PAC ID: 7719273895 Enrollment ID: I20181105000091 |
| Provider Name | Joanna M Rios |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720547383 PECOS PAC ID: 6103167531 Enrollment ID: I20190411000700 |
| Provider Name | Zahra Deen |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1841515137 PECOS PAC ID: 8820308885 Enrollment ID: I20190507002798 |
| Provider Name | Atena W Lodhi |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1629367966 PECOS PAC ID: 8729307202 Enrollment ID: I20190509001537 |
| Provider Name | Diana S Anton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548486327 PECOS PAC ID: 4486973633 Enrollment ID: I20190521001700 |
| Provider Name | Marvina M Isufi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487218921 PECOS PAC ID: 0648513077 Enrollment ID: I20190528000824 |
| Provider Name | Bonnie Stabrawa |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1205093812 PECOS PAC ID: 1557694130 Enrollment ID: I20190613001784 |
| Provider Name | Anastasia Munoz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053766840 PECOS PAC ID: 7517292022 Enrollment ID: I20190703002762 |
| Provider Name | Rishi Zaveri |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1558704700 PECOS PAC ID: 8325358708 Enrollment ID: I20190813000204 |
| Provider Name | Karen Hsia Ma |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1124464789 PECOS PAC ID: 0244522597 Enrollment ID: I20190819003860 |
| Provider Name | Rabeah Rehman |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1689934689 PECOS PAC ID: 3779891981 Enrollment ID: I20191121001558 |
| Provider Name | Christina L Mcbride |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881238665 PECOS PAC ID: 9234563412 Enrollment ID: I20191220001435 |
| Provider Name | Maddalena Buscemi |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1346884384 PECOS PAC ID: 5294169348 Enrollment ID: I20191223001681 |
| Provider Name | Michael P Hoeh |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1558682351 PECOS PAC ID: 0648584748 Enrollment ID: I20200106002829 |
| Provider Name | Karen Marie Kinsley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851740161 PECOS PAC ID: 9335413251 Enrollment ID: I20200421002374 |
| Provider Name | Carlo Prades |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457880080 PECOS PAC ID: 8820369572 Enrollment ID: I20200708003083 |
| Provider Name | Jennifer Yokopenic |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366987406 PECOS PAC ID: 6305262825 Enrollment ID: I20200814000833 |
| Provider Name | Julie Brown |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1851620561 PECOS PAC ID: 0941620587 Enrollment ID: I20201020001348 |
| Provider Name | Hussam Syed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861903494 PECOS PAC ID: 7719246610 Enrollment ID: I20201204000472 |
| Provider Name | Aron Jacob Block |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1538653084 PECOS PAC ID: 4587063110 Enrollment ID: I20210601001966 |
| Provider Name | Suzanne Oddo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912512823 PECOS PAC ID: 0749685469 Enrollment ID: I20210818003067 |
| Provider Name | Riya Thomas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457841231 PECOS PAC ID: 1951654185 Enrollment ID: I20210924000229 |
| Provider Name | Lillian Mentzelopoulos |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1073009874 PECOS PAC ID: 3274930706 Enrollment ID: I20210924002600 |
| Provider Name | Mark Biebel |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1447614797 PECOS PAC ID: 4486949880 Enrollment ID: I20211116001532 |
| Provider Name | Krista Kirk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366061616 PECOS PAC ID: 7517359029 Enrollment ID: I20220113000328 |
| Provider Name | Jennifer Adrianne Ingram |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629730585 PECOS PAC ID: 1951794387 Enrollment ID: I20220208001734 |
| Provider Name | Margaret Anne Neely |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770241929 PECOS PAC ID: 9931594686 Enrollment ID: I20220316003451 |
| Provider Name | Diala Alatassi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215467147 PECOS PAC ID: 2062890973 Enrollment ID: I20220606002154 |
| Provider Name | Timothy L Fernandez |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1396205530 PECOS PAC ID: 2062890734 Enrollment ID: I20220608002274 |
| Provider Name | Daniel Eric Michalik |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1639674575 PECOS PAC ID: 5698021335 Enrollment ID: I20220715002505 |
| Provider Name | Luke Miller |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1215461876 PECOS PAC ID: 7810265816 Enrollment ID: I20220722001049 |
| Provider Name | Jason Bradley Kramer |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1366891491 PECOS PAC ID: 5890087795 Enrollment ID: I20220808003069 |
| Provider Name | Lauren Partain |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285360156 PECOS PAC ID: 2163805151 Enrollment ID: I20220824002346 |
| Provider Name | Quraish Rababah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992292916 PECOS PAC ID: 6507191301 Enrollment ID: I20220825002672 |
| Provider Name | Jessica Marie Norman |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1316431893 PECOS PAC ID: 5890041925 Enrollment ID: I20220907003271 |
| Provider Name | Archana Rajender |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1831519388 PECOS PAC ID: 9830318948 Enrollment ID: I20221212002828 |
| Provider Name | Swara A Patel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992414783 PECOS PAC ID: 4789055799 Enrollment ID: I20230130000230 |
| Provider Name | Shabnum Haleem |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1831400696 PECOS PAC ID: 2769794387 Enrollment ID: I20230131002650 |
| Provider Name | Uzma Kothawala |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1083069819 PECOS PAC ID: 7214225127 Enrollment ID: I20230309000393 |
| Provider Name | Casey Houts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053023820 PECOS PAC ID: 6103290903 Enrollment ID: I20230317001253 |
| Provider Name | Sarah Soliz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629764642 PECOS PAC ID: 6406212679 Enrollment ID: I20230512000837 |
| Provider Name | Kelly Rae Morris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043905508 PECOS PAC ID: 6002272119 Enrollment ID: I20230516001449 |
| Provider Name | Leigh Green |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649974981 PECOS PAC ID: 7719344209 Enrollment ID: I20230526000172 |
| Provider Name | Krishan Singh |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1609491604 PECOS PAC ID: 9537527874 Enrollment ID: I20230620001290 |
| Provider Name | Allison Patricia Rzepczynski |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1649708975 PECOS PAC ID: 2264702273 Enrollment ID: I20230628002255 |
| Provider Name | Shalin Chetan Desai |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1215477732 PECOS PAC ID: 4688945595 Enrollment ID: I20230719003138 |
| Provider Name | Christine Stella |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336776558 PECOS PAC ID: 0042622862 Enrollment ID: I20230725001457 |
| Provider Name | Michael Hegazin |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1215469671 PECOS PAC ID: 0244692671 Enrollment ID: I20230816001764 |
| Provider Name | Svetlana Stancheva |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992333900 PECOS PAC ID: 5799186573 Enrollment ID: I20230901000470 |
| Provider Name | Agim Jusufi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366001232 PECOS PAC ID: 6709265390 Enrollment ID: I20230906001486 |
| Provider Name | Ramier J Lehne |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1023513173 PECOS PAC ID: 9638523277 Enrollment ID: I20230929002107 |
| Provider Name | Patrick William Crowe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356127104 PECOS PAC ID: 4688021421 Enrollment ID: I20231115003133 |
| Provider Name | Mahmoud Alsayed |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1215288568 PECOS PAC ID: 2466693783 Enrollment ID: I20231118000222 |
| Provider Name | Nikola Nadia Roszko Augustynowicz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104604255 PECOS PAC ID: 4183072655 Enrollment ID: I20231121003009 |
Dr H Kalsi & Associates P C Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1200 S York Rd, Ste 4250, Elmhurst, IL 60126 Phone: 630-758-8766 | |
Alc Primary Care At Home Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 360 W Butterfield Rd Ste 325, Elmhurst, IL 60126 Phone: 312-728-4728 Fax: 312-728-4729 | |
Center Street Medical Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 103 N Haven Rd Fl 2, Elmhurst, IL 60126 Phone: 630-595-9988 Fax: 331-225-2296 | |
Elmhurst Medical Associates, S.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 183 N Addison Ave, Elmhurst, IL 60126 Phone: 630-834-8450 Fax: 630-834-8472 | |
Kecala & Kecala Sc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 533 W North Ave, Ste 206, Elmhurst, IL 60126 Phone: 630-279-3222 Fax: 630-279-3230 | |
Kristina Katzovitz, M.d., S.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 455 North York Road, Elmhurst, IL 60126 Phone: 630-834-0400 Fax: 630-834-0619 | |
Phillips Family Medical Center Sc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 242 N York St Ste 106, Elmhurst, IL 60126 Phone: 630-834-6245 Fax: 630-834-3355 |