| Eric Chuang Md Sc | |
|
4712 Laurel Ave Glenview IL 60025-1419 | |
| (847) 535-7736 | |
| (847) 768-1617 |
| Full Name | Eric Chuang Md Sc |
|---|---|
| Speciality | Internal Medicine |
| Location | 4712 Laurel Ave, Glenview, Illinois |
| Authorized Official Name and Position | Eric Chuang (PRESIDENT) |
| Authorized Official Contact | 3123718981 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Eric Chuang Md Sc 4712 Laurel Ave Glenview IL 60025-1419 Ph: (847) 535-7736 | Eric Chuang Md Sc 4712 Laurel Ave Glenview IL 60025-1419 Ph: (847) 535-7736 |
| NPI Number | 1588043665 |
|---|---|
| Provider Enumeration Date | 05/22/2015 |
| Last Update Date | 05/22/2015 |
| Medicare PECOS PAC ID | 3870805799 |
|---|---|
| Medicare Enrollment ID | O20150713002600 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588043665 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 042619731 (Illinois) | Primary |
| Provider Name | Eric Chuang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124140207 PECOS PAC ID: 9830388164 Enrollment ID: I20110118000658 |
| Provider Name | Sophia N Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568497162 PECOS PAC ID: 5092940205 Enrollment ID: I20131024000399 |
| Provider Name | Amit Gandhi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548711971 PECOS PAC ID: 1850679267 Enrollment ID: I20161104001108 |
| Provider Name | Kristine Cuaresma |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912438623 PECOS PAC ID: 4981981354 Enrollment ID: I20170512000832 |
| Provider Name | Alla Yakovleva |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063876175 PECOS PAC ID: 8224305966 Enrollment ID: I20170530001942 |
| Provider Name | Adina I Urs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841831344 PECOS PAC ID: 8628400124 Enrollment ID: I20191122000227 |
| Provider Name | Kyle Eric Sieber |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275252827 PECOS PAC ID: 4284005752 Enrollment ID: I20230119002120 |
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