| Gi Partners Of Illinois, Llc | |
|
1880 W Winchester Rd #201 Libertyville IL 60048-5341 | |
| (847) 247-0187 | |
| (847) 247-0487 |
| Full Name | Gi Partners Of Illinois, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1880 W Winchester Rd, Libertyville, Illinois |
| Authorized Official Name and Position | Evelina Wisniewski (CREDENTIALING COORDONATOR) |
| Authorized Official Contact | 8472470187 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gi Partners Of Illinois, Llc 1880 W Winchester Rd #201 Libertyville IL 60048-5341 Ph: (847) 247-0187 | Gi Partners Of Illinois, Llc 1880 W Winchester Rd #201 Libertyville IL 60048-5341 Ph: (847) 247-0187 |
| NPI Number | 1548613995 |
|---|---|
| Provider Enumeration Date | 07/21/2016 |
| Last Update Date | 12/09/2019 |
| Medicare PECOS PAC ID | 2567758295 |
|---|---|
| Medicare Enrollment ID | O20160907001020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548613995 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
| Provider Name | Mihir R Majmundar |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1417932955 PECOS PAC ID: 0143115386 Enrollment ID: I20040223000362 |
| Provider Name | Rockford G Yapp |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1356327910 PECOS PAC ID: 9830182344 Enrollment ID: I20040409000100 |
| Provider Name | James R Clark |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1588640650 PECOS PAC ID: 0648263152 Enrollment ID: I20040409000124 |
| Provider Name | Paul V Fahrenbach |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699768416 PECOS PAC ID: 3779578406 Enrollment ID: I20040420000773 |
| Provider Name | Richard M Rotnicki |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1427062850 PECOS PAC ID: 8921095209 Enrollment ID: I20040430000075 |
| Provider Name | Philip N Adjei |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1720080054 PECOS PAC ID: 4587645965 Enrollment ID: I20040601000595 |
| Provider Name | Shahid B Ilahi |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1508867078 PECOS PAC ID: 3870571938 Enrollment ID: I20040713001539 |
| Provider Name | Edward James Jurkovic |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1558360842 PECOS PAC ID: 1456341627 Enrollment ID: I20040727000194 |
| Provider Name | Sean W Lee |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1194765248 PECOS PAC ID: 9133199748 Enrollment ID: I20040730000151 |
| Provider Name | Arkan Alrashid |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1851348916 PECOS PAC ID: 0840260550 Enrollment ID: I20040730000198 |
| Provider Name | Ven A Aduana |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1699757369 PECOS PAC ID: 8820078371 Enrollment ID: I20041110000190 |
| Provider Name | Keith J Kaplan |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1548201825 PECOS PAC ID: 1850349895 Enrollment ID: I20050106000716 |
| Provider Name | Ajay Bajaj |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1518943513 PECOS PAC ID: 0648222406 Enrollment ID: I20050221000280 |
| Provider Name | Anshuman Chawla |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1841276417 PECOS PAC ID: 7214977669 Enrollment ID: I20050505000426 |
| Provider Name | Brian Charles Sasso |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1558460022 PECOS PAC ID: 6002859428 Enrollment ID: I20050729000131 |
| Provider Name | Keikhosrow Ghazanfari |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1831188747 PECOS PAC ID: 5496785818 Enrollment ID: I20050816000557 |
| Provider Name | Jeffrey H Port |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1285635987 PECOS PAC ID: 7517990013 Enrollment ID: I20050915000337 |
| Provider Name | Charles H Berkelhammer |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1457359697 PECOS PAC ID: 3072546571 Enrollment ID: I20050915000400 |
| Provider Name | Douglas A Lee |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1144229949 PECOS PAC ID: 3375576705 Enrollment ID: I20050915000483 |
| Provider Name | John N Tasiopoulos |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1346384492 PECOS PAC ID: 1557386869 Enrollment ID: I20051005001257 |
| Provider Name | Tamer Atassi |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1548276819 PECOS PAC ID: 7911913892 Enrollment ID: I20060301000729 |
| Provider Name | Phillip Y Chung |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1639165947 PECOS PAC ID: 1456362151 Enrollment ID: I20060509000799 |
| Provider Name | Rogelio G Silva |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1962493064 PECOS PAC ID: 2860473725 Enrollment ID: I20061018000263 |
| Provider Name | Carl A Robinson |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1689787889 PECOS PAC ID: 4284630963 Enrollment ID: I20061020000284 |
| Provider Name | Noman H Siddiqui |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1982710216 PECOS PAC ID: 9830196732 Enrollment ID: I20061108000140 |
| Provider Name | Chad C Spangler |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1073625562 PECOS PAC ID: 5395743504 Enrollment ID: I20061127000077 |
| Provider Name | Hareth Raddawi |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1063440535 PECOS PAC ID: 5092736579 Enrollment ID: I20071012000482 |
| Provider Name | Kamran Ayub |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1942317243 PECOS PAC ID: 6305824723 Enrollment ID: I20080313000466 |
| Provider Name | Stanislaw A Maslanka |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1881676914 PECOS PAC ID: 2163593369 Enrollment ID: I20080616000552 |
| Provider Name | Simi Joseph |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720224439 PECOS PAC ID: 1557424553 Enrollment ID: I20090119000120 |
| Provider Name | Rahul N Julka |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1235216425 PECOS PAC ID: 0042364424 Enrollment ID: I20090819000744 |
| Provider Name | David B Sutherland |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1619976909 PECOS PAC ID: 9436149606 Enrollment ID: I20100206000255 |
| Provider Name | Thomas L Oconnor |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1760470033 PECOS PAC ID: 8628068897 Enrollment ID: I20100206000258 |
| Provider Name | Thomas M Betlej |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1962486480 PECOS PAC ID: 0042349185 Enrollment ID: I20100527000333 |
| Provider Name | Matthew L Horowitz |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1467484410 PECOS PAC ID: 2668550518 Enrollment ID: I20101217000542 |
| Provider Name | Robert C Kaiser |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1255362000 PECOS PAC ID: 1759469604 Enrollment ID: I20101217000566 |
| Provider Name | Phillip Nagel |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1043204043 PECOS PAC ID: 6901995075 Enrollment ID: I20101228000240 |
| Provider Name | Shiban K Ganju |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1477583532 PECOS PAC ID: 3476631326 Enrollment ID: I20110105001252 |
| Provider Name | Amit G Shah |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1992792394 PECOS PAC ID: 1456540228 Enrollment ID: I20110110000239 |
| Provider Name | Dale L Coy |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1770578858 PECOS PAC ID: 7618166117 Enrollment ID: I20110114000443 |
| Provider Name | Manish B Bhuva |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1518953330 PECOS PAC ID: 6709075203 Enrollment ID: I20110114000457 |
| Provider Name | Dafna W Gordon |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1679569388 PECOS PAC ID: 7113116534 Enrollment ID: I20110114000790 |
| Provider Name | Sandra L Bernklau |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790821882 PECOS PAC ID: 1658556329 Enrollment ID: I20110421000753 |
| Provider Name | Lola Kwan |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1528245925 PECOS PAC ID: 0446428973 Enrollment ID: I20110727000375 |
| Provider Name | Michael Dominick Dastice |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1952358939 PECOS PAC ID: 0547434755 Enrollment ID: I20111129000111 |
| Provider Name | Tarek Almouradi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992012363 PECOS PAC ID: 3072780360 Enrollment ID: I20120127000526 |
| Provider Name | Lesley K Dawravoo |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1588820781 PECOS PAC ID: 4486897246 Enrollment ID: I20130826000825 |
| Provider Name | Jucy Tiesenga |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124395199 PECOS PAC ID: 9931337292 Enrollment ID: I20140113000316 |
| Provider Name | James L Ferguson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841602794 PECOS PAC ID: 4981822699 Enrollment ID: I20140821001229 |
| Provider Name | Imad M Elkhatib |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1326204991 PECOS PAC ID: 3971741307 Enrollment ID: I20141002000220 |
| Provider Name | Veena H Nannegari |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1285879494 PECOS PAC ID: 1951523547 Enrollment ID: I20141114001953 |
| Provider Name | Ashish Shah |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1780847384 PECOS PAC ID: 5698991164 Enrollment ID: I20150521002711 |
| Provider Name | Erin E Micklinghoff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356694335 PECOS PAC ID: 2961713029 Enrollment ID: I20150617000182 |
| Provider Name | Matthew Kaplan |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1285863308 PECOS PAC ID: 2769793181 Enrollment ID: I20150625001373 |
| Provider Name | Jonathan M Erlich |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265796429 PECOS PAC ID: 1658596044 Enrollment ID: I20150818003037 |
| Provider Name | Brant J Lutsi |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1265608186 PECOS PAC ID: 9335384890 Enrollment ID: I20150910001869 |
| Provider Name | Faris M Murad |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1205970563 PECOS PAC ID: 3072680651 Enrollment ID: I20151223001449 |
| Provider Name | Heidijo Elyea |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013451509 PECOS PAC ID: 1759662463 Enrollment ID: I20170111000831 |
| Provider Name | Christina Grote |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588100952 PECOS PAC ID: 6204111925 Enrollment ID: I20170321000689 |
| Provider Name | Maria Mcintire |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1356531107 PECOS PAC ID: 2466588678 Enrollment ID: I20170323001507 |
| Provider Name | Jamie Slade |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1588924328 PECOS PAC ID: 7517266455 Enrollment ID: I20170714002867 |
| Provider Name | Nicole Marie Gentile |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1417241944 PECOS PAC ID: 0648427492 Enrollment ID: I20170726004183 |
| Provider Name | Alexandra Mendez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447794144 PECOS PAC ID: 7517238041 Enrollment ID: I20170802001408 |
| Provider Name | Kinsey Nolan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174045462 PECOS PAC ID: 1052670510 Enrollment ID: I20180109002268 |
| Provider Name | Peter R Kuta |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508382375 PECOS PAC ID: 6709145139 Enrollment ID: I20180110003257 |
| Provider Name | Darren Ballard |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1467652560 PECOS PAC ID: 3678757382 Enrollment ID: I20180116000059 |
| Provider Name | Mary Joyce A Lagatao |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649783143 PECOS PAC ID: 4486914843 Enrollment ID: I20180202000121 |
| Provider Name | Sarah A Kosinski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568946572 PECOS PAC ID: 4880939610 Enrollment ID: I20181221001655 |
| Provider Name | Katie Hammarstedt Akers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467920009 PECOS PAC ID: 9638402316 Enrollment ID: I20190612000886 |
| Provider Name | Jacquelyn T Torres |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396391231 PECOS PAC ID: 5698007854 Enrollment ID: I20191022000352 |
| Provider Name | Sarah R Massey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881338895 PECOS PAC ID: 4486031499 Enrollment ID: I20220512002280 |
| Provider Name | Nistha Rawal |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1801323159 PECOS PAC ID: 0648515338 Enrollment ID: I20230822001000 |
| Provider Name | Kendra Taylor Gorny |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235812363 PECOS PAC ID: 0547618688 Enrollment ID: I20231129002483 |
Lake County Associate Of Internal Medicine , Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1880 W Winchester Rd Ste 106, Libertyville, IL 60048 Phone: 847-367-8297 Fax: 847-367-4277 | |
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