| Haveric Medical Ltd | |
|
333 N Madison St Joliet IL 60435 | |
| (815) 725-7133 | |
| (630) 455-6224 |
| Full Name | Haveric Medical Ltd |
|---|---|
| Speciality | Internal Medicine |
| Location | 333 N Madison St, Joliet, Illinois |
| Authorized Official Name and Position | Zlatko Haveric (PRESIDENT) |
| Authorized Official Contact | 8154366814 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Haveric Medical Ltd Po Box 621 Hinsdale IL 60522-0621 Ph: (815) 436-6814 | Haveric Medical Ltd 333 N Madison St Joliet IL 60435 Ph: (815) 725-7133 |
| NPI Number | 1881624047 |
|---|---|
| Provider Enumeration Date | 07/04/2006 |
| Last Update Date | 01/15/2008 |
| Medicare PECOS PAC ID | 0547214694 |
|---|---|
| Medicare Enrollment ID | O20050310000911 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881624047 | NPI | - | NPPES |
| 9932317 | Other | IL | BLUESHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (Illinois) | Primary |
| Provider Name | Zlatko Haveric |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568492726 PECOS PAC ID: 4789649633 Enrollment ID: I20041119001026 |
| Provider Name | Maria R Latif |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063620607 PECOS PAC ID: 6002095395 Enrollment ID: I20110119000219 |
| Provider Name | Alex N Ariri |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033493929 PECOS PAC ID: 6406011006 Enrollment ID: I20120705000389 |
| Provider Name | Taryn T Shelby |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063840619 PECOS PAC ID: 6204063100 Enrollment ID: I20131223000757 |
| Provider Name | Natalia Melnic |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881086304 PECOS PAC ID: 6204148547 Enrollment ID: I20150630000626 |
| Provider Name | Joanne T Wheaton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548637226 PECOS PAC ID: 5496751224 Enrollment ID: I20151130001744 |
| Provider Name | Kristin J Doyle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255874335 PECOS PAC ID: 9234413808 Enrollment ID: I20170227000653 |
| Provider Name | Ebony P Belle-johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841736642 PECOS PAC ID: 3375818578 Enrollment ID: I20171013000081 |
| Provider Name | Jennifer M Alamillo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235603713 PECOS PAC ID: 4183963119 Enrollment ID: I20190308000503 |
| Provider Name | Lisa Trevino |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467090308 PECOS PAC ID: 5294162814 Enrollment ID: I20200220001803 |
| Provider Name | Claudia Heald |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619501426 PECOS PAC ID: 3779913793 Enrollment ID: I20200415001270 |
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