| Humboldt Park Health | |
|
1044 N Francisco Ave Chicago IL 60622 | |
| (773) 292-8200 | |
| (773) 278-3899 |
| Full Name | Humboldt Park Health |
|---|---|
| Speciality | Family Medicine |
| Location | 1044 N Francisco Ave, Chicago, Illinois |
| Authorized Official Name and Position | Dorothy Cheryl Erins (CREDENTIALING SPECIALIST) |
| Authorized Official Contact | 2692445256 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Humboldt Park Health 1044 N Francisco Ave Chicago IL 60622-2743 Ph: (773) 292-8200 | Humboldt Park Health 1044 N Francisco Ave Chicago IL 60622 Ph: (773) 292-8200 |
| NPI Number | 1740417153 |
|---|---|
| Provider Enumeration Date | 06/12/2009 |
| Last Update Date | 06/10/2021 |
| Certification Date | 06/10/2021 |
| Medicare PECOS PAC ID | 8921907072 |
|---|---|
| Medicare Enrollment ID | O20040107000704 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740417153 | NPI | - | NPPES |
| Provider Name | Patrick Mccarthy |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1821098906 PECOS PAC ID: 3577469337 Enrollment ID: I20031211000373 |
| Provider Name | Donatas a Siliunas |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1548261910 PECOS PAC ID: 4789589359 Enrollment ID: I20031211000621 |
| Provider Name | Evan Samett |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1306890728 PECOS PAC ID: 8921992991 Enrollment ID: I20040211000038 |
| Provider Name | Linda L Dew |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1093799884 PECOS PAC ID: 7810882313 Enrollment ID: I20040216000181 |
| Provider Name | Joel R Anderson |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1952341505 PECOS PAC ID: 7315832102 Enrollment ID: I20040225000208 |
| Provider Name | Xavier Pareja |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1053379578 PECOS PAC ID: 0749263143 Enrollment ID: I20040608000793 |
| Provider Name | Fadi Habib |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1013963164 PECOS PAC ID: 0749252591 Enrollment ID: I20040811000906 |
| Provider Name | James Edward Beckett |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1992704381 PECOS PAC ID: 3375449523 Enrollment ID: I20040927000211 |
| Provider Name | Tyla Courtney |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841329489 PECOS PAC ID: 2567431398 Enrollment ID: I20040929000216 |
| Provider Name | Jacob David Bitran |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1407815822 PECOS PAC ID: 3476526179 Enrollment ID: I20041108000839 |
| Provider Name | Nancy R Sagona |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1679574461 PECOS PAC ID: 9537148762 Enrollment ID: I20041122000918 |
| Provider Name | Sarah E Rowe |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1740261304 PECOS PAC ID: 4981654845 Enrollment ID: I20050127000943 |
| Provider Name | Steven R Klepac |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1265416002 PECOS PAC ID: 9133172018 Enrollment ID: I20050303000090 |
| Provider Name | Arun K Verma |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1871589143 PECOS PAC ID: 9032164868 Enrollment ID: I20050315000465 |
| Provider Name | Gary G Wiesman |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1821191404 PECOS PAC ID: 4688614431 Enrollment ID: I20050511000267 |
| Provider Name | Magnus Edosomwan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215959176 PECOS PAC ID: 4486697141 Enrollment ID: I20050603000950 |
| Provider Name | Mohammed Bachar Ghabra |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1396746822 PECOS PAC ID: 0042248270 Enrollment ID: I20050729000382 |
| Provider Name | Tulio E Rodriguez |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1831176007 PECOS PAC ID: 3476583626 Enrollment ID: I20050817000307 |
| Provider Name | Enrica Rossi |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1790775997 PECOS PAC ID: 1951330695 Enrollment ID: I20050817000325 |
| Provider Name | Peter Alexander Snitovsky |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1710951520 PECOS PAC ID: 7517998727 Enrollment ID: I20050827000120 |
| Provider Name | Rami E Lutfi |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1447237425 PECOS PAC ID: 3678505690 Enrollment ID: I20050909000730 |
| Provider Name | Jude R Duval |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1235171877 PECOS PAC ID: 0345269700 Enrollment ID: I20051116000060 |
| Provider Name | George R Cybulski |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1336107937 PECOS PAC ID: 7315960085 Enrollment ID: I20060109000516 |
| Provider Name | Walter Stadler |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1033272547 PECOS PAC ID: 4284644865 Enrollment ID: I20060426000705 |
| Provider Name | Sudheer Paruchuri |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1245221837 PECOS PAC ID: 6103842752 Enrollment ID: I20060922000295 |
| Provider Name | Adelina R Moya |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942231469 PECOS PAC ID: 8628075926 Enrollment ID: I20061030000452 |
| Provider Name | David Czukerberg |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1578515839 PECOS PAC ID: 7012915846 Enrollment ID: I20061110000016 |
| Provider Name | Natasha T Jenkins Cooper |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1285736736 PECOS PAC ID: 3779582218 Enrollment ID: I20061212000163 |
| Provider Name | Marc a Adajar |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1508947383 PECOS PAC ID: 7416057260 Enrollment ID: I20070710000492 |
| Provider Name | Vijayalakshmi Arekapudi |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1285622878 PECOS PAC ID: 0648357681 Enrollment ID: I20080401000838 |
| Provider Name | Thomas C Malvar |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1528089083 PECOS PAC ID: 1951488295 Enrollment ID: I20080410000330 |
| Provider Name | Shamim Y Patel |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1245298785 PECOS PAC ID: 6305917451 Enrollment ID: I20080617000266 |
| Provider Name | Scott B Phillips |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1053369967 PECOS PAC ID: 1355418021 Enrollment ID: I20080922000450 |
| Provider Name | Ajaz M Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043484736 PECOS PAC ID: 8628136124 Enrollment ID: I20081028000628 |
| Provider Name | Ghanshyam Thakkar |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1235196007 PECOS PAC ID: 5597825471 Enrollment ID: I20081121000549 |
| Provider Name | Rita M Zafra |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1003080847 PECOS PAC ID: 7911068713 Enrollment ID: I20081212000043 |
| Provider Name | Arlene M Wallace |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1699858878 PECOS PAC ID: 1759434574 Enrollment ID: I20090727000564 |
| Provider Name | Irena Mulla |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891846911 PECOS PAC ID: 9638224926 Enrollment ID: I20090910000432 |
| Provider Name | Ramon Barajas |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1477702611 PECOS PAC ID: 7113073339 Enrollment ID: I20090914000168 |
| Provider Name | Patricia Cariaga Crisostomo |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1437191871 PECOS PAC ID: 1658418298 Enrollment ID: I20091030000011 |
| Provider Name | David C Chua |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1346241585 PECOS PAC ID: 5092894857 Enrollment ID: I20100306000276 |
| Provider Name | Alan Shigemi Muraki |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1649348608 PECOS PAC ID: 0446387690 Enrollment ID: I20100421000266 |
| Provider Name | Nkeiruka O Dara |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1679801476 PECOS PAC ID: 1951433739 Enrollment ID: I20100714000203 |
| Provider Name | Aisha M Jaleel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619968203 PECOS PAC ID: 8224221577 Enrollment ID: I20101020000058 |
| Provider Name | Louis D Santangelo |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1902130032 PECOS PAC ID: 4082809819 Enrollment ID: I20101105001205 |
| Provider Name | Atul Patel |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1528045374 PECOS PAC ID: 6103844774 Enrollment ID: I20110415000434 |
| Provider Name | Obioma P Oparanozie |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1255659751 PECOS PAC ID: 3072799683 Enrollment ID: I20110517000143 |
| Provider Name | Priyadarshini Koduri |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1578752580 PECOS PAC ID: 1951572809 Enrollment ID: I20110926000365 |
| Provider Name | Dagoberto Camacho |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629201512 PECOS PAC ID: 9234382730 Enrollment ID: I20130112000073 |
| Provider Name | Rajeev Nayar |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1346217023 PECOS PAC ID: 1658365242 Enrollment ID: I20130612000249 |
| Provider Name | Maria Andreevna Osipova |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1447416722 PECOS PAC ID: 1557500485 Enrollment ID: I20130625000359 |
| Provider Name | Ashley M Caleel |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1578714044 PECOS PAC ID: 9032351424 Enrollment ID: I20130814000752 |
| Provider Name | Kalid Adab |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346473345 PECOS PAC ID: 7517114390 Enrollment ID: I20131031001059 |
| Provider Name | Emanuel Favela |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952614893 PECOS PAC ID: 6709015290 Enrollment ID: I20140203001020 |
| Provider Name | Atul K Nanda |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1033342837 PECOS PAC ID: 4688800162 Enrollment ID: I20140910001497 |
| Provider Name | James I Collins |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1366429383 PECOS PAC ID: 0749176261 Enrollment ID: I20141022001453 |
| Provider Name | Nicolaus J. Kuehn |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1518946649 PECOS PAC ID: 6507858651 Enrollment ID: I20141022002609 |
| Provider Name | Francisco a Quinteros |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1427206689 PECOS PAC ID: 8022330968 Enrollment ID: I20141204001886 |
| Provider Name | Marta H Sciubisz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922394808 PECOS PAC ID: 9739402637 Enrollment ID: I20141230000401 |
| Provider Name | Jeffrey Caverly |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1912968686 PECOS PAC ID: 2961509500 Enrollment ID: I20150526000946 |
| Provider Name | Jose a Ospina |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1033373287 PECOS PAC ID: 7618147653 Enrollment ID: I20150529000360 |
| Provider Name | Alix Vincent |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1003802265 PECOS PAC ID: 4789602194 Enrollment ID: I20150601000871 |
| Provider Name | Peilin Reed |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1265484794 PECOS PAC ID: 5991783227 Enrollment ID: I20150602001339 |
| Provider Name | Surender Kurapati |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1073558383 PECOS PAC ID: 8628982428 Enrollment ID: I20151217001694 |
| Provider Name | Shafeequr Rizwan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295761484 PECOS PAC ID: 7113986688 Enrollment ID: I20160209002586 |
| Provider Name | Abhijit Patil |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1104288497 PECOS PAC ID: 0345536447 Enrollment ID: I20160915000278 |
| Provider Name | Peter Piampiano |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1386694040 PECOS PAC ID: 8224925953 Enrollment ID: I20170323001294 |
| Provider Name | Samir Naser Shahen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558773663 PECOS PAC ID: 4880992775 Enrollment ID: I20170706001575 |
| Provider Name | Charles Davis |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1447240171 PECOS PAC ID: 9335230291 Enrollment ID: I20170726000466 |
| Provider Name | Kamel Sadat |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1013189281 PECOS PAC ID: 4880710706 Enrollment ID: I20170801003441 |
| Provider Name | Sarah Dobbins |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1295127470 PECOS PAC ID: 2567780117 Enrollment ID: I20170816001704 |
| Provider Name | Mohammed T Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588075576 PECOS PAC ID: 5294033536 Enrollment ID: I20180104000517 |
| Provider Name | Ricardo Rios |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1881957405 PECOS PAC ID: 9830458124 Enrollment ID: I20180111002825 |
| Provider Name | Annabel L Punsalan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235673179 PECOS PAC ID: 7911262449 Enrollment ID: I20180604000377 |
| Provider Name | Lindsey R Klingbeil |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1902195829 PECOS PAC ID: 4385884600 Enrollment ID: I20180823003477 |
| Provider Name | Naeem Iqbal Patel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902287956 PECOS PAC ID: 8921311465 Enrollment ID: I20180920000467 |
| Provider Name | Fizan Abdullah |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1689637472 PECOS PAC ID: 9830116482 Enrollment ID: I20181109001220 |
| Provider Name | Desiree Michelle Provax |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942760962 PECOS PAC ID: 8022350289 Enrollment ID: I20190508002712 |
| Provider Name | Andres Giovannetti |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1528408960 PECOS PAC ID: 0244535581 Enrollment ID: I20191028002544 |
| Provider Name | Christian Ingui |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1407893894 PECOS PAC ID: 0042213431 Enrollment ID: I20191111001244 |
| Provider Name | Kamiar Massrour |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1376791343 PECOS PAC ID: 4587704119 Enrollment ID: I20191112000552 |
| Provider Name | Daniel Lucas |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1417905522 PECOS PAC ID: 8527040195 Enrollment ID: I20191113001025 |
| Provider Name | David Wells |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1659447118 PECOS PAC ID: 0143128082 Enrollment ID: I20191115002679 |
| Provider Name | Farid Shafaie |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1306891841 PECOS PAC ID: 4688636905 Enrollment ID: I20200107001199 |
| Provider Name | Supriya Gupta |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1548521883 PECOS PAC ID: 5092004523 Enrollment ID: I20200113001847 |
| Provider Name | Yaimet V Bucknor |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902030836 PECOS PAC ID: 4880745470 Enrollment ID: I20200528003290 |
| Provider Name | Marc a Sarran |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1902283450 PECOS PAC ID: 4385959097 Enrollment ID: I20200811000326 |
| Provider Name | Gladys Seeham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508318148 PECOS PAC ID: 2769809052 Enrollment ID: I20200901002303 |
| Provider Name | Lyndsey Deuerling |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629697297 PECOS PAC ID: 4486072998 Enrollment ID: I20200916000051 |
| Provider Name | Tomasa Valencia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790337228 PECOS PAC ID: 1052730140 Enrollment ID: I20200923000087 |
| Provider Name | Heather Cottini |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841896644 PECOS PAC ID: 3577977727 Enrollment ID: I20210128002635 |
| Provider Name | Aaron C Jun |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1033194253 PECOS PAC ID: 5496773061 Enrollment ID: I20210210001135 |
| Provider Name | David Ishimitsu |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1497919641 PECOS PAC ID: 3173783057 Enrollment ID: I20210220000157 |
| Provider Name | Sagar N Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609379932 PECOS PAC ID: 6204183452 Enrollment ID: I20210727001867 |
| Provider Name | Dina Pierre-gray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639743131 PECOS PAC ID: 7911303805 Enrollment ID: I20210901000014 |
| Provider Name | Ari Plosker |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1639141682 PECOS PAC ID: 4587693320 Enrollment ID: I20210913000064 |
| Provider Name | Samantha Deberry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528651395 PECOS PAC ID: 5092105957 Enrollment ID: I20211208000939 |
| Provider Name | Gregory J Orth |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1205875788 PECOS PAC ID: 2860573722 Enrollment ID: I20220620000991 |
| Provider Name | Lance Williams |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1194773549 PECOS PAC ID: 2365455839 Enrollment ID: I20220718002922 |
| Provider Name | Mahdieh Haji Amou Assar |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1518953926 PECOS PAC ID: 5799675781 Enrollment ID: I20221018001662 |
| Provider Name | Anthony Bernard Bullard |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1376590927 PECOS PAC ID: 8921077132 Enrollment ID: I20221026001191 |
| Provider Name | Keith Mcguire |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1750310421 PECOS PAC ID: 6103093190 Enrollment ID: I20221027000061 |
| Provider Name | Paul Lampert |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1326010356 PECOS PAC ID: 4284532508 Enrollment ID: I20221101001710 |
| Provider Name | Faranak Sadri Tafazoli |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1790717221 PECOS PAC ID: 7214005750 Enrollment ID: I20221103003161 |
| Provider Name | Steven White |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1174529507 PECOS PAC ID: 3375595846 Enrollment ID: I20230321002751 |
| Provider Name | Shen Li |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1134548613 PECOS PAC ID: 6507254208 Enrollment ID: I20230519002108 |
| Provider Name | William Zinn |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1912984238 PECOS PAC ID: 2062460694 Enrollment ID: I20230606001436 |
| Provider Name | Animesh Shah |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1265457485 PECOS PAC ID: 7810934346 Enrollment ID: I20230626003014 |
| Provider Name | James Chatham Jr |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1629130141 PECOS PAC ID: 6002968773 Enrollment ID: I20230711003323 |
| Provider Name | Lisa Mary Tran |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164051355 PECOS PAC ID: 7416377957 Enrollment ID: I20230721001151 |
| Provider Name | Christopher O'hara Hampson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1033262985 PECOS PAC ID: 9638225881 Enrollment ID: I20230724001647 |
| Provider Name | Kevin C King |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1053816785 PECOS PAC ID: 6800143447 Enrollment ID: I20230810001613 |
| Provider Name | Karl Magsamen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1033202536 PECOS PAC ID: 8921084187 Enrollment ID: I20230830000412 |
| Provider Name | David Reiner |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1174572572 PECOS PAC ID: 4981616661 Enrollment ID: I20231106001958 |
| Provider Name | Olha Huzo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710516976 PECOS PAC ID: 7911382080 Enrollment ID: I20231207000208 |
| Provider Name | Christine G Heatley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053181024 PECOS PAC ID: 4587008636 Enrollment ID: I20240216003370 |
| Provider Name | Jeffrey Saunders |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1811945876 PECOS PAC ID: 7810938933 Enrollment ID: I20240306000850 |
| Provider Name | J Paul Rubin |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1720036312 PECOS PAC ID: 9436056215 Enrollment ID: I20240404003474 |
| Provider Name | Sean Feinberg |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1104273549 PECOS PAC ID: 3476952557 Enrollment ID: I20240529001286 |
| Provider Name | Sharon Kang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538740188 PECOS PAC ID: 2769929264 Enrollment ID: I20240801003115 |
| Provider Name | Damilola Adesanya |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427632280 PECOS PAC ID: 3870030034 Enrollment ID: I20240806000523 |
| Provider Name | Kevin Juan Zhang |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1275030256 PECOS PAC ID: 7719232172 Enrollment ID: I20240814002812 |
| Provider Name | Clarence S Davis |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1982633426 PECOS PAC ID: 9931102746 Enrollment ID: I20240906002889 |
| Provider Name | Evan Johnson |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1639462450 PECOS PAC ID: 2466708763 Enrollment ID: I20240910001638 |
| Provider Name | Joshua W Mccain |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1487742698 PECOS PAC ID: 5395914154 Enrollment ID: I20240923003314 |
| Provider Name | George Dehoff |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1588807606 PECOS PAC ID: 5698911311 Enrollment ID: I20241007002188 |
| Provider Name | Michael Benanti |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1619945342 PECOS PAC ID: 7911964853 Enrollment ID: I20241017001809 |
| Provider Name | Joseph Song |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1326493990 PECOS PAC ID: 5294073458 Enrollment ID: I20241017002230 |
| Provider Name | Tse F Anyu |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1417490301 PECOS PAC ID: 9537538723 Enrollment ID: I20241017002973 |
| Provider Name | Melissa L Stone |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1780806968 PECOS PAC ID: 8921132788 Enrollment ID: I20241106000544 |
| Provider Name | Rahul Pawar |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1487819553 PECOS PAC ID: 4880872472 Enrollment ID: I20241202000294 |
| Provider Name | Michael Mcdonald Davis |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1083842165 PECOS PAC ID: 8224350756 Enrollment ID: I20241219003929 |
| Provider Name | Fah S. Leong |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1184685299 PECOS PAC ID: 0547340655 Enrollment ID: I20250107002874 |
| Provider Name | Jia Meng |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922686856 PECOS PAC ID: 9537560982 Enrollment ID: I20250404000542 |
| Provider Name | Kiron Master |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1376535005 PECOS PAC ID: 0345293601 Enrollment ID: I20250501002744 |
| Provider Name | Nishal N Patel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1124761432 PECOS PAC ID: 5991215345 Enrollment ID: I20250605003677 |
| Provider Name | Moises Ventura |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1730933292 PECOS PAC ID: 4284144247 Enrollment ID: I20250609002497 |
| Provider Name | Gaurav Singh |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1184073801 PECOS PAC ID: 0840533329 Enrollment ID: I20250627002963 |
| Provider Name | Arun Kumar |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1326256678 PECOS PAC ID: 0244397065 Enrollment ID: I20250819003649 |
| Provider Name | Lillie Cook |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1205583085 PECOS PAC ID: 9335649722 Enrollment ID: I20250820004645 |
| Provider Name | Neil Dunavin |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1578798369 PECOS PAC ID: 6204090830 Enrollment ID: I20250828002019 |
| Provider Name | Jasbir Grewal |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1881731560 PECOS PAC ID: 5092746164 Enrollment ID: I20250908000611 |
| Provider Name | Samuel Azeze |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1275981631 PECOS PAC ID: 8921492752 Enrollment ID: I20250909003329 |
| Provider Name | Saeed Arefanian |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1821441643 PECOS PAC ID: 6901134253 Enrollment ID: I20250912001588 |
| Provider Name | Ryan Gene O'hara |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1821154121 PECOS PAC ID: 9931294618 Enrollment ID: I20250915001073 |
| Provider Name | Esther Lee |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1063640878 PECOS PAC ID: 5597076802 Enrollment ID: I20250924000706 |
| Provider Name | Sammir Faris Naser |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336888668 PECOS PAC ID: 2163891839 Enrollment ID: I20250929002397 |
| Provider Name | Margaret Zeis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801680699 PECOS PAC ID: 4789180605 Enrollment ID: I20250930003853 |
| Provider Name | Stephanie Rancich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528948643 PECOS PAC ID: 4183121379 Enrollment ID: I20251006002613 |
| Provider Name | Charles Braxton Davis |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1568959120 PECOS PAC ID: 5395071799 Enrollment ID: I20251121001139 |
| Provider Name | Samantha Peterson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659803823 PECOS PAC ID: 2062762776 Enrollment ID: I20251215000563 |
| Provider Name | Leena Mammen |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1275568826 PECOS PAC ID: 3476517848 Enrollment ID: I20260105000474 |
| Provider Name | Joseph George |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1740398643 PECOS PAC ID: 8628066289 Enrollment ID: I20260317000926 |
| Provider Name | Sidney Jo Ayers |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1942021019 PECOS PAC ID: 5092287672 Enrollment ID: I20260615002651 |
Pilsen Pediatrics Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1952 W Cermak Rd, Chicago, IL 60608 Phone: 773-254-6611 Fax: 773-254-8590 |
A Kavaliunas MD SC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5540 S Pulaski Rd, Chicago, IL 60629 Phone: 773-585-2802 |
Doc Cam Medical Center SC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2315 E 93rd St Ste 337, Chicago, IL 60617 Phone: 773-731-2700 Fax: 773-373-1868 |
Excellent Eye Care Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5352 N Milwaukee Ave, Chicago, IL 60630 Phone: 773-777-7444 Fax: 773-775-4030 |
Pediatric General Care & Research Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4527 N Pulaski Rd, Chicago, IL 60630 Phone: 773-267-7060 Fax: 773-267-4752 |
Urban Family Health Center Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10830 S Halsted St, Chicago, IL 60628 Phone: 773-264-1400 Fax: 773-264-1401 |