| Illinois Uvc Medical Pllc | |
|
4700 W 95th St Ste 303 Oak Lawn IL 60453-2572 | |
| (800) 991-6117 | |
| (888) 812-8191 |
| Full Name | Illinois Uvc Medical Pllc |
|---|---|
| Speciality | Surgery |
| Location | 4700 W 95th St Ste 303, Oak Lawn, Illinois |
| Authorized Official Name and Position | Ali Wazni (CHIEF ADMINISTRATION OFFICER) |
| Authorized Official Contact | 8009916117 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Illinois Uvc Medical Pllc 3810 Northdale Blvd Ste 150 Tampa FL 33624-1871 Ph: (813) 961-1331 | Illinois Uvc Medical Pllc 4700 W 95th St Ste 303 Oak Lawn IL 60453-2572 Ph: (800) 991-6117 |
| NPI Number | 1689224719 |
|---|---|
| Provider Enumeration Date | 09/20/2019 |
| Last Update Date | 12/14/2023 |
| Medicare PECOS PAC ID | 4486986122 |
|---|---|
| Medicare Enrollment ID | O20191029002455 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689224719 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 208600000X | Surgery | (* (Not Available)) | Secondary |
| 2086S0129X | Surgery - Vascular Surgery | (* (Not Available)) | Primary |
| Provider Name | Elizabeth Harvey |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1568576783 PECOS PAC ID: 7315978129 Enrollment ID: I20050822000946 |
| Provider Name | Salvador Yunez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467667758 PECOS PAC ID: 5698794253 Enrollment ID: I20051114000638 |
| Provider Name | Sanjeev K Pradhan |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1750557658 PECOS PAC ID: 2668548561 Enrollment ID: I20080828000570 |
| Provider Name | Michaela Klein |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1043330285 PECOS PAC ID: 6901075522 Enrollment ID: I20170203002015 |
| Provider Name | Kevin Petermann |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588744650 PECOS PAC ID: 8527389626 Enrollment ID: I20190620001830 |
| Provider Name | Obi Okoye |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1942640693 PECOS PAC ID: 7012151236 Enrollment ID: I20200127000823 |
| Provider Name | Sarah Hans |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1720396203 PECOS PAC ID: 8426230038 Enrollment ID: I20200730003075 |
| Provider Name | Bao Lan Raikar |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1841308830 PECOS PAC ID: 5991761546 Enrollment ID: I20210310000505 |
| Provider Name | Catherine Youssef |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306337936 PECOS PAC ID: 2062759798 Enrollment ID: I20211001000769 |
| Provider Name | Anastasios Polimenakos |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1649283516 PECOS PAC ID: 0547332975 Enrollment ID: I20221004001459 |
| Provider Name | Shannon M Davis |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1215059506 PECOS PAC ID: 8527192970 Enrollment ID: I20230522002200 |
| Provider Name | Serik Tursunaliev |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780175349 PECOS PAC ID: 7012318447 Enrollment ID: I20231024000774 |
| Provider Name | Mhd Adeeb Sebai |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740755321 PECOS PAC ID: 7618331927 Enrollment ID: I20231115000455 |
| Provider Name | Christian R Malalis |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1447487095 PECOS PAC ID: 9537478425 Enrollment ID: I20240911004092 |
Maria Vivian L. Sanchez, M.d., S.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5660 W 95th St, Oak Lawn, IL 60453 Phone: 630-241-1229 Fax: 630-963-9594 | |
Michael E Beck Md Sc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4938 W 95th St, Oak Lawn, IL 60453 Phone: 708-425-4662 Fax: 708-425-4692 | |
Mark S. Reiter, M.d., S.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4400 W 95th St, Suite 405, Oak Lawn, IL 60453 Phone: 708-499-2323 Fax: 708-499-2324 | |
Alliance Post-acute Consultants Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9525 Mayfield Ave, Oak Lawn, IL 60453 Phone: 708-801-0181 | |
Windy City Pain Relief, S.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 5571 W 95th St, Oak Lawn, IL 60453 Phone: 708-972-9695 Fax: 708-401-0194 | |
Advanced Wound Care Associates Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 5540 W 111th St Ste 2, Oak Lawn, IL 60453 Phone: 708-424-7600 Fax: 708-424-7605 | |
Vanessa Hagan, Md, Sc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4400 W 95th St, 303, Oak Lawn, IL 60453 Phone: 708-423-1300 Fax: 708-423-6085 |