| MD at Home | |
|
2003 W Fulton St Ste 303 Chicago IL 60612-2345 | |
| (312) 243-2223 | |
| (312) 243-2227 |
| Full Name | MD at Home |
|---|---|
| Speciality | Internal Medicine |
| Location | 2003 W Fulton St Ste 303, Chicago, Illinois |
| Authorized Official Name and Position | Sue Hall (DIRECTOR OF OPERATIONS) |
| Authorized Official Contact | 3122432223 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| MD at Home 2003 W Fulton St Ste 303 Chicago IL 60612-2345 Ph: (312) 243-2223 | MD at Home 2003 W Fulton St Ste 303 Chicago IL 60612-2345 Ph: (312) 243-2223 |
| NPI Number | 1568758415 |
|---|---|
| Provider Enumeration Date | 06/20/2011 |
| Last Update Date | 12/28/2022 |
| Certification Date | 12/28/2022 |
| Medicare PECOS PAC ID | 7810167830 |
|---|---|
| Medicare Enrollment ID | O20110831000340 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568758415 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | () | Primary |
| 207R00000X | Internal Medicine | (Illinois) | Secondary |
| Provider Name | Michelle Alexandre |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477604791 PECOS PAC ID: 0143115576 Enrollment ID: I20040216000973 |
| Provider Name | Krista Sheree Avery-auker |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1477303972 PECOS PAC ID: 8426947102 Enrollment ID: I20040311000805 |
| Provider Name | Doris Shuwen Huang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447304431 PECOS PAC ID: 4385627678 Enrollment ID: I20040609000043 |
| Provider Name | Mark D Weissman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1366426538 PECOS PAC ID: 9133022890 Enrollment ID: I20040813000380 |
| Provider Name | Robin D Snead |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972695526 PECOS PAC ID: 3779542188 Enrollment ID: I20041013000633 |
| Provider Name | Cathleen T Brindl |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1558385831 PECOS PAC ID: 1759347297 Enrollment ID: I20041206001100 |
| Provider Name | Brian S Boe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124049473 PECOS PAC ID: 9032155452 Enrollment ID: I20050707000137 |
| Provider Name | Frank Capobianco |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225105281 PECOS PAC ID: 3577587658 Enrollment ID: I20060117000023 |
| Provider Name | Iren N Solomon |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1508871476 PECOS PAC ID: 4880690544 Enrollment ID: I20061020000133 |
| Provider Name | Kristi Gallegos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386730455 PECOS PAC ID: 6103825583 Enrollment ID: I20061212000587 |
| Provider Name | Wakas N Ahmad |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1447446521 PECOS PAC ID: 1456449925 Enrollment ID: I20071116000156 |
| Provider Name | Joyce R Wood |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1659590552 PECOS PAC ID: 8426118530 Enrollment ID: I20081119000638 |
| Provider Name | Maria T Perez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285811166 PECOS PAC ID: 3375550874 Enrollment ID: I20081125000501 |
| Provider Name | Lisa Whitty Bradley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801808662 PECOS PAC ID: 4284639980 Enrollment ID: I20081212000581 |
| Provider Name | Mary Kay Larson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124293691 PECOS PAC ID: 2769534221 Enrollment ID: I20090714000296 |
| Provider Name | Luan Seiko |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1346470465 PECOS PAC ID: 6406901735 Enrollment ID: I20090909000714 |
| Provider Name | Stuart Peiss |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1427092055 PECOS PAC ID: 7416946959 Enrollment ID: I20100323000098 |
| Provider Name | Qaiser Jamal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730129461 PECOS PAC ID: 8820261191 Enrollment ID: I20111101000715 |
| Provider Name | Sandra Gonzales |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053691915 PECOS PAC ID: 0648432096 Enrollment ID: I20120501000106 |
| Provider Name | Adaku Ngozika Madubuko |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1649569948 PECOS PAC ID: 1456513555 Enrollment ID: I20120508000168 |
| Provider Name | Gianetta Norwood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619250289 PECOS PAC ID: 7012173107 Enrollment ID: I20120717000603 |
| Provider Name | Kelley O Holloway Marshall |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1942593231 PECOS PAC ID: 6608026166 Enrollment ID: I20121019000037 |
| Provider Name | David P Lang |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1619167194 PECOS PAC ID: 7618129461 Enrollment ID: I20121130000586 |
| Provider Name | Denise R Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346674579 PECOS PAC ID: 2163658626 Enrollment ID: I20131112001030 |
| Provider Name | Elizabeth J Kelly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306281167 PECOS PAC ID: 4486881638 Enrollment ID: I20131213000099 |
| Provider Name | Olga Geniyevna Kozlova |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1477997674 PECOS PAC ID: 5991924763 Enrollment ID: I20140910001963 |
| Provider Name | Lee-anne J Millas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558766139 PECOS PAC ID: 7618290016 Enrollment ID: I20141215002410 |
| Provider Name | Lisa Marie Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174914246 PECOS PAC ID: 0446577142 Enrollment ID: I20150317001921 |
| Provider Name | Margaret Wierzbicki |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679933311 PECOS PAC ID: 0244520799 Enrollment ID: I20160613000690 |
| Provider Name | Nicolas Cordoba |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700132628 PECOS PAC ID: 4486913696 Enrollment ID: I20180116001869 |
| Provider Name | Hyunjung Shin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972009231 PECOS PAC ID: 6709140056 Enrollment ID: I20180514001805 |
| Provider Name | Zain Hasan Rizvi |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1285021980 PECOS PAC ID: 9234486192 Enrollment ID: I20180724000591 |
| Provider Name | Kate Erin Myczek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235658287 PECOS PAC ID: 1153679857 Enrollment ID: I20180810002203 |
| Provider Name | Zubair a Khan |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1780050195 PECOS PAC ID: 8022367556 Enrollment ID: I20180816002449 |
| Provider Name | Marie S Dorsey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770068454 PECOS PAC ID: 6204189707 Enrollment ID: I20181031000760 |
| Provider Name | Peter Arreguin |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1265916704 PECOS PAC ID: 0042563249 Enrollment ID: I20181105000730 |
| Provider Name | Ahmad Daif |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1326459553 PECOS PAC ID: 5890082317 Enrollment ID: I20181128000862 |
| Provider Name | Catherine Chase |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366830275 PECOS PAC ID: 3072858513 Enrollment ID: I20190102002468 |
| Provider Name | Shannon Atsinger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164997870 PECOS PAC ID: 4486993151 Enrollment ID: I20190226000065 |
| Provider Name | Sara a Hormig |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164826012 PECOS PAC ID: 2769706936 Enrollment ID: I20190305003281 |
| Provider Name | Tawnie Cersie Caracci |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093287187 PECOS PAC ID: 0547509556 Enrollment ID: I20190308000071 |
| Provider Name | Monica Lisa Bieszczad |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124513080 PECOS PAC ID: 4981947991 Enrollment ID: I20190515000170 |
| Provider Name | Linda M Kolka |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013404151 PECOS PAC ID: 4082957006 Enrollment ID: I20190515000538 |
| Provider Name | Sharon Hayes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881014793 PECOS PAC ID: 3274855069 Enrollment ID: I20190702003410 |
| Provider Name | Tiraney C Redmond |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538639406 PECOS PAC ID: 8820324270 Enrollment ID: I20190724000338 |
| Provider Name | Shuying Chang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376109918 PECOS PAC ID: 4486981214 Enrollment ID: I20190816000019 |
| Provider Name | Tia Loftus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568014843 PECOS PAC ID: 6709117740 Enrollment ID: I20191007000836 |
| Provider Name | Stephanie Baubie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518508381 PECOS PAC ID: 5092047894 Enrollment ID: I20191029000062 |
| Provider Name | Rena Chaya Schwartz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073154688 PECOS PAC ID: 5193057677 Enrollment ID: I20191102000148 |
| Provider Name | Emily Anne Lawrence |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629545595 PECOS PAC ID: 0042642118 Enrollment ID: I20191111001252 |
| Provider Name | Sylvia Coleman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205471083 PECOS PAC ID: 4082047311 Enrollment ID: I20191127001179 |
| Provider Name | Skaiste Tarnauskas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437796133 PECOS PAC ID: 6406280890 Enrollment ID: I20191217002711 |
| Provider Name | Lauren E Williams |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1295376481 PECOS PAC ID: 2961836788 Enrollment ID: I20200102000732 |
| Provider Name | Azeezat O Adeduntan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750927661 PECOS PAC ID: 8820422520 Enrollment ID: I20200106002948 |
| Provider Name | Erica J Lopez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346880275 PECOS PAC ID: 5092140004 Enrollment ID: I20200122001470 |
| Provider Name | Waseem Alfahel |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1467959031 PECOS PAC ID: 0143551390 Enrollment ID: I20200127002046 |
| Provider Name | Mahmoud Okash |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1194129692 PECOS PAC ID: 6800224833 Enrollment ID: I20200325000842 |
| Provider Name | Rickeda Granberry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689293987 PECOS PAC ID: 6103257993 Enrollment ID: I20200511003408 |
| Provider Name | Philease J Martin |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1255844197 PECOS PAC ID: 0941568844 Enrollment ID: I20200518000243 |
| Provider Name | Waqas Ahmad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316300247 PECOS PAC ID: 8426341322 Enrollment ID: I20200519000468 |
| Provider Name | Susan D Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164771242 PECOS PAC ID: 3173778032 Enrollment ID: I20200929003684 |
| Provider Name | Izolda Rosario |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083222368 PECOS PAC ID: 8820417181 Enrollment ID: I20201006001643 |
| Provider Name | Veronica Gore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902403298 PECOS PAC ID: 0547680829 Enrollment ID: I20201027000815 |
| Provider Name | Mara D Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093312001 PECOS PAC ID: 0648681007 Enrollment ID: I20201117000154 |
| Provider Name | Phyllis Eggleston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043834435 PECOS PAC ID: 9133530009 Enrollment ID: I20201125000268 |
| Provider Name | Nekeisha Lynn Sturghill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922633379 PECOS PAC ID: 4981015674 Enrollment ID: I20201202000612 |
| Provider Name | Maria Fariduddin |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1336692573 PECOS PAC ID: 9234476805 Enrollment ID: I20210122001718 |
| Provider Name | Kimberly Lopez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477144020 PECOS PAC ID: 9931514007 Enrollment ID: I20210223001790 |
| Provider Name | Dipalei H Patel |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1174116685 PECOS PAC ID: 2961818745 Enrollment ID: I20210302001408 |
| Provider Name | Yvonne Batton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912592940 PECOS PAC ID: 3375959711 Enrollment ID: I20210309001919 |
| Provider Name | Maria Bitting |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134715733 PECOS PAC ID: 9638585714 Enrollment ID: I20210316000920 |
| Provider Name | Theodise Harris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134716830 PECOS PAC ID: 2961811997 Enrollment ID: I20210504001971 |
| Provider Name | Jory Zimmerman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760073530 PECOS PAC ID: 1254731193 Enrollment ID: I20210614002564 |
| Provider Name | Hanna Vintonyak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043886062 PECOS PAC ID: 6709286263 Enrollment ID: I20210621002523 |
| Provider Name | Natalie Kramer |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1639799331 PECOS PAC ID: 6709288285 Enrollment ID: I20210706003003 |
| Provider Name | Austinah J Pedian |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1013588607 PECOS PAC ID: 2466855812 Enrollment ID: I20210723000445 |
| Provider Name | Olivia Korpus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295323137 PECOS PAC ID: 3971911926 Enrollment ID: I20210812003475 |
| Provider Name | Anna Levina |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619641883 PECOS PAC ID: 6800291550 Enrollment ID: I20210819000328 |
| Provider Name | Dalanne Joy Gabo Bearnod |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1780357798 PECOS PAC ID: 4486050481 Enrollment ID: I20210830003397 |
| Provider Name | Alexandra Nicole Thunherst |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457028177 PECOS PAC ID: 9436555950 Enrollment ID: I20210909000940 |
| Provider Name | Shaheera Fatima Khan |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1861059834 PECOS PAC ID: 6002213360 Enrollment ID: I20210929001401 |
| Provider Name | Michael La |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1528615101 PECOS PAC ID: 7214368505 Enrollment ID: I20211012003244 |
| Provider Name | Marcus L Forward |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1336767292 PECOS PAC ID: 7214328491 Enrollment ID: I20211222002577 |
| Provider Name | Alisha R Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649936485 PECOS PAC ID: 6507251121 Enrollment ID: I20220317002375 |
| Provider Name | Phillip Ozell Carr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538813936 PECOS PAC ID: 4688060072 Enrollment ID: I20220412001797 |
| Provider Name | Davinder K Dhillon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780331033 PECOS PAC ID: 9830578152 Enrollment ID: I20220616001771 |
| Provider Name | Monik Vinod Patel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346977121 PECOS PAC ID: 7416331491 Enrollment ID: I20220825002517 |
| Provider Name | Christina Malek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285367656 PECOS PAC ID: 3971988098 Enrollment ID: I20220909002127 |
| Provider Name | Tiffany Quiana Theus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366197766 PECOS PAC ID: 6608251145 Enrollment ID: I20220919002978 |
| Provider Name | Loredana Tatiana Deichl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568047983 PECOS PAC ID: 0547637704 Enrollment ID: I20221101003242 |
| Provider Name | Alexander Francis Phan |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1306278601 PECOS PAC ID: 5092945956 Enrollment ID: I20221118002615 |
| Provider Name | Huijing Sun |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1548977606 PECOS PAC ID: 5698144756 Enrollment ID: I20221212001929 |
| Provider Name | Baongoc Truong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275253866 PECOS PAC ID: 6800266586 Enrollment ID: I20221222000674 |
| Provider Name | Suzanne Gabbidon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861104846 PECOS PAC ID: 2466822655 Enrollment ID: I20230104002021 |
| Provider Name | Gajendra Maharjan |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1962078923 PECOS PAC ID: 4284007683 Enrollment ID: I20230306002544 |
| Provider Name | Claudia Viviana Rodriguez |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1053024588 PECOS PAC ID: 5890169544 Enrollment ID: I20230320000740 |
| Provider Name | Amer Abdulghafoor |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1619401718 PECOS PAC ID: 6608240882 Enrollment ID: I20230330001108 |
| Provider Name | Maria Sukhoo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619435245 PECOS PAC ID: 1850720616 Enrollment ID: I20230511003560 |
| Provider Name | Nicole a Rodiek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144913500 PECOS PAC ID: 3971962044 Enrollment ID: I20230707000857 |
| Provider Name | Andrew Walter Szczepaniak |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1619651536 PECOS PAC ID: 4789047697 Enrollment ID: I20230824004161 |
| Provider Name | Brianna Taylor |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1083394480 PECOS PAC ID: 7517321334 Enrollment ID: I20230913000814 |
| Provider Name | Verna K Guevarra |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942575188 PECOS PAC ID: 2567818008 Enrollment ID: I20231019002536 |
| Provider Name | Vera Appiah-dankwah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538944749 PECOS PAC ID: 6901252295 Enrollment ID: I20231023001949 |
| Provider Name | Michael Mancano |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1649912692 PECOS PAC ID: 7810343068 Enrollment ID: I20231025001377 |
| Provider Name | Linh T Nguyen |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1558041392 PECOS PAC ID: 6507213576 Enrollment ID: I20231113002627 |
| Provider Name | Clara Marion Larkin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083491526 PECOS PAC ID: 5092162701 Enrollment ID: I20231116002087 |
| Provider Name | Bonnie Stevens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932972056 PECOS PAC ID: 7810345014 Enrollment ID: I20231129000693 |
| Provider Name | Sarah Bisognani |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356058077 PECOS PAC ID: 4082062211 Enrollment ID: I20231129002000 |
| Provider Name | Emma Kwon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740053800 PECOS PAC ID: 3779935655 Enrollment ID: I20240116003157 |
| Provider Name | Ahanth Vedantham |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1124605712 PECOS PAC ID: 4880047513 Enrollment ID: I20240130001664 |
| Provider Name | Abdullah Zeeshan Farooqui |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629647169 PECOS PAC ID: 0547603136 Enrollment ID: I20240212000485 |
| Provider Name | Fortunata Gelvolea Dabu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851084008 PECOS PAC ID: 7810331212 Enrollment ID: I20240213003843 |
| Provider Name | Anthony Adjei |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760139018 PECOS PAC ID: 1658718580 Enrollment ID: I20240327000944 |
| Provider Name | Daisy Cristina Cruz Arias |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497525570 PECOS PAC ID: 7810336195 Enrollment ID: I20240419000191 |
| Provider Name | Carlene Del Castillo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699535971 PECOS PAC ID: 5496196495 Enrollment ID: I20240508001618 |
| Provider Name | Lisa Kovtun |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922851245 PECOS PAC ID: 2769823673 Enrollment ID: I20240509001988 |
| Provider Name | Kyra Mae Lynley D Castro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679339956 PECOS PAC ID: 0345783445 Enrollment ID: I20240618000453 |
| Provider Name | Brianna Gabrielle Fiala |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1962141457 PECOS PAC ID: 4981141397 Enrollment ID: I20240802002738 |
| Provider Name | Anthony Joseph Dowidowicz |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1053403840 PECOS PAC ID: 9830081215 Enrollment ID: I20240806001007 |
| Provider Name | Orquidea Navarro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699549196 PECOS PAC ID: 3072053404 Enrollment ID: I20240911003360 |
| Provider Name | Piyanan Krasnov |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972351989 PECOS PAC ID: 8022559459 Enrollment ID: I20240925001269 |
| Provider Name | Michelle Guidry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003599309 PECOS PAC ID: 6608220454 Enrollment ID: I20240926004470 |
| Provider Name | Jennifer Derrickson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538922323 PECOS PAC ID: 0143751420 Enrollment ID: I20240927002257 |
| Provider Name | Irma M Melgar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013742493 PECOS PAC ID: 6901338177 Enrollment ID: I20241011003763 |
| Provider Name | Veronica Broger-dunner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174341879 PECOS PAC ID: 8325572225 Enrollment ID: I20241114003382 |
| Provider Name | Johnson Jide Ojo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194545921 PECOS PAC ID: 9537694476 Enrollment ID: I20241202000577 |
| Provider Name | Christopher Diethert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194015388 PECOS PAC ID: 3870021702 Enrollment ID: I20250106003521 |
| Provider Name | Agnes Flaum |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1154589836 PECOS PAC ID: 8426307356 Enrollment ID: I20250226003192 |
| Provider Name | Hyewon KU |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093513244 PECOS PAC ID: 4789106766 Enrollment ID: I20250319002301 |
| Provider Name | Sutara M Giles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336619188 PECOS PAC ID: 9739603010 Enrollment ID: I20250408002070 |
| Provider Name | Kathy Cyleen Defante |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649652082 PECOS PAC ID: 4183149701 Enrollment ID: I20250416001630 |
| Provider Name | Atanas Ivanov |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689488678 PECOS PAC ID: 6608381538 Enrollment ID: I20250711000541 |
| Provider Name | Stephanie Lazar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679466809 PECOS PAC ID: 9032625967 Enrollment ID: I20250718001296 |
| Provider Name | Nicole M Leahy |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1033093208 PECOS PAC ID: 8426559808 Enrollment ID: I20250828000253 |
| Provider Name | Leigha Courtney Paniagua |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154207793 PECOS PAC ID: 2668976184 Enrollment ID: I20250918000754 |
| Provider Name | Latashia Silas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881577187 PECOS PAC ID: 8527563139 Enrollment ID: I20250924004692 |
| Provider Name | Julie L Vivanco |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659846301 PECOS PAC ID: 6709373210 Enrollment ID: I20251016003409 |
| Provider Name | Brandon Baltz |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1366314254 PECOS PAC ID: 3375030844 Enrollment ID: I20251017000133 |
| Provider Name | Margarette Lilly Aguinir |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609748870 PECOS PAC ID: 4587155320 Enrollment ID: I20251119001641 |
| Provider Name | Giedre Lazauskas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730056706 PECOS PAC ID: 4385136142 Enrollment ID: I20251120000105 |
| Provider Name | Janelle Jo Jankowski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699545830 PECOS PAC ID: 3173015930 Enrollment ID: I20251120000249 |
| Provider Name | Jessica Ishola |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043189269 PECOS PAC ID: 2769974443 Enrollment ID: I20251120001325 |
| Provider Name | Amar Mehta |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1851970180 PECOS PAC ID: 5092291724 Enrollment ID: I20260112003099 |
| Provider Name | Mary Galetti |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619586070 PECOS PAC ID: 8527474337 Enrollment ID: I20260121000904 |
| Provider Name | Nimota Lawal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649140773 PECOS PAC ID: 7012495369 Enrollment ID: I20260129000846 |
| Provider Name | Esperanza Camacho |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447679642 PECOS PAC ID: 4587142740 Enrollment ID: I20260129001320 |
| Provider Name | Emelda Otylia Harrell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265391973 PECOS PAC ID: 9436637501 Enrollment ID: I20260129003855 |
| Provider Name | Arthur Doubah Joseph |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093671133 PECOS PAC ID: 0143700526 Enrollment ID: I20260216000059 |
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 |