| Midwest Pulmonary Associates S.C. | |
|
2340 S Highland Ave 230 Lombard IL 60148-5371 | |
| (630) 932-2040 | |
| (866) 932-1513 |
| Full Name | Midwest Pulmonary Associates S.C. |
|---|---|
| Speciality | Internal Medicine |
| Location | 2340 S Highland Ave, Lombard, Illinois |
| Authorized Official Name and Position | Rong S Tu (PRESIDENT) |
| Authorized Official Contact | 6309322040 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Midwest Pulmonary Associates S.C. 2340 S Highland Ave 230 Lombard IL 60148-5371 Ph: (630) 932-2040 | Midwest Pulmonary Associates S.C. 2340 S Highland Ave 230 Lombard IL 60148-5371 Ph: (630) 932-2040 |
| NPI Number | 1790743417 |
|---|---|
| Provider Enumeration Date | 05/02/2006 |
| Last Update Date | 01/15/2025 |
| Certification Date | 01/15/2025 |
| Medicare PECOS PAC ID | 6507804804 |
|---|---|
| Medicare Enrollment ID | O20050418001192 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790743417 | NPI | - | NPPES |
| 02215074 | Other | IL | BLUE SHIELD PROVIDER NUMB |
| Provider Name | Jacek Pieta |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1821056540 PECOS PAC ID: 4981606720 Enrollment ID: I20070208000081 |
| Provider Name | Carl M Barsanti |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1861450637 PECOS PAC ID: 4385682699 Enrollment ID: I20070921000817 |
| Provider Name | Nureain M Mirza |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1205876414 PECOS PAC ID: 2860418159 Enrollment ID: I20071026000641 |
| Provider Name | Rong S Tu |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1053369066 PECOS PAC ID: 7113965419 Enrollment ID: I20080107000821 |
| Provider Name | Reeja Robert Puthenveetil |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184492548 PECOS PAC ID: 1153761226 Enrollment ID: I20240507000562 |
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