| Northwest Infectious Disease Consultants, S.c. | |
|
7900 N Milwaukee Ave Suite 231 Niles IL 60714-3159 | |
| (847) 663-9400 | |
| Not Available |
| Full Name | Northwest Infectious Disease Consultants, S.c. |
|---|---|
| Speciality | Internal Medicine |
| Location | 7900 N Milwaukee Ave, Niles, Illinois |
| Authorized Official Name and Position | Robert J. Citronberg (PRESIDENT) |
| Authorized Official Contact | 8476639400 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Northwest Infectious Disease Consultants, S.c. 7900 N Milwaukee Ave Suite 231 Niles IL 60714-3159 Ph: (847) 663-9400 | Northwest Infectious Disease Consultants, S.c. 7900 N Milwaukee Ave Suite 231 Niles IL 60714-3159 Ph: (847) 663-9400 |
| NPI Number | 1194775221 |
|---|---|
| Provider Enumeration Date | 05/11/2006 |
| Last Update Date | 12/08/2010 |
| Medicare PECOS PAC ID | 5395636914 |
|---|---|
| Medicare Enrollment ID | O20040323001105 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194775221 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | 042617264 (Illinois) | Primary |
| Provider Name | Procopio M Lo Duca |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1790735496 PECOS PAC ID: 2163415209 Enrollment ID: I20040406000113 |
| Provider Name | Darin O Harnisch |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1710910880 PECOS PAC ID: 8022095728 Enrollment ID: I20040701000128 |
| Provider Name | Sandhya S Sathyakumar |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1083835201 PECOS PAC ID: 2668407966 Enrollment ID: I20071009000563 |
| Provider Name | Ruba S Odeh |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1578679627 PECOS PAC ID: 0648305326 Enrollment ID: I20100319000447 |
| Provider Name | Jonathan William Martin |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1902172083 PECOS PAC ID: 3678864014 Enrollment ID: I20170728001626 |
| Provider Name | Alessandra Anna Secco |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1265859607 PECOS PAC ID: 2668777350 Enrollment ID: I20190715002872 |
| Provider Name | Thomas Waller |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1780116376 PECOS PAC ID: 6002186459 Enrollment ID: I20220629001167 |
| Provider Name | Naman Jhaveri |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1144603093 PECOS PAC ID: 9133429277 Enrollment ID: I20231026000567 |
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