| One Medical | |
|
181 W Madison St Ste 3825 Chicago IL 60602-4500 | |
| (312) 219-2230 | |
| (312) 219-2239 |
| Full Name | One Medical |
|---|---|
| Speciality | Family Medicine |
| Location | 181 W Madison St Ste 3825, Chicago, Illinois |
| Authorized Official Name and Position | Andrew S Diamond (CHIEF MEDICAL OFFICER) |
| Authorized Official Contact | 4155931455 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| One Medical 1 Embarcadero Ctr Ste 1900 San Francisco CA 94111-3723 Ph: (415) 658-6791 | One Medical 181 W Madison St Ste 3825 Chicago IL 60602-4500 Ph: (312) 219-2230 |
| NPI Number | 1588382832 |
|---|---|
| Provider Enumeration Date | 08/22/2022 |
| Last Update Date | 08/22/2022 |
| Certification Date | 08/22/2022 |
| Medicare PECOS PAC ID | 2567623739 |
|---|---|
| Medicare Enrollment ID | O20221121002861 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588382832 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
| 207R00000X | Internal Medicine | () | Secondary |
| 261QP2300X | Clinic/center - Primary Care | () | Secondary |
| Provider Name | Laura L Wally |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356352710 PECOS PAC ID: 5395733943 Enrollment ID: I20040504000031 |
| Provider Name | Karl a Kirby |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760416531 PECOS PAC ID: 0042225948 Enrollment ID: I20060214000498 |
| Provider Name | Brandon Seef |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1497908388 PECOS PAC ID: 9739244831 Enrollment ID: I20090224000177 |
| Provider Name | Mariya Dmytriv-kapeniak |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386860997 PECOS PAC ID: 5395899199 Enrollment ID: I20090813000169 |
| Provider Name | Mary Kathryn Peterson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356508675 PECOS PAC ID: 5799830626 Enrollment ID: I20090828000428 |
| Provider Name | Sashil Singh Kapur |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477734150 PECOS PAC ID: 5698820223 Enrollment ID: I20090903000603 |
| Provider Name | Robin B Rothbard |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801854856 PECOS PAC ID: 2961532031 Enrollment ID: I20100616000554 |
| Provider Name | Frank M Castillo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548280787 PECOS PAC ID: 3173706645 Enrollment ID: I20110321000568 |
| Provider Name | Helen Xenos |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205003480 PECOS PAC ID: 4688845282 Enrollment ID: I20110912000134 |
| Provider Name | Katherine L Tefft |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1205116076 PECOS PAC ID: 7618140641 Enrollment ID: I20111107000744 |
| Provider Name | Katrina T Gordon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306072467 PECOS PAC ID: 2062663891 Enrollment ID: I20121103000079 |
| Provider Name | Lindsey Babbin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326364779 PECOS PAC ID: 8921240714 Enrollment ID: I20130807000339 |
| Provider Name | Douglas R Gregg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376908301 PECOS PAC ID: 6901102763 Enrollment ID: I20160304001569 |
| Provider Name | Andrew M Dahlem |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205178381 PECOS PAC ID: 6800191339 Enrollment ID: I20160328002049 |
| Provider Name | Jessica Lue-lai |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538478565 PECOS PAC ID: 2466694005 Enrollment ID: I20160831001555 |
| Provider Name | Hannah Elaine Leavitt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962866749 PECOS PAC ID: 3476834375 Enrollment ID: I20170109002095 |
| Provider Name | Andrew M Guzman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417368226 PECOS PAC ID: 3779888599 Enrollment ID: I20171027001327 |
| Provider Name | Arielle Tzipora Hirschfeld |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063808954 PECOS PAC ID: 6002116332 Enrollment ID: I20181114000633 |
| Provider Name | Dori L Moscowitz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710349725 PECOS PAC ID: 2466745195 Enrollment ID: I20190515001634 |
| Provider Name | Rebecca Taylor |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1396110573 PECOS PAC ID: 2466730866 Enrollment ID: I20190709002982 |
| Provider Name | Neerja S Joshi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306292412 PECOS PAC ID: 5698062784 Enrollment ID: I20190917002830 |
| Provider Name | Susan Kling-colson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1134196926 PECOS PAC ID: 6507940970 Enrollment ID: I20200312000864 |
| Provider Name | Min Jie Lee |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1205223310 PECOS PAC ID: 2668897000 Enrollment ID: I20200803001439 |
| Provider Name | Daniela Fanto |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861888018 PECOS PAC ID: 4284987082 Enrollment ID: I20201125001083 |
| Provider Name | Shobha Renga Narasimhan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386057743 PECOS PAC ID: 2961747688 Enrollment ID: I20210125002309 |
| Provider Name | Steve Jacob Chacko |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912403478 PECOS PAC ID: 3072913276 Enrollment ID: I20210609002250 |
| Provider Name | Sara E. Leso |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1285039354 PECOS PAC ID: 1254650229 Enrollment ID: I20220329002745 |
| Provider Name | Khrystyna Savchuk |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588224224 PECOS PAC ID: 1850626185 Enrollment ID: I20220701001916 |
| Provider Name | Olivia Childs |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649732504 PECOS PAC ID: 2062892359 Enrollment ID: I20220705000583 |
| Provider Name | David Tyson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720548100 PECOS PAC ID: 7113253220 Enrollment ID: I20221115002855 |
| Provider Name | Melany Lopez Schiller |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386202174 PECOS PAC ID: 1951766153 Enrollment ID: I20230421001953 |
| Provider Name | Fasiha Syed |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225693021 PECOS PAC ID: 9133457195 Enrollment ID: I20240208001423 |
| Provider Name | Noel Bell |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1558832394 PECOS PAC ID: 8022406040 Enrollment ID: I20241021000650 |
| Provider Name | Emily Weiss |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1417619958 PECOS PAC ID: 5597163907 Enrollment ID: I20250110000775 |
| Provider Name | Maureen Suter |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316100944 PECOS PAC ID: 9032346978 Enrollment ID: I20251117001749 |
| Provider Name | Savannah Marie Stucki |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1821563222 PECOS PAC ID: 2860730215 Enrollment ID: I20260302001206 |
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