| Pilsen Medical Clinic & Associates, Llc | |
|
4415 W Harrison St Suite 247 Hillside IL 60162 | |
| (312) 738-3355 | |
| Not Available |
| Full Name | Pilsen Medical Clinic & Associates, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 4415 W Harrison St, Hillside, Illinois |
| Authorized Official Name and Position | Piushkumar Patel (CEO) |
| Authorized Official Contact | 3127383355 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pilsen Medical Clinic & Associates, Llc 4415 W Harrison St Suite 247 Hillside IL 60162 Ph: (312) 738-3355 | Pilsen Medical Clinic & Associates, Llc 4415 W Harrison St Suite 247 Hillside IL 60162 Ph: (312) 738-3355 |
| NPI Number | 1790039725 |
|---|---|
| Provider Enumeration Date | 10/29/2012 |
| Last Update Date | 05/22/2024 |
| Medicare PECOS PAC ID | 5294972501 |
|---|---|
| Medicare Enrollment ID | O20130506000027 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790039725 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Piushkumar J Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447254255 PECOS PAC ID: 3971697012 Enrollment ID: I20071109000528 |
| Provider Name | James M Caruso |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275524449 PECOS PAC ID: 1153406921 Enrollment ID: I20080304000870 |
| Provider Name | Kareem Raheem |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1356443337 PECOS PAC ID: 3173675675 Enrollment ID: I20090714000628 |
| Provider Name | Jongwon Yoo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205254323 PECOS PAC ID: 0749400562 Enrollment ID: I20140930000580 |
| Provider Name | Sarah Lazarski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699142711 PECOS PAC ID: 4981911393 Enrollment ID: I20150917001712 |
| Provider Name | Alexandra Mendez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447794144 PECOS PAC ID: 7517238041 Enrollment ID: I20170802001408 |
| Provider Name | Paige A Kelly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770720005 PECOS PAC ID: 7810053618 Enrollment ID: I20190122002631 |
| Provider Name | Nadia Handspike |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194289413 PECOS PAC ID: 7618216425 Enrollment ID: I20190221002489 |
| Provider Name | Aundrea Gooden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689061855 PECOS PAC ID: 8022349265 Enrollment ID: I20191018001894 |
| Provider Name | Sylvia Coleman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205471083 PECOS PAC ID: 4082047311 Enrollment ID: I20191127001179 |
| Provider Name | Katarzyna Ofiara |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366987539 PECOS PAC ID: 0446688923 Enrollment ID: I20200316001744 |
| Provider Name | Erica D Dent |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053980334 PECOS PAC ID: 1658464003 Enrollment ID: I20220623001882 |
| Provider Name | Crystal Trinidad |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699588442 PECOS PAC ID: 9234659236 Enrollment ID: I20250220002851 |
| Provider Name | Graham Lawless |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265243851 PECOS PAC ID: 2062660186 Enrollment ID: I20250226003057 |
| Provider Name | Naseem Fatima |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710393210 PECOS PAC ID: 9032449202 Enrollment ID: I20250317001549 |
| Provider Name | Abraham Olatunde Akande-janwari |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386461150 PECOS PAC ID: 8426574658 Enrollment ID: I20250430001201 |
| Provider Name | Yusuf Saifullah Ruhullah |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184939787 PECOS PAC ID: 6901033059 Enrollment ID: I20250527001726 |
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