| Rush Oak Park Physicians Group North Riverside | |
|
7222 W Cermak Rd Suite 700 North Riverside IL 60546-1422 | |
| (708) 660-6400 | |
| Not Available |
| Full Name | Rush Oak Park Physicians Group North Riverside |
|---|---|
| Speciality | Internal Medicine |
| Location | 7222 W Cermak Rd, North Riverside, Illinois |
| Authorized Official Name and Position | Scott A Halper (AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 3129427770 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rush Oak Park Physicians Group North Riverside 7222 W Cermak Rd Suite 700 North Riverside IL 60546-1422 Ph: (708) 660-6400 | Rush Oak Park Physicians Group North Riverside 7222 W Cermak Rd Suite 700 North Riverside IL 60546-1422 Ph: (708) 660-6400 |
| NPI Number | 1003186255 |
|---|---|
| Provider Enumeration Date | 01/05/2012 |
| Last Update Date | 10/28/2021 |
| Medicare PECOS PAC ID | 9931363710 |
|---|---|
| Medicare Enrollment ID | O20120606000616 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003186255 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (Illinois) | Secondary |
| 207R00000X | Internal Medicine | (Illinois) | Primary |
| Provider Name | Lory J Arquilla Maltby |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205866373 PECOS PAC ID: 0446241954 Enrollment ID: I20050419000782 |
| Provider Name | Robin B Rothbard |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801854856 PECOS PAC ID: 2961532031 Enrollment ID: I20100616000554 |
| Provider Name | John J Hardek |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1710945126 PECOS PAC ID: 3476685884 Enrollment ID: I20100721000380 |
| Provider Name | Linda Chen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093974792 PECOS PAC ID: 3375738115 Enrollment ID: I20101105001320 |
| Provider Name | Christina Graham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154730323 PECOS PAC ID: 2264652940 Enrollment ID: I20140930002782 |
| Provider Name | Maki Sato |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962760314 PECOS PAC ID: 4789990730 Enrollment ID: I20150904002023 |
| Provider Name | Gina V. Medalle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164703310 PECOS PAC ID: 1658681523 Enrollment ID: I20151104002184 |
| Provider Name | Sariya Zain Siddiqi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497314702 PECOS PAC ID: 6800122532 Enrollment ID: I20190801001989 |
| Provider Name | Gary Rodriguez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447646641 PECOS PAC ID: 8527331818 Enrollment ID: I20190905002309 |
| Provider Name | Afia Ahmed |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720624141 PECOS PAC ID: 3375969744 Enrollment ID: I20230606001605 |
Cook County Health At North Riverside Health (ffs) Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1800 S. Harlem Ave, North Riverside, IL 60546 Phone: 708-783-9800 | |
Watermark Physician Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7222 W Cermak Rd, Suite 301, North Riverside, IL 60546 Phone: 708-783-2410 Fax: 708-783-2452 | |
Carl J Novotny Do Sc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8709 W Cermak Rd, North Riverside, IL 60546 Phone: 708-442-7780 Fax: 708-442-7797 |