| Ucm Medical Group Sub, LLC | |
|
71 W 156th St 5th Floor Harvey IL 60426-4260 | |
| (708) 915-6353 | |
| (708) 915-2706 |
| Full Name | Ucm Medical Group Sub, LLC |
|---|---|
| Speciality | Family Medicine |
| Location | 71 W 156th St, Harvey, Illinois |
| Authorized Official Name and Position | Kurt Johnson (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 7089156364 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ucm Medical Group Sub, LLC 27702 Network Pl Chicago IL 60673-1277 Ph: (708) 862-7674 | Ucm Medical Group Sub, LLC 71 W 156th St 5th Floor Harvey IL 60426-4260 Ph: (708) 915-6353 |
| NPI Number | 1467442293 |
|---|---|
| Provider Enumeration Date | 10/24/2005 |
| Last Update Date | 12/09/2025 |
| Certification Date | 12/09/2025 |
| Medicare PECOS PAC ID | 4688635337 |
|---|---|
| Medicare Enrollment ID | O20041026000077 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467442293 | NPI | - | NPPES |
| Provider Name | Robert S Tumacder |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1467424473 PECOS PAC ID: 5991694390 Enrollment ID: I20040313000045 |
| Provider Name | Thomas P Nolan |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1477592137 PECOS PAC ID: 6608852413 Enrollment ID: I20040624000605 |
| Provider Name | Yvonne M Jimenez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255370979 PECOS PAC ID: 9931187440 Enrollment ID: I20040712000313 |
| Provider Name | Biren P Shah |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1740280114 PECOS PAC ID: 8628057486 Enrollment ID: I20040719000759 |
| Provider Name | Cynthia a Goldman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447246111 PECOS PAC ID: 3476529108 Enrollment ID: I20040903000658 |
| Provider Name | Mary E Conway |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1497795629 PECOS PAC ID: 0648246058 Enrollment ID: I20040908000166 |
| Provider Name | Pamela D Goodwin Cole |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306877329 PECOS PAC ID: 5092792671 Enrollment ID: I20041014000609 |
| Provider Name | Richard G Harris |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942249008 PECOS PAC ID: 5294797510 Enrollment ID: I20041029000325 |
| Provider Name | Kisha N. Young |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1841249000 PECOS PAC ID: 2860458791 Enrollment ID: I20041202000812 |
| Provider Name | Howard W Robinson |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1467427690 PECOS PAC ID: 9739136128 Enrollment ID: I20050407000596 |
| Provider Name | Jennifer C Sarkey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336180470 PECOS PAC ID: 7517905367 Enrollment ID: I20050421000694 |
| Provider Name | Carrie E Nelson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558357939 PECOS PAC ID: 3375570161 Enrollment ID: I20050723000018 |
| Provider Name | Romuald C Warakomski |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427153618 PECOS PAC ID: 6901836196 Enrollment ID: I20050817000597 |
| Provider Name | Raza Hamdani |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1144207218 PECOS PAC ID: 7416920731 Enrollment ID: I20050818000499 |
| Provider Name | Lynn a Wright |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1699887554 PECOS PAC ID: 0042235533 Enrollment ID: I20051013000583 |
| Provider Name | Bruce a Parisi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003911009 PECOS PAC ID: 4486683935 Enrollment ID: I20051209000289 |
| Provider Name | Kenneth N Cline |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1508961517 PECOS PAC ID: 1951322684 Enrollment ID: I20051209000339 |
| Provider Name | Lourdes R Terrado |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1639274624 PECOS PAC ID: 1456372184 Enrollment ID: I20051209000377 |
| Provider Name | Jonathan D Perry |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1154341303 PECOS PAC ID: 9234144825 Enrollment ID: I20060220000040 |
| Provider Name | Kara E Davis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417991449 PECOS PAC ID: 6204848609 Enrollment ID: I20060630000050 |
| Provider Name | Jamie M Horn |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1790735595 PECOS PAC ID: 7113939422 Enrollment ID: I20060630000217 |
| Provider Name | Samer Kassar |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1902839525 PECOS PAC ID: 3375547128 Enrollment ID: I20060908000292 |
| Provider Name | John Venetos |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1952324584 PECOS PAC ID: 7214932656 Enrollment ID: I20060919000149 |
| Provider Name | David J Roth |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1902838766 PECOS PAC ID: 3072412931 Enrollment ID: I20061103000189 |
| Provider Name | Abdussalam Choudry |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1386714046 PECOS PAC ID: 5395746184 Enrollment ID: I20070122000434 |
| Provider Name | Sonal Yogendra Parikh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851458202 PECOS PAC ID: 8820190200 Enrollment ID: I20070305000217 |
| Provider Name | Nasir a Syed |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1942330576 PECOS PAC ID: 2769587468 Enrollment ID: I20070424000577 |
| Provider Name | Angelica L Tolentino |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1417163312 PECOS PAC ID: 8123119153 Enrollment ID: I20070806000659 |
| Provider Name | Nicole Boler |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1528168523 PECOS PAC ID: 3577660521 Enrollment ID: I20080212000640 |
| Provider Name | Cyrus Akrami |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1881694222 PECOS PAC ID: 9436047479 Enrollment ID: I20080509000123 |
| Provider Name | James a Wallace |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1669687307 PECOS PAC ID: 2062476591 Enrollment ID: I20080626000710 |
| Provider Name | Mojisola M Ogunbuyide |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1194970020 PECOS PAC ID: 3274695655 Enrollment ID: I20081218000354 |
| Provider Name | Vivek Kaistha |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053311407 PECOS PAC ID: 4880582824 Enrollment ID: I20090826000562 |
| Provider Name | Mohammed Shamshuddin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801896261 PECOS PAC ID: 9931208311 Enrollment ID: I20090831000423 |
| Provider Name | Zahrain R St Jean |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992884241 PECOS PAC ID: 8426100991 Enrollment ID: I20090921000465 |
| Provider Name | Akbar Rahmani |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1952301293 PECOS PAC ID: 4981592920 Enrollment ID: I20091026000328 |
| Provider Name | Julius C Ajide |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1487989083 PECOS PAC ID: 5092858480 Enrollment ID: I20100208000311 |
| Provider Name | Amy M Knight |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1922175702 PECOS PAC ID: 3779627617 Enrollment ID: I20100216000737 |
| Provider Name | Stephen D Matz |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1790007680 PECOS PAC ID: 2567599210 Enrollment ID: I20100428000796 |
| Provider Name | Jeffrey Yeh |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1548478761 PECOS PAC ID: 8224223011 Enrollment ID: I20101105000695 |
| Provider Name | Therese M Melaniphy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659682359 PECOS PAC ID: 9537354782 Enrollment ID: I20101112000736 |
| Provider Name | Balaji P Malur |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1790757797 PECOS PAC ID: 2860680832 Enrollment ID: I20101217000772 |
| Provider Name | Andrew D Bruggeman |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1568434579 PECOS PAC ID: 1658569629 Enrollment ID: I20101217000804 |
| Provider Name | Karyn L Benak |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1013959352 PECOS PAC ID: 6103015995 Enrollment ID: I20110110000475 |
| Provider Name | Cary S Brown |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1407828437 PECOS PAC ID: 3779772132 Enrollment ID: I20110117000062 |
| Provider Name | Ebony N Johnson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497847255 PECOS PAC ID: 5597941534 Enrollment ID: I20110509000840 |
| Provider Name | Obioma P Oparanozie |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1255659751 PECOS PAC ID: 3072799683 Enrollment ID: I20110517000143 |
| Provider Name | David S Atlas |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1952375636 PECOS PAC ID: 4183658198 Enrollment ID: I20110603000147 |
| Provider Name | Felicia S Williams |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851332993 PECOS PAC ID: 8426215971 Enrollment ID: I20120210000446 |
| Provider Name | Jacqueline White |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1932190634 PECOS PAC ID: 1759448814 Enrollment ID: I20120312000862 |
| Provider Name | Phillip T Nigro |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1447474283 PECOS PAC ID: 1052580149 Enrollment ID: I20120927000435 |
| Provider Name | Neil Gupta |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1487828653 PECOS PAC ID: 1759568389 Enrollment ID: I20121005000494 |
| Provider Name | Mukund Venu |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1083838817 PECOS PAC ID: 0143461996 Enrollment ID: I20130722000104 |
| Provider Name | Sunny N Shah |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1477781672 PECOS PAC ID: 7315189081 Enrollment ID: I20130808000324 |
| Provider Name | Jeffrey B Martin |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1104079862 PECOS PAC ID: 2668625047 Enrollment ID: I20130828000452 |
| Provider Name | Mohanad a Joudeh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659546414 PECOS PAC ID: 0143454413 Enrollment ID: I20130930000344 |
| Provider Name | Rashina J Bowden |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1528484094 PECOS PAC ID: 1456574896 Enrollment ID: I20140603001666 |
| Provider Name | Kaveh B Rahmani |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215224779 PECOS PAC ID: 1254558745 Enrollment ID: I20140806001868 |
| Provider Name | Srinivasu Kusuma |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1689839532 PECOS PAC ID: 2668614165 Enrollment ID: I20140918000034 |
| Provider Name | Mohammed Iiyas Ahmed Khan |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1417198011 PECOS PAC ID: 7810020567 Enrollment ID: I20141022002314 |
| Provider Name | Amar S Naik |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1457433955 PECOS PAC ID: 1456426923 Enrollment ID: I20141215001736 |
| Provider Name | Jaime S Baylock |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1376774372 PECOS PAC ID: 2163742693 Enrollment ID: I20150522000859 |
| Provider Name | Justin Danek |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1164719050 PECOS PAC ID: 0749599108 Enrollment ID: I20151026001330 |
| Provider Name | Christopher J Koenig |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1164891818 PECOS PAC ID: 5698085850 Enrollment ID: I20151030001664 |
| Provider Name | Faris M Murad |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1205970563 PECOS PAC ID: 3072680651 Enrollment ID: I20151223001449 |
| Provider Name | Kristen M Gervasi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548621121 PECOS PAC ID: 2264739366 Enrollment ID: I20160404001226 |
| Provider Name | Kimberly R Kruczek |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1346569563 PECOS PAC ID: 0244533677 Enrollment ID: I20160610001311 |
| Provider Name | Michelle a Cunningham |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1437597846 PECOS PAC ID: 0941506257 Enrollment ID: I20160705002189 |
| Provider Name | Madad Ali |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1376564815 PECOS PAC ID: 8325180565 Enrollment ID: I20160816002108 |
| Provider Name | Katherine L Barkei |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457720682 PECOS PAC ID: 1456648468 Enrollment ID: I20160919002397 |
| Provider Name | Murtuza M Rampurwala |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1326272469 PECOS PAC ID: 8729211594 Enrollment ID: I20161017000725 |
| Provider Name | Andrea R Loberg |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1659634640 PECOS PAC ID: 2567766223 Enrollment ID: I20170105002131 |
| Provider Name | Denise J Morales |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689110850 PECOS PAC ID: 8820371719 Enrollment ID: I20170220002988 |
| Provider Name | Solmaz Rahmani |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1518379239 PECOS PAC ID: 8921303421 Enrollment ID: I20170905002475 |
| Provider Name | Bernadette a Gruchalski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760999783 PECOS PAC ID: 4981965902 Enrollment ID: I20180307001332 |
| Provider Name | Jingtao Huang |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1174887020 PECOS PAC ID: 1355640251 Enrollment ID: I20180507002089 |
| Provider Name | Vidhi Srivastava |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1003234386 PECOS PAC ID: 2062712235 Enrollment ID: I20180912000933 |
| Provider Name | Zachary W Wright |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1649697889 PECOS PAC ID: 9537462866 Enrollment ID: I20180912003640 |
| Provider Name | Marian Nwamaka Chukwumah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366927360 PECOS PAC ID: 5092057026 Enrollment ID: I20190423002255 |
| Provider Name | Anu Radha Neerukonda |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1619234218 PECOS PAC ID: 2264749134 Enrollment ID: I20190727000157 |
| Provider Name | Heesung N Kang |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1790063949 PECOS PAC ID: 8820306830 Enrollment ID: I20191112003116 |
| Provider Name | Ivy Elizabeth Abraham |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1497172845 PECOS PAC ID: 3870803679 Enrollment ID: I20201008002701 |
| Provider Name | Aishat Mobosola Adebisi |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1619324605 PECOS PAC ID: 6103118682 Enrollment ID: I20201116000724 |
| Provider Name | Stephen Xue |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1730610882 PECOS PAC ID: 9931464039 Enrollment ID: I20210630002204 |
| Provider Name | Vishal Gupta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659866713 PECOS PAC ID: 5193071967 Enrollment ID: I20210831002197 |
| Provider Name | Diandra M Lucia |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1316477045 PECOS PAC ID: 8123399607 Enrollment ID: I20210907001756 |
| Provider Name | Sandra Afrifah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356799282 PECOS PAC ID: 3577857523 Enrollment ID: I20211223000224 |
| Provider Name | Krishna Patel |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1992159537 PECOS PAC ID: 3274821277 Enrollment ID: I20220809000372 |
| Provider Name | Jehad Bittar |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1174029847 PECOS PAC ID: 1052644515 Enrollment ID: I20220913000831 |
| Provider Name | Annunziato Pirrotta |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1376032136 PECOS PAC ID: 7911254149 Enrollment ID: I20221026002566 |
| Provider Name | Autumn M Ritz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487380184 PECOS PAC ID: 1850763160 Enrollment ID: I20230215001298 |
| Provider Name | Christine M Kazlauskas |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1134650013 PECOS PAC ID: 6002188653 Enrollment ID: I20230403002595 |
| Provider Name | Alexandru T Marginean |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1669829354 PECOS PAC ID: 8224329818 Enrollment ID: I20230705002847 |
| Provider Name | Vidhan Srivastava |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1346701703 PECOS PAC ID: 1951635531 Enrollment ID: I20230907000915 |
| Provider Name | Jody Allan Sanchez Junia |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1710065206 PECOS PAC ID: 1052312832 Enrollment ID: I20230907002450 |
| Provider Name | Arnold S Cruz |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1487682514 PECOS PAC ID: 6901878800 Enrollment ID: I20231003002126 |
| Provider Name | Shanice L Robinson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1417419466 PECOS PAC ID: 5799010484 Enrollment ID: I20231011003089 |
| Provider Name | Nishaat Farooqui |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1184128498 PECOS PAC ID: 9436406774 Enrollment ID: I20240205003485 |
| Provider Name | Keith a Reich |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1902863285 PECOS PAC ID: 7214952357 Enrollment ID: I20240418001888 |
| Provider Name | Salman Ali Khan |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1306253349 PECOS PAC ID: 5890091599 Enrollment ID: I20240705002167 |
| Provider Name | Michael K Hawking |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1104274836 PECOS PAC ID: 5597057141 Enrollment ID: I20241212001756 |
| Provider Name | Nathan Alhalel |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1982097408 PECOS PAC ID: 4880945732 Enrollment ID: I20250130003061 |
| Provider Name | Barry Donner |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1679534796 PECOS PAC ID: 4082682083 Enrollment ID: I20250218000990 |
| Provider Name | Pooja P Kinkhabwala |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1194104059 PECOS PAC ID: 3476970377 Enrollment ID: I20250319000628 |
| Provider Name | Ashley Multani |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003305020 PECOS PAC ID: 5597289124 Enrollment ID: I20250404001664 |
| Provider Name | Paul S Bierman |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1144245234 PECOS PAC ID: 8325041239 Enrollment ID: I20250425000937 |
| Provider Name | Nazila Shafagati |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1700444882 PECOS PAC ID: 3678809464 Enrollment ID: I20250529003531 |
| Provider Name | Deep Patel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841940723 PECOS PAC ID: 0143602011 Enrollment ID: I20250729003194 |
| Provider Name | Angel Cristian De La Cruz Tejada |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1619453412 PECOS PAC ID: 2062957004 Enrollment ID: I20250801001771 |
| Provider Name | Ian Q Kolata |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1023674801 PECOS PAC ID: 5698179786 Enrollment ID: I20250901000609 |
| Provider Name | Ryan Edward Garwood |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811639354 PECOS PAC ID: 0143603233 Enrollment ID: I20250915002711 |
| Provider Name | Saja Mustafa Ali |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1053932848 PECOS PAC ID: 8820592421 Enrollment ID: I20250917002061 |
| Provider Name | Trina Sircar |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1275116345 PECOS PAC ID: 1951789650 Enrollment ID: I20250917002172 |
| Provider Name | Alqasem Alsaqri |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053052993 PECOS PAC ID: 7416451968 Enrollment ID: I20250917003791 |
| Provider Name | Oluwaseun Tolulope Titilayo Owoeye |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588314066 PECOS PAC ID: 8820592363 Enrollment ID: I20250918001161 |
| Provider Name | Asha Asthana |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1588289755 PECOS PAC ID: 8921422189 Enrollment ID: I20251028003265 |
| Provider Name | Jhonatan Marte |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1043892524 PECOS PAC ID: 1759772379 Enrollment ID: I20251029001778 |
| Provider Name | Eric Stewart |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023756525 PECOS PAC ID: 8123473139 Enrollment ID: I20260116001255 |
| Provider Name | Catherine Phillips |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1881564383 PECOS PAC ID: 4284104951 Enrollment ID: I20260525000123 |
| Provider Name | Samuel Herman Chinn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295699379 PECOS PAC ID: 9133699556 Enrollment ID: I20260527002692 |
Pramod K Anand, M.D. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 71 W 156th St, Suite 212, Harvey, IL 60426 Phone: 708-339-8044 Fax: 708-339-6680 |
Fchc-integrative Health and Wellness Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 26 W 154th St, Harvey, IL 60426 Phone: 708-596-5177 Fax: 708-596-5518 |
Growth Network Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 29 W 159th St, Harvey, IL 60426 Phone: 708-566-1185 Fax: 708-566-1190 |
Iari Incorporated Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 14618 Lincoln Ave, Harvey, IL 60426 Phone: 708-339-7000 Fax: 708-339-7000 |
Fchc Community Connect Mobile Unit Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 31 W 155th St, Harvey, IL 60426 Phone: 708-596-5177 Fax: 708-596-5518 |
Family Christian Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 31 W 155th St, Harvey, IL 60426 Phone: 708-596-5177 Fax: 708-339-3583 |