Pulmonary Medicine Associates SC
Organization Active NPI Critical Care Medicine (Internal Medicine) Physician · Melrose Park, IL
NPI 1376576785 · NPPES record last updated Jan 19, 2012
Key facts
- NPI
- 1376576785
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Critical Care Medicine (Internal Medicine) Physician 207RC0200X
- Legal business name
- PULMONARY MEDICINE ASSOCIATES SC
- Practice address
- 675 W North Ave
Melrose Park, IL 60160-1634 - Phone
- (708) 450-4557
- NPI assigned
- Jul 9, 2006
- Organization subpart
- No
Authorized official
- Name
- Ms. Elizabeth M Brundage
- Title
- Director
- Phone
- (708) 366-7177
Practitioners 23
-
Harvey Friedman, MD
-
Beth Ginsburg, MD
-
Omar Hussain, D.O.
-
Rafiq M Kutty, MD
-
Ruth McGaha, ACNP
-
Michael W Heniff, M.D.
-
Gerald Luger, MD
-
Adam J Posner, MD
-
Sanda Vujnic, M.D.
-
Sahar Ahmad, MD
-
Elliott S Cohen, MD
-
Ryan Shelton Lee, MD
-
Daniel A Katzman, MD
-
Neil David Pollock, M.D.
-
Mark Tomera, MD
-
Peter Werner, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050616000572 | IL | Part B Supplier - Clinic/Group Practice | 3476597881 |
Receives reassigned benefits from 19 practitioners Practice locations: Evanston, IL; Melrose Park, IL; Libertyville, IL |
National Provider Directory
Locations
800 Austin St
Ste 557E
Evanston, IL 60202
890 Garfield Ave
Ste 209
Libertyville, IL 60048
Phone (847) 362-5535
444 N Northwest Hwy
Ste 206
Park Ridge, IL 60068
Phone (847) 653-6184
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Medicine (Internal Medicine) Physician |
207RC0200X | Yes | ||
| Pulmonary Disease Physician |
207RP1001X |
Addresses
Primary practice location
675 W North Ave
Melrose Park, IL 60160-1634
Mailing address
7607 Madison St
Forest Park, IL 60130-3513
Phone (708) 366-7177
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 31601838 | Other | IL | BCBS OF IL |
Other providers in Melrose Park, IL
- Paul T. Prinz
- Procare
- Brian Proctor
- Ricardo Pronschinske
- Proviso Family Services
- Arshnoor Aslam Qamaruddin
- Lucero Quintana
- Nicole J. Rabideau
- Katerina Martinova Rachkova
- Rachna Shah MD SC
All providers in Melrose Park, IL · Critical Care Medicine (Internal Medicine) Physician in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 19, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.