Santi Rukvidtayasas (NPI# 1538297874, PAC ID# 0446449482) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DERMATOLOGY.
| Nation Provider ID (NPI) | 1538297874 |
| PAC ID by PECOS | 0446449482 |
| Professional Enrollment ID | I20110106000857 |
| Full Name | Santi Rukvidtayasas |
| Organization Legal Name | ACADEMIC AND CLINICAL ASSOCIATES IN DERMATOLOGY LTD |
| Address |
7047 N Ave Oak Park IL 60302-1015 |
| Phone Number | 7083830300 |
| Gender | M |
| Graduation Year | 1970 |
| Primary Specialty | DERMATOLOGY |
| Group Practice PAC ID | 2062552383 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 7047 N Ave, Oak Park, IL 60302-1015 | 7083830300 | ACADEMIC AND CLINICAL ASSOCIATES IN DERMATOLOGY LTD |
| Organization Legal Name | ACADEMIC AND CLINICAL ASSOCIATES IN DERMATOLOGY LTD |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Richard I Bernstein | Dermatology | Academic and Clinical Associates In Dermatology Ltd | 7047 N Ave, Oak Park, IL 60302-1015 |
| Street Address |
7047 N AVE |
| City | OAK PARK |
| State | IL |
| Zip | 60302-1015 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nesreen Hermes | Family Medicine | 7047 N Ave, Oak Park, IL 60302-1015 | |
| Richard I Bernstein | Dermatology | Academic and Clinical Associates In Dermatology Ltd | 7047 N Ave, Oak Park, IL 60302-1015 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ramsey G Tanakatsubo | Optometry | 7011 W N Ave, Oak Park, IL 60302-1001 | |
| Sharon E Pelletier | Clinical Social Worker | 6601 N Ave, Suite 3, Oak Park, IL 60302-1005 | |
| Lee L Madden | Psychologist, Clinical | 6601 W N Ave, Oak Park, IL 60302-1005 | |
| Alejandra Campos | Internal Medicine | 6715 N Ave, Oak Park, IL 60302-1006 | |
| Benjamin A Okai | Internal Medicine | 6429 W N Ave, Suite 106, Oak Park, IL 60302-1012 | |
| Hector C Jose | Nurse Practitioner | Chicago Cardiology Institute Sc | 7035 W N Ave, Oak Park, IL 60302-1015 |
| James L Mccarthy | Ophthalmology | Mc Carthy Eye Center Sc | 7055 N Ave, Oak Park, IL 60302-1015 |
| Linda M Knowski | Chiropractic | 6955 N Ave, Suite 101, Oak Park, IL 60302-1016 | |
| Steve A Spaccarelli | Psychologist, Clinical | 6551 N Ave, Oak Park, IL 60302-1020 | |
| Orlando A Mercado | Podiatry | Mercado Foot Clinic Ltd | 6545 N Ave, Oak Park, IL 60302-1020 |
| Find all physicians in zip 60302 | |||
| City | OAK PARK |
| Zip Code | 60302 |
| Specialty | DERMATOLOGY |
| City + Specialty | OAK PARK + DERMATOLOGY |
Please comment or provide details below to improve the information on Santi Rukvidtayasas.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.