Lynn Rose Vidakovic (NPI# 1114933660, PAC ID# 0547288458) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL MEDICINE AND REHABILITATION.
Nation Provider ID (NPI) | 1114933660 |
PAC ID by PECOS | 0547288458 |
Professional Enrollment ID | I20051109000816 |
Full Name | Lynn Rose Vidakovic |
Organization Legal Name | MEDICAL SERVICES RIC |
Address |
355 E Erie St Chicago IL 60611-3167 |
Phone Number | 3122381000 |
Gender | F |
Credential | MD |
Medical School | WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE |
Graduation Year | 2001 |
Primary Specialty | PHYSICAL MEDICINE AND REHABILITATION |
Group Practice PAC ID | 4880598978 |
Number of Group Practice Members | 77 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
140281 | NORTHWESTERN MEMORIAL HOSPITAL |
Address | Phone | Organization |
---|---|---|
355 E Erie St, Chicago, IL 60611-3167 | 3122381000 | MEDICAL SERVICES RIC |
Organization Legal Name | MEDICAL SERVICES RIC |
Physicians | 73 |
Name | Specialty | Organization | Address |
---|---|---|---|
Ryan Everett Doyel | Physical Medicine and Rehabilitation | Medical Services Ric | 5150 Capital Dr, Wheeling, IL 60090-7900 |
Monica Rho | Physical Medicine and Rehabilitation | Medical Services Ric | 355 E Erie St, Chicago, IL 60611-3167 |
Matthew C Oswald | Physical Medicine and Rehabilitation | Medical Services Ric | 345 E Superior St, Chicago, IL 60611-2654 |
Phyllis M Muellner | Physical Medicine and Rehabilitation | Medical Services Ric | 1055 W 175th St, Suite 101, Homewood, IL 60430-4615 |
Christopher D Reger | Physical Medicine and Rehabilitation | Medical Services Ric | 345 E Superior St, Chicago, IL 60611-2654 |
Bonita Alexander | Physical Medicine and Rehabilitation | Medical Services Ric | 800 Biesterfield Rd, Elk Grove Village, IL 60007-3361 |
Santiago D Toledo Jr. | Physical Medicine and Rehabilitation | Medical Services Ric | 355 E Erie St, Chicago, IL 60611-3167 |
Siena Elisa Nadal Ona | Physical Medicine and Rehabilitation | Medical Services Ric | 201 S 14th St, Herrin, IL 62948-3631 |
Rachna Hajela Soriano | Physical Medicine and Rehabilitation | Medical Services Ric | 355 E Erie St, Chicago, IL 60611-3167 |
Elliot J Roth | Physical Medicine and Rehabilitation | Medical Services Ric | 345 E Superior St, Chicago, IL 60611-2654 |
Street Address |
355 E ERIE ST |
City | CHICAGO |
State | IL |
Zip | 60611-3167 |
Name | Specialty | Organization | Address |
---|---|---|---|
Monica Rho | Physical Medicine and Rehabilitation | Medical Services Ric | 355 E Erie St, Chicago, IL 60611-3167 |
Santiago D Toledo Jr. | Physical Medicine and Rehabilitation | Medical Services Ric | 355 E Erie St, Chicago, IL 60611-3167 |
Rachna Hajela Soriano | Physical Medicine and Rehabilitation | Medical Services Ric | 355 E Erie St, Chicago, IL 60611-3167 |
Randy L Calisoff | Interventional Pain Management | Medical Services Ric | 355 E Erie St, Chicago, IL 60611-3167 |
Allison Kessler Vear | Physical Medicine and Rehabilitation | Medical Services Ric | 355 E Erie St, Chicago, IL 60611-3167 |
Julie K Whittington Cirton | Physical Medicine and Rehabilitation | Medical Services Ric | 355 E Erie St, Chicago, IL 60611-3167 |
Benjamin Jay Friedman | Physical Medicine and Rehabilitation | Medical Services Ric | 355 E Erie St, Chicago, IL 60611-3167 |
Samman Shahpar | Physical Medicine and Rehabilitation | Medical Services Ric | 355 E Erie St, Chicago, IL 60611-3167 |
Aaron C Malina | Psychologist, Clinical | Rehabilitation Institute of Chicago | 355 E Erie St, Chicago, IL 60611-3167 |
Nicole M Wysocki | Pain Management | Medical Services Ric | 355 E Erie St, Chicago, IL 60611-3167 |
Find all physicians in the same address |
Name | Specialty | Organization | Address |
---|---|---|---|
Joseph R Spatafora | Psychiatry | 600 N Mcclurg Court, Suite 4411a, Chicago, IL 60611 | |
Barbara S Rocah | Psychiatry | 1110 N Lake Shore Dr, Apt 30s, Chicago, IL 60611-1022 | |
Loretta De Koster | Optometry | 129 E Oak St, Chicago, IL 60611-1202 | |
Robert Lee Walton Jr. | Plastic and Reconstructive Surgery | 60 E Delaware Pl, Suite 1430, Chicago, IL 60611-1495 | |
Michael R Abern | Urology | The Board of Trustees of The University of Illinois | 900 N Michigan Ave, Chicago, IL 60611-1542 |
Lawrence S Ross | Urology | The Board of Trustees of The University of Illinois | 900 N Michigan Ave, Chicago, IL 60611-1542 |
Kelly Dineen | Psychologist, Clinical | One E Delaware Place, Suite 501, Chicago, IL 60611-1666 | |
Charles Zugerman | Dermatology | Illinois Dermatology Institute LLC | 1 E Delaware Pl, Suite 501, Chicago, IL 60611-1666 |
Jacob Mp Bloom | Plastic and Reconstructive Surgery | 1 E Delaware Pl, Suite 501, Chicago, IL 60611-1666 | |
Mark I Golden | Ophthalmology | 875 N Michigan Ave, Suite 1550, Chicago, IL 60611-1886 | |
Find all physicians in zip 60611 |
City | CHICAGO |
Zip Code | 60611 |
Specialty | PHYSICAL MEDICINE AND REHABILITATION |
City + Specialty | CHICAGO + PHYSICAL MEDICINE AND REHABILITATION |
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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.