Amy Susan Paller (NPI# 1861452815, PAC ID# 1355303421) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DERMATOLOGY.
| Nation Provider ID (NPI) | 1861452815 |
| PAC ID by PECOS | 1355303421 |
| Professional Enrollment ID | I20041101000512 |
| Full Name | Amy Susan Paller |
| Organization Legal Name | PEDIATRIC FACULTY FOUNDATION INC |
| Address |
1131 N Techny Rd Northbrook IL 60062-5503 |
| Phone Number | 8005437362 |
| Gender | F |
| Credential | MD |
| Medical School | STANFORD UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1978 |
| Primary Specialty | DERMATOLOGY |
| Secondary Specialties | PEDIATRIC MEDICINE |
| Group Practice PAC ID | 4789597279 |
| Number of Group Practice Members | 97 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1131 N Techny Rd, Northbrook, IL 60062-5503 | 8005437362 | PEDIATRIC FACULTY FOUNDATION INC |
| Organization Legal Name | PEDIATRIC FACULTY FOUNDATION INC |
| Physicians | 129 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ahmad Sami Chaouki | Cardiovascular Disease (cardiology) | Pediatric Faculty Foundation Inc | 300 N Randall Rd, Geneva, IL 60134-4202 |
| Paul Tannous | Pediatric Medicine | Pediatric Faculty Foundation Inc | 225 E Chicago Ave, Chicago, IL 60611-2991 |
| Marisa Klein-gitelman | Rheumatology | Pediatric Faculty Foundation Inc | 1131 N Techny Rd, Northbrook, IL 60062-5503 |
| Mary L Kreiter | Endocrinology | Pediatric Faculty Foundation Inc | 880 W Central Ave, Arlington Heights, IL 60005 |
| Reema L Habiby | Endocrinology | Pediatric Faculty Foundation Inc | 225 E Chicago Ave, Chicago, IL 60611-2991 |
| Stephanie Chandler | Pediatric Medicine | Pediatric Faculty Foundation Inc | 25 N Winfield Rd, Winfield, IL 60190-2001 |
| Nancy L Kuntz | Neurology | Pediatric Faculty Foundation Inc | 225 E Chicago Ave, Chicago, IL 60611-2991 |
| Amy E Bobrowski | Pediatric Medicine | Pediatric Faculty Foundation Inc | 225 E Chicago Ave, Chicago, IL 60611-2991 |
| Amanda L Hauck | Cardiovascular Disease (cardiology) | Pediatric Faculty Foundation Inc | 225 E Chicago Ave, Chicago, IL 60611-2991 |
| Nawal Momani | Pediatric Medicine | Pediatric Faculty Foundation Inc | 225 E Chicago Ave, Chicago, IL 60611-2991 |
| Street Address |
1131 N TECHNY RD |
| City | NORTHBROOK |
| State | IL |
| Zip | 60062-5503 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Marisa Klein-gitelman | Rheumatology | Pediatric Faculty Foundation Inc | 1131 N Techny Rd, Northbrook, IL 60062-5503 |
| Craig B Langman | Pediatric Medicine | Pediatric Faculty Foundation Inc | 1131 N Techny Rd, Northbrook, IL 60062-5503 |
| Lee M Bass | Gastroenterology | Pediatric Faculty Foundation Inc | 1131 N Techny Rd, Northbrook, IL 60062-5503 |
| Jacqueline Wolak | Nurse Practitioner | Pediatric Faculty Foundation Inc | 1131 N Techny Rd, Northbrook, IL 60062-5503 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert S Glick | Podiatry | 4545 Lindenwood Ln, Northbrook, IL 60062-1033 | |
| Neil M Taufen | Family Medicine | Northshore University Healthsystem Faculty Practice Associates | 1182 Northbrook Ct, Northbrook, IL 60062-1435 |
| Rebecca Malik | Family Medicine | Northshore University Healthsystem Faculty Practice Associates | 1182 Northbrook Ct, Northbrook, IL 60062-1435 |
| Stephen C Tassler | Family Medicine | Northshore University Healthsystem Faculty Practice Associates | 1182 Northbrook Ct, Northbrook, IL 60062-1435 |
| Steve J Eisenstein | Family Medicine | Northshore University Healthsystem Faculty Practice Associates | 1182 Northbrook Ct, Northbrook, IL 60062-1435 |
| Teny P Thomas | Family Medicine | Northshore University Healthsystem Faculty Practice Associates | 1182 Northbrook Ct, Northbrook, IL 60062-1435 |
| Lisa F Rosenberg | Ophthalmology | University Eye Specialists Ltd | 1535 Lake Cook Rd, Northbrook, IL 60062-1447 |
| Mary B Fausone | Obstetrics/gynecology | 1535 Lake Cook Rd, Northbrook, IL 60062-1447 | |
| Dianna Liu | Ophthalmology | University Eye Specialists Ltd | 1535 Lake Cook Rd, Northbrook, IL 60062-1447 |
| Stephen P Becker | Otolaryngology | Otolaryngology Associates Sc | 1535 Lake Cook Rd, Northbrook, IL 60062-1447 |
| Find all physicians in zip 60062 | |||
| City | NORTHBROOK |
| Zip Code | 60062 |
| Specialty | DERMATOLOGY |
| City + Specialty | NORTHBROOK + DERMATOLOGY |
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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.