Luise Illuminati (NPI# 1912014689, PAC ID# 1557556388) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INFECTIOUS DISEASE.
| Nation Provider ID (NPI) | 1912014689 |
| PAC ID by PECOS | 1557556388 |
| Professional Enrollment ID | I20101105001185 |
| Full Name | Luise Illuminati |
| Organization Legal Name | ST JOHN HOSPITAL AND MEDICAL CENTER |
| Address |
22301 Foster Winter Dr 200 Sjhmc Newland Medical Associates Southfield MI 48075-3707 |
| Phone Number | 2485520620 |
| Gender | F |
| Medical School | WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1982 |
| Primary Specialty | INFECTIOUS DISEASE |
| Group Practice PAC ID | 3173424082 |
| Number of Group Practice Members | 278 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 230029 | ST JOSEPH MERCY OAKLAND |
| Address | Phone | Organization |
|---|---|---|
| 22301 Foster Winter Dr 200, Sjhmc Newland Medical Associates, Southfield, MI 48075-3707 | 2485520620 | ST JOHN HOSPITAL AND MEDICAL CENTER |
| 22301 Foster Winter Dr 3rd Floor, Sjhmc V K Malviya Md, Southfield, MI 48075-3707 | 2488498140 | ST JOHN HOSPITAL AND MEDICAL CENTER |
| Organization Legal Name | ST JOHN HOSPITAL AND MEDICAL CENTER |
| Physicians | 30 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jean P Skeffington | Speech Language Pathologist | St John Hospital and Medical Center | 21000 E 12 Mile Rd, Suite 111, Saint Clair Shores, MI 48081-1156 |
| Minuchehe Kashef | Obstetrics/gynecology | St John Hospital and Medical Center | 22101 Moross Rd, Detroit, MI 48236-2148 |
| Howard S Rosman | Cardiovascular Disease (cardiology) | St John Hospital and Medical Center | 22101 Moross Rd, Grosse Pointe, MI 48236-2148 |
| Riad El Khatib | Infectious Disease | St John Hospital and Medical Center | 22101 Moross Rd, Detroit, MI 48236-2148 |
| Marcus Eber Degraw | Pediatric Medicine | St John Hospital and Medical Center | 22201 Moross Rd, Suite 270, Grosse Pointe, MI 48236-2175 |
| Jason Wulff | Nurse Practitioner | St John Hospital and Medical Center | 11885 E 12 Mile Rd, 100a Sjhmc Great Lakes Cancert Management Specialists, Warren, MI 48093-3465 |
| Sai T Katta | Internal Medicine | St John Hospital and Medical Center | 19251 Mack Ave, Suite 333, Grosse Pointe Woods, MI 48236-2898 |
| Matthew C Wilkins | Internal Medicine | St John Hospital and Medical Center | 19251 Mack Ave, Suite 333, Grosse Pointe Woods, MI 48236-2898 |
| Denise M Freeman | Certified Registered Nurse Anesthetist | St John Hospital and Medical Center | 22101 Moross Rd, Detroit, MI 48236-2148 |
| Kenneth W Bollin | Family Practice | St John Hospital and Medical Center | 22101 Moross Rd, Grosse Pointe, MI 48236-2148 |
| Street Address |
22301 FOSTER WINTER DR 200 SJHMC NEWLAND MEDICAL ASSOCIATES |
| City | SOUTHFIELD |
| State | MI |
| Zip | 48075-3707 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Susan E Lyons | Hematology/oncology | Ascension St John Hospital | 22301 Foster Winter Dr 200, Sjhmc Newland Medical Associates, Southfield, MI 48075-3707 |
| Michael J Kraut | Hematology/oncology | Ascension St John Hospital | 22301 Foster Winter Dr 200, Sjhmc Newland Medical Associates, Southfield, MI 48075-3707 |
| Rajendra K Manam | Hematology/oncology | Ascension St John Hospital | 22301 Foster Winter Dr 200, Sjhmc Newland Medical Associates, Southfield, MI 48075-3707 |
| Tania B Little | Infectious Disease | Ascension St John Hospital | 22301 Foster Winter Dr 200, Sjhmc Newland Medical Associates, Southfield, MI 48075-3707 |
| Julie Weiss | Nurse Practitioner | Ascension St John Hospital | 22301 Foster Winter Dr 200, Sjhmc Newland Medical Associates, Southfield, MI 48075-3707 |
| Cynthia A Shields | Nurse Practitioner | Ascension St John Hospital | 22301 Foster Winter Dr 200, Sjhmc Newland Medical Associates, Southfield, MI 48075-3707 |
| Cibar M Benitez Farina | Hematology/oncology | Ascension St John Hospital | 22301 Foster Winter Dr 200, Sjhmc Newland Medical Associates, Southfield, MI 48075-3707 |
| Leo Milton Parsons Ii | Infectious Disease | Ascension St John Hospital | 22301 Foster Winter Dr 200, Sjhmc Newland Medical Associates, Southfield, MI 48075-3707 |
| Steven A Portney | Rheumatology | Ascension St John Hospital | 22301 Foster Winter Dr 200, Sjhmc Newland Medical Associates, Southfield, MI 48075-3707 |
| Nabila Rasool | Gynecological Oncology | Ascension St John Hospital | 22301 Foster Winter Dr 200, Sjhmc Newland Medical Associates, Southfield, MI 48075-3707 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Phyllis J Yates | Psychologist, Clinical | 3000 Town Ctr, Suite 2575, Southfield, MI 48075-1102 | |
| Josephine C Bello | Family Medicine | 25511 Southfield Rd, Suite 118, Southfield, MI 48075-1830 | |
| James G Armstrong | Thoracic Surgery | Hamid Sattar Mdpc | 25130 Southfield Rd, Suite 105, Southfield, MI 48075-1900 |
| Joanna Qiong Sattar | Nephrology | Ark Multispecialty Physicians Pllc | 25130 Southfield Rd, Suite 230, Southfield, MI 48075-1910 |
| Johnny E Robinson | Chiropractic | Robinson Chiropractic and Personal Fitness Center PC | 25130 Southfield Rd, Southfield, MI 48075-1921 |
| Yaakov G Zacks | Optometry | 16232 Sherfield Pl, Southfield, MI 48075-2061 | |
| Jessica Knopp | Clinical Social Worker | Tender Heart East Inc | 15700 W 10 Mile Rd, Suite 106, Southfield, MI 48075-2100 |
| Amanda N Scott | Clinical Social Worker | Tender Heart LLC | 15700 W 10 Mile Rd, Suite 106, Southfield, MI 48075-2100 |
| Joseph A Reilly | Clinical Social Worker | Tender Heart LLC | 15700 W 10 Mile Rd, Suite 106, Southfield, MI 48075-2100 |
| Laura L Williams | Clinical Social Worker | Tender Heart LLC | 15700 W 10 Mile Rd, Suite 106, Southfield, MI 48075-2100 |
| Find all physicians in zip 48075 | |||
| City | SOUTHFIELD |
| Zip Code | 48075 |
| Specialty | INFECTIOUS DISEASE |
| City + Specialty | SOUTHFIELD + INFECTIOUS DISEASE |
Please comment or provide details below to improve the information on Luise Illuminati.
| 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.