Joseph M Civantos (NPI# 1336149053, PAC ID# 2062325186) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPHTHALMOLOGY.
| Nation Provider ID (NPI) | 1336149053 |
| PAC ID by PECOS | 2062325186 |
| Professional Enrollment ID | I20090727000640 |
| Full Name | Joseph M Civantos |
| Organization Legal Name | ILLINOIS RETINA ASSOCIATES S C |
| Address |
71 W 156th St Suite 400 Harvey IL 60426-4265 |
| Phone Number | 7085968710 |
| Gender | M |
| Medical School | COLUMBIA UNIVERSITY COLLEGE OF PHYSICIANS AND SURGEONS |
| Graduation Year | 1989 |
| Primary Specialty | OPHTHALMOLOGY |
| Group Practice PAC ID | 6709799810 |
| Number of Group Practice Members | 14 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140191 | INGALLS MEMORIAL HOSPITAL |
| 140007 | PRESENCE SAINT JOSEPH MEDICAL CENTER |
| 140122 | HINSDALE HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 71 W 156th St, Suite 400, Harvey, IL 60426-4265 | 7085968710 | ILLINOIS RETINA ASSOCIATES S C |
| Organization Legal Name | ILLINOIS RETINA ASSOCIATES S C |
| Physicians | 7 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John S Pollack | Ophthalmology | Illinois Retina Associates S C | 300 Barney Dr D, Joliet, IL 60435-5279 |
| Kourous Attaran Rezaei | Ophthalmology | Illinois Retina Associates S C | 15300 W Ave, Suite 212 West Bldg, Orland Park, IL 60462-4600 |
| Timothy P Flood | Ophthalmology | Illinois Retina Associates S C | 25 E Washington St, Suite 301, Chicago, IL 60602-1734 |
| Sohail J Hasan | Ophthalmology | Illinois Retina Associates S C | 71 W 156th St, Suite 400, Harvey, IL 60426-4265 |
| Serge N Debustros | Ophthalmology | Illinois Retina Associates S C | 19550 Governors Hwy, Suite 3600, Flossmoor, IL 60422-2147 |
| Zac Brendan Ravage | Ophthalmology | Illinois Retina Associates S C | 1800 Hollister Dr, Suite 207, Libertyville, IL 60048-5266 |
| Street Address |
71 W 156TH ST SUITE 400 |
| City | HARVEY |
| State | IL |
| Zip | 60426-4265 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Martin G Luken Iii | Neurosurgery | 71 W 156th St, Suite 205, Harvey, IL 60429-4261 | |
| Enric P Solans | Pathology | 71 W 156th St, Suite 206a, Harvey, IL 60426-4262 | |
| Shannon K Male | Nurse Practitioner | Primary Healthcare Associates Sc | 71 W 156th St, Suite 401, Harvey, IL 60426-4265 |
| Donna L Martinek | Nurse Practitioner | Primary Healthcare Associates Sc | 71 W 156th St, Suite 208, Harvey, IL 60426-4262 |
| Jarmo J Itkonen | Pulmonary Disease | Jerry J Itkonen, Sc | 71 W 156th St, Suite 203, Harvey, IL 60426-4262 |
| Romuald C Warakomski | Internal Medicine | Advanced Heart Group Sc | 71 W 156th St, Suite 305, Harvey, IL 60426-4264 |
| C Matthew Chelich | Family Medicine | Advanced Heart Group Sc | 71 W 156th St, Suite 305, Harvey, IL 60426-4264 |
| Bsher Touleimat | Pulmonary Disease | Jerry J Itkonen, Sc | 71 W 156th St, Suite 203, Harvey, IL 60426-4262 |
| Daniel John Vandenberg | Internal Medicine | 71 W 156th St, Suite 311, Harvey, IL 60426-4265 | |
| Sohail J Hasan | Ophthalmology | Illinois Retina Associates S C | 71 W 156th St, Suite 400, Harvey, IL 60426-4265 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Hee H Kim | Family Medicine | 14618 Lincoln Ave, Harvey, IL 60426-1610 | |
| Michele D Roby | Optometry | 15437 Broadway Ave, Harvey, IL 60426-3306 | |
| Vidhi Srivastava | Anesthesiology | Harvey Anesthesiologists Sc | 1 Ingalls Dr, Harvey, IL 60426-3558 |
| Gautam Malik | Internal Medicine | Inpatient Consultants of Illinois PC | 1 Ingalls Dr Ingalls, Harvey, IL 60426-3558 |
| Rajesh V Patel | Urology | Associated Urological Specialists LLC | One Ingalls Dr, Harvey, IL 60426-3558 |
| Soula Karnezis | Certified Registered Nurse Anesthetist (crna) | Harvey Anesthesiologists Sc | 1 Ingalls Dr, Harvey, IL 60426-3558 |
| Mark D Stossel | Emergency Medicine | Epmg of Illinois LLC | 1 Ingalls Dr, Harvey, IL 60426-3558 |
| Sasmita Misra | Diagnostic Radiology | Specialists In Medical Imaging Sc | 1 Ingalls Dr, Harvey, IL 60426-3558 |
| Renee L Peksa-sink | Emergency Medicine | Epmg of Illinois LLC | 1 Ingalls Dr, Harvey, IL 60426-3558 |
| Yvette Michele Johnson | Nurse Practitioner | 1 Ingalls Dr, Harvey, IL 60426-3558 | |
| Find all physicians in zip 60426 | |||
| City | HARVEY |
| Zip Code | 60426 |
| Specialty | OPHTHALMOLOGY |
| City + Specialty | HARVEY + OPHTHALMOLOGY |
Please comment or provide details below to improve the information on Joseph M Civantos.
| 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.