Elizabeth A Heredia (NPI# 1194755843, PAC ID# 2860685021) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PEDIATRIC MEDICINE.
| Nation Provider ID (NPI) | 1194755843 |
| PAC ID by PECOS | 2860685021 |
| Professional Enrollment ID | I20101020000321 |
| Full Name | Elizabeth A Heredia |
| Organization Legal Name | CENTRAL DUPAGE PHYSICIAN GROUP |
| Address |
2900 Foxfield Rd St Charles IL 60174-5799 |
| Phone Number | 6303777900 |
| Gender | F |
| Medical School | UNIVERSITY OF ILLINOIS AT CHICAGO HEALTH SCIENCE CENTER |
| Graduation Year | 1993 |
| Primary Specialty | PEDIATRIC MEDICINE |
| Group Practice PAC ID | 5890696231 |
| Number of Group Practice Members | 660 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140242 | CENTRAL DUPAGE HOSPITAL |
| 140211 | DELNOR COMMUNITY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 2900 Foxfield Rd, St Charles, IL 60174-5799 | 6303777900 | CENTRAL DUPAGE PHYSICIAN GROUP |
| 1800 N Main St, Wheaton, IL 60187-3112 | 6306144960 | CENTRAL DUPAGE PHYSICIAN GROUP |
| Organization Legal Name | CENTRAL DUPAGE PHYSICIAN GROUP |
| Physicians | 623 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert James Kasper | Family Medicine | Central Dupage Physician Group | 298 Randall Rd, Geneva, IL 60134-4203 |
| Lauren E Miser | Physician Assistant | Central Dupage Physician Group | 2425 Fargo Blvd, Geneva, IL 60134-3591 |
| Melissa Lancaster | Psychologist, Clinical | Central Dupage Physician Group | 302 Randall Rd, Geneva, IL 60134-4209 |
| Deborah A Henschler | Nurse Practitioner | Central Dupage Physician Group | 224 E Railroad St, Sandwich, IL 60548-2240 |
| Mehr Iqbal | Psychiatry | Central Dupage Physician Group | 1800 N Main St, Wheaton, IL 60187-3112 |
| Rakhee Kalelkar | Internal Medicine | Central Dupage Physician Group | 1019 School St, Lisle, IL 60532-1870 |
| Katharyn Lupo | Pediatric Medicine | Central Dupage Physician Group | 636 Raymond Dr, Naperville, IL 60563-9789 |
| Carrie A Feid | Nurse Practitioner | Central Dupage Physician Group | 304 Randall Rd, Geneva, IL 60134-4200 |
| Spring S Piatek | Certified Clinical Nurse Specialist (cns) | Central Dupage Physician Group | 473 W Army Trail Rd, Bloomingdale, IL 60108-2674 |
| Rhonda Koach | Qualified Speech Language Pathologist | Central Dupage Physician Group | 2127 Midlands Ct, Unit 203, Sycamore, IL 60178-3173 |
| Street Address |
2900 FOXFIELD RD |
| City | ST CHARLES |
| State | IL |
| Zip | 60174-5799 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David W Flatt | Chiropractic | Central Dupage Physician Group | 2900 Foxfield Rd, St Charles, IL 60174-5799 |
| Laura K Tagle | Internal Medicine | Central Dupage Physician Group | 2900 Foxfield Rd, St Charles, IL 60174-5799 |
| Robert J Calabria | Family Medicine | Central Dupage Physician Group | 2900 Foxfield Rd, St Charles, IL 60174-5799 |
| Amy L Frazer | Physician Assistant | Central Dupage Physician Group | 2900 Foxfield Rd, St Charles, IL 60174-5799 |
| Vivian S Vanroekel | Internal Medicine | Central Dupage Physician Group | 2900 Foxfield Rd, St Charles, IL 60174-5799 |
| Caitlin E Rogers | Nurse Practitioner | Central Dupage Physician Group | 2900 Foxfield Rd, St Charles, IL 60174-5799 |
| Holly N Watson-evans | Nurse Practitioner | Central Dupage Physician Group | 2900 Foxfield Rd, St Charles, IL 60174-5799 |
| Amanda B Wendel | Dermatology | Central Dupage Physician Group | 2900 Foxfield Rd, St Charles, IL 60174-5799 |
| Edward J Ward Iii | Family Medicine | Central Dupage Physician Group | 2900 Foxfield Rd, St Charles, IL 60174-5799 |
| Elliot P Johnson | Physician Assistant | Genesis Orthopedics and Sports Medicine LLC | 2900 Foxfield Rd, Suite 102, St Charles, IL 60174-5799 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David Cassion Roble | Internal Medicine | David C. Roble, Mdsc | 960 N 5th Ave B, St Charles, IL 60174-1205 |
| Susan L Sacks | Qualified Audiologist | 960 N 5th Ave, St Charles, IL 60174-1205 | |
| Neal Ross Bowen | Psychologist, Clinical | Axiscare Neuropsychology LLC | 2580 Foxfield, Suite 4, St Charles, IL 60174-1403 |
| Catherine S Thomas | Internal Medicine | Central Dupage Physician Group | 2570 Foxfield Rd, St Charles, IL 60174-1406 |
| Huma Chaudhry | Registered Dietitian Or Nutrition Professional | Phc of Buffalo Grove Nutrition | 2570 Foxfield Rd, Suite 107, St Charles, IL 60174-1406 |
| Sandra Kurby | Registered Dietitian Or Nutrition Professional | Phc of Buffalo Grove Nutrition | 2570 Foxfield Rd, Suite 107, St Charles, IL 60174-1406 |
| Shareen Hurani | Chiropractic | 2580 Foxfield Rd, Suite 202, Saint Charles, IL 60174-1409 | |
| Nancy R Krtek | Clinical Social Worker | 473 Dunham Rd, Suite 216, St Charles, IL 60174-1423 | |
| Erin J Cluts | Clinical Social Worker | Dunham Counseling Center, Ltd. | 451 Dunham Rd, Suite 400, St Charles, IL 60174-1431 |
| John D Carney | Clinical Social Worker | Dunham Counseling Center, Ltd. | 451 Dunham Rd, Suite 400, St Charles, IL 60174-1431 |
| Find all physicians in zip 60174 | |||
| City | ST CHARLES |
| Zip Code | 60174 |
| Specialty | PEDIATRIC MEDICINE |
| City + Specialty | ST CHARLES + PEDIATRIC MEDICINE |
Please comment or provide details below to improve the information on Elizabeth A Heredia.
| 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.