Samuel G Deguzman (NPI# 1235103532, PAC ID# 2961409966) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1235103532 |
| PAC ID by PECOS | 2961409966 |
| Professional Enrollment ID | I20061106000254 |
| Full Name | Samuel G Deguzman |
| Address |
450 N Kennedy Dr Kankakee IL 60901-2900 |
| Phone Number | 8159375900 |
| Gender | M |
| Credential | MD |
| Graduation Year | 1960 |
| Primary Specialty | INTERNAL MEDICINE |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140186 | RIVERSIDE MEDICAL CENTER |
| 140155 | PRESENCE ST MARYS HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 450 N Kennedy Dr, Kankakee, IL 60901-2900 | 8159375900 |
| Street Address |
450 N KENNEDY DR |
| City | KANKAKEE |
| State | IL |
| Zip | 60901-2900 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Van H Do | Physical Medicine and Rehabilitation | Medical Services Ric | 836 W Wellington Ave, Chicago, IL 60901 |
| Jana M Wahlen | Qualified Audiologist | Riverside Health System | 43 Meadowview Ctr D, Kankakee, IL 60901-2041 |
| Robert A Raley | Podiatry | 70 Meadowview Ctr, Suite 401, Kankakee, IL 60901-2061 | |
| Harris Waheed | Family Medicine | 70 Meadowview Ctr, Suite 200, Kankakee, IL 60901-2063 | |
| Tammie O Henderson | Nurse Practitioner | Riverside Health System | 1701 E Court St, Kankakee, IL 60901-2670 |
| Kaitlain Cavender | Nurse Practitioner | Riverside Health System | 1701 E Court St, Kankakee, IL 60901-2670 |
| Olatunji R Akintilo | Family Medicine | Riverside Health System | 1701 E Court St, Kankakee, IL 60901-2670 |
| Keyoma Jamerson | Nurse Practitioner | Riverside Health System | 1701 E Court St, Kankakee, IL 60901-2670 |
| Lawrence C Wang | Diagnostic Radiology | Central Illinois Radiological Associates Ltd | 350 N Wall St, Kankakee, IL 60901-2901 |
| Brian Patrick Olofsson | Family Medicine | 350 N Wall, Kankakee, IL 60901-2901 | |
| Find all physicians in zip 60901 | |||
| City | KANKAKEE |
| Zip Code | 60901 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | KANKAKEE + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Samuel G Deguzman.
| 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.