Walter R Plasencia (NPI# 1497715908, PAC ID# 4284729294) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1497715908 |
| PAC ID by PECOS | 4284729294 |
| Professional Enrollment ID | I20071005000552 |
| Full Name | Walter R Plasencia |
| Address |
5939 W Diversey Ave Chicago IL 60639-1155 |
| Phone Number | 7736371600 |
| Gender | M |
| Graduation Year | 1982 |
| Primary Specialty | INTERNAL MEDICINE |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140114 | SWEDISH COVENANT HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 5939 W Diversey Ave, Chicago, IL 60639-1155 | 7736371600 |
| Street Address |
5939 W DIVERSEY AVE |
| City | CHICAGO |
| State | IL |
| Zip | 60639-1155 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael K Glynn | Physical Therapy | Accelerated Rehabilitation Centers Ltd | 2620 N Narragansett Ave, Suite B7, Chicago, IL 60639-1082 |
| Kyle A Downing | Physical Therapy | Accelerated Rehabilitation Centers Ltd | 2620 N Narragansett Ave, Suite B7, Chicago, IL 60639-1082 |
| Kristen Marie Moser | Family Medicine | Pcc Community Wellness Center | 5359 W Fullerton Ave, Chicago, IL 60639-1450 |
| Michele Alba | Family Medicine | Pcc Community Wellness Center | 5359 W Fullerton Ave, Chicago, IL 60639-1450 |
| Gitanjali Sivasubramaniam | Family Medicine | Pcc Community Wellness Center | 5359 W Fullerton Ave, Chicago, IL 60639-1450 |
| Fernando Velasquez | Nurse Practitioner | Pcc Community Wellness Center | 5359 W Fullerton Ave, Chicago, IL 60639-1450 |
| Thomas Kim | Family Medicine | Pcc Community Wellness Center | 5359 W Fullerton Ave, Chicago, IL 60639-1450 |
| Anastasia Crihfield | Family Medicine | Pcc Community Wellness Center | 5359 W Fullerton Ave, Chicago, IL 60639-1450 |
| Lizbeth Rodriguez | Family Medicine | Pcc Community Wellness Center | 5359 W Fullerton Ave, Chicago, IL 60639-1450 |
| Julia E Eckersley | Family Medicine | Pcc Community Wellness Center | 5359 W Fullerton Ave, Chicago, IL 60639-1450 |
| Find all physicians in zip 60639 | |||
| City | CHICAGO |
| Zip Code | 60639 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | CHICAGO + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Walter R Plasencia.
| 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.