Mayra Gonzalez (NPI# 1548550262, PAC ID# 4284856378) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY PRACTICE.
| Nation Provider ID (NPI) | 1548550262 |
| PAC ID by PECOS | 4284856378 |
| Professional Enrollment ID | I20141105000014 |
| Full Name | Mayra Gonzalez |
| Organization Legal Name | OAK STREET HEALTH PHYSICIANS GROUP PC |
| Address |
7000 Cermak Rd Berwyn IL 60402-2112 |
| Phone Number | 7084848090 |
| Gender | F |
| Medical School | UNIVERSITY OF ILLINOIS AT CHICAGO HEALTH SCIENCE CENTER |
| Graduation Year | 2011 |
| Primary Specialty | FAMILY PRACTICE |
| Group Practice PAC ID | 7517109879 |
| Number of Group Practice Members | 97 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140276 | LOYOLA UNIVERSITY MEDICAL CENTER |
| 140008 | GOTTLIEB MEMORIAL HOSPITAL |
| 140054 | MACNEAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 7000 Cermak Rd, Berwyn, IL 60402-2112 | 7084848090 | OAK STREET HEALTH PHYSICIANS GROUP PC |
| Organization Legal Name | OAK STREET HEALTH PHYSICIANS GROUP PC |
| Physicians | 126 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Margaret Clemons Adams | Nurse Practitioner | Oak Street Health Physicians Group PC | 4318 S State St, Chicago, IL 60609-3701 |
| Angela Merari Martinez | Nurse Practitioner | Oak Street Health Physicians Group PC | 3046 Burr Oak Ave, Blue Island, IL 60406-1827 |
| Darnell Rather | Nurse Practitioner | Oak Street Health Physicians Group PC | 4900 Broadway, Gary, IN 46408-4605 |
| Shivani Patel | Nurse Practitioner | Oak Street Health Physicians Group PC | 850 W 63rd St, Chicago, IL 60621-1902 |
| Ali Muhammed Khan | Hospitalist | Oak Street Health Physicians Group PC | 456 25th Ave, Bellwood, IL 60104-1961 |
| Dinora Flores | Nurse Practitioner | Oak Street Health Physicians Group PC | 7000 Cermak Rd, Berwyn, IL 60402-2112 |
| Sheriva Hunter | Nurse Practitioner | Oak Street Health Physicians Group PC | 5818 Columbia Ave, Hammond, IN 46320-2607 |
| Yung Sim | Family Medicine | Oak Street Health Physicians Group PC | 3348 W 87th St, Chicago, IL 60652-3767 |
| Danbee Mishell Kim | Nurse Practitioner | Oak Street Health Physicians Group PC | 822 Summit St, Elgin, IL 60120-4316 |
| Vanessa E Ortiz | Nurse Practitioner | Oak Street Health Physicians Group PC | 4327 S Archer Ave, Chicago, IL 60632-2844 |
| Street Address |
7000 CERMAK RD |
| City | BERWYN |
| State | IL |
| Zip | 60402-2112 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Dinora Flores | Nurse Practitioner | Oak Street Health Physicians Group PC | 7000 Cermak Rd, Berwyn, IL 60402-2112 |
| Priscilla Rivera | Nurse Practitioner | Oak Street Health Physicians Group PC | 7000 Cermak Rd, Berwyn, IL 60402-2112 |
| Michelle Farazi | Physician Assistant | Oak Street Health Physicians Group PC | 7000 Cermak Rd, Berwyn, IL 60402-2112 |
| Julie R Blankemeier | Family Medicine | Oak Street Health Physicians Group PC | 7000 Cermak Rd, Berwyn, IL 60402-2112 |
| Lesbia Rodriguez | Family Medicine | Oak Street Health Physicians Group PC | 7000 Cermak Rd, Berwyn, IL 60402-2112 |
| Charlotte Allen O'brien | Nurse Practitioner | Oak Street Health Physicians Group PC | 7000 Cermak Rd, Berwyn, IL 60402-2112 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Elizabeth A Dowell | Family Medicine | Pcc Community Wellness Center | 6201 Roosevelt Rd, Berwyn, IL 60402-1108 |
| Katherine Herold | Certified Nurse Midwife (cnm) | Pcc Community Wellness Center | 6201 Roosevelt Rd, Berwyn, IL 60402-1108 |
| Christine Elaine Schultheiss | Family Medicine | Pcc Community Wellness Center | 6201 Roosevelt Rd, Berwyn, IL 60402-1108 |
| Erika Montoya | Family Medicine | Pcc Community Wellness Center | 6201 Roosevelt Rd, Berwyn, IL 60402-1108 |
| Katherine M Wehrmann | Certified Nurse Midwife (cnm) | Pcc Community Wellness Center | 6201 Roosevelt Rd, Berwyn, IL 60402-1108 |
| Rebecca C Dehoek | Family Medicine | Pcc Community Wellness Center | 6201 Roosevelt Rd, Berwyn, IL 60402-1108 |
| Moshini Sivasubramaniam | Family Medicine | Pcc Community Wellness Center | 6201 Roosevelt Rd, Berwyn, IL 60402-1108 |
| Brian Kroener | Family Practice | Pcc Community Wellness Center | 6201 Roosevelt Rd, Berwyn, IL 60402-1108 |
| Ellen B Barton | Nurse Practitioner | Pcc Community Wellness Center | 6201 Roosevelt Rd, Berwyn, IL 60402-1108 |
| Charles T Yingling | Nurse Practitioner | Pcc Community Wellness Center | 6201 Roosevelt Rd, Berwyn, IL 60402-1108 |
| Find all physicians in zip 60402 | |||
| City | BERWYN |
| Zip Code | 60402 |
| Specialty | FAMILY PRACTICE |
| City + Specialty | BERWYN + FAMILY PRACTICE |
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| 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.