Michael J Hennessey (NPI# 1912994393, PAC ID# 4688587900) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPHTHALMOLOGY.
| Nation Provider ID (NPI) | 1912994393 |
| PAC ID by PECOS | 4688587900 |
| Professional Enrollment ID | I20101015000410 |
| Full Name | Michael J Hennessey |
| Organization Legal Name | OAK PARK EYE CENTER S.C. |
| Address |
1200 S York Rd Suite 3230 Elmhurst IL 60126-5629 |
| Phone Number | 6302793673 |
| Gender | M |
| Medical School | UNIVERSITY OF MICHIGAN MEDICAL SCHOOL |
| Graduation Year | 1991 |
| Primary Specialty | OPHTHALMOLOGY |
| Group Practice PAC ID | 1658284062 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140008 | GOTTLIEB MEMORIAL HOSPITAL |
| 140200 | ELMHURST MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1200 S York Rd, Suite 3230, Elmhurst, IL 60126-5629 | 6302793673 | OAK PARK EYE CENTER S.C. |
| 7638 W N Ave, Elmwood Park, IL 60707-4157 | 7084524257 | OAK PARK EYE CENTER S.C. |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PHCDRR_3 | Specialized Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % |
| Organization Legal Name | OAK PARK EYE CENTER S.C. |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Manuel D Santiago | Ophthalmology | Oak Park Eye Center S.c. | 1200 S York Rd, Suite 3230, Elmhurst, IL 60126-5629 |
| Street Address |
1200 S YORK RD SUITE 3230 |
| City | ELMHURST |
| State | IL |
| Zip | 60126-5629 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robyn A Householder | Nurse Practitioner | Elmhurst Memorial Healthcare | 1200 S York Rd, Elmhurst Clinic, Elmhurst, IL 60126-5626 |
| Manuel D Santiago | Ophthalmology | Oak Park Eye Center S.c. | 1200 S York Rd, Suite 3230, Elmhurst, IL 60126-5629 |
| Douglas L Cotsamire | Rheumatology | Elmhurst Memorial Healthcare | 1200 S York Rd, Elmhurst Clinic, Elmhurst, IL 60126-5626 |
| Purani P Palaniswami | Rheumatology | Elmhurst Memorial Healthcare | 1200 S York Rd, Elmhurst Clinic, Elmhurst, IL 60126-5626 |
| Zuhair Hussaini | Urology | Elmhurst Memorial Healthcare | 1200 S York Rd, Elmhurst Clinic, Elmhurst, IL 60126-5626 |
| Michelle Jackowski | Certified Nurse Midwife (cnm) | Elmhurst Memorial Healthcare | 1200 S York Rd, Elmhurst Clinic, Elmhurst, IL 60126-5626 |
| Laura U Vetrone | Internal Medicine | Elmhurst Memorial Healthcare | 1200 S York Rd, Elmhurst Clinic, Elmhurst, IL 60126-5626 |
| Mariam A Khan | Rheumatology | Elmhurst Memorial Healthcare | 1200 S York Rd, Elmhurst Clinic, Elmhurst, IL 60126-5626 |
| Joseph S Kaliski | Internal Medicine | Elmhurst Memorial Healthcare | 1200 S York Rd, Elmhurst Clinic, Elmhurst, IL 60126-5626 |
| Melissa R Faber | Nurse Practitioner | Elmhurst Memorial Healthcare | 1200 S York Rd, Elmhurst Clinic, Elmhurst, IL 60126-5626 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| William T Orourke | Internal Medicine | Elmhurst Memorial Healthcare | 755 N York Rd, Elmhurst, IL 60126 |
| Mike Zangan | Obstetrics/gynecology | 135 S Palmer Dr, Elmhurst, IL 60126 | |
| Barbara E Potaczek | Hospitalist | Elmhurst Memorial Healthcare | 755 N York Rd, Elmhurst, IL 60126 |
| Lalitha Dileep-ansal | Hospitalist | Elmhurst Memorial Healthcare | 755 N York Rd, Elmhurst, IL 60126 |
| Aysha Ahmed | Physician Assistant | Elmhurst Memorial Healthcare | 755 N York Rd, Elmhurst, IL 60126 |
| Asma M Ayub | Family Medicine | Elmhurst Memorial Healthcare | 755 N York Rd, Elmhurst, IL 60126 |
| Diane D Fabrizius | Internal Medicine | Elmhurst Memorial Healthcare | 755 N York Rd, Elmhurst, IL 60126 |
| Jeffrey J Kulik | Allergy/immunology | Elmhurst Memorial Healthcare | 755 N York Rd, Elmhurst, IL 60126 |
| Nabihah A Khan | Physician Assistant | Elmhurst Memorial Healthcare | 755 N York Rd, Elmhurst, IL 60126 |
| Wayne D Wong | Hospitalist | Elmhurst Memorial Healthcare | 755 N York Rd, Elmhurst, IL 60126 |
| Find all physicians in zip 60126 | |||
| City | ELMHURST |
| Zip Code | 60126 |
| Specialty | OPHTHALMOLOGY |
| City + Specialty | ELMHURST + OPHTHALMOLOGY |
Please comment or provide details below to improve the information on Michael J Hennessey.
| 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.