Mary Deherrera Codo (NPI# 1568504439, PAC ID# 4789842287) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ENDOCRINOLOGY.
| Nation Provider ID (NPI) | 1568504439 |
| PAC ID by PECOS | 4789842287 |
| Professional Enrollment ID | I20120229000454 |
| Full Name | Mary Deherrera Codo |
| Organization Legal Name | DUPAGE MEDICAL GROUP LTD |
| Address |
720 S Brom St Suite 204 Naperville IL 60540 |
| Phone Number | 6308481332 |
| Gender | F |
| Medical School | UNIVERSITY OF ILLINOIS AT CHICAGO HEALTH SCIENCE CENTER |
| Graduation Year | 1988 |
| Primary Specialty | ENDOCRINOLOGY |
| Group Practice PAC ID | 5496667941 |
| Number of Group Practice Members | 1174 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140231 | EDWARD HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 720 S Brom St, Suite 204, Naperville, IL 60540 | 6308481332 | DUPAGE MEDICAL GROUP LTD |
| Organization Legal Name | DUPAGE MEDICAL GROUP LTD |
| Physicians | 1099 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Yekaterina Polyatskaya | Plastic and Reconstructive Surgery | Dupage Medical Group Ltd | 28381 Davis Pkwy, Suite 700, Warrenville, IL 60555-3033 |
| Gina Marie Sementa | Physical Therapy | Dupage Medical Group Ltd | 854 Roosevelt Rd, Suite E10, Glen Ellyn, IL 60137-6057 |
| Carolyn Bogart | Physical Therapy | Dupage Medical Group Ltd | 1807 S Washington St, Suite 12, Naperville, IL 60565-2446 |
| Lauren Wright | Physical Therapy | Dupage Medical Group Ltd | 1801 S Highland Ave, Lombard, IL 60148-4932 |
| Lauren Helen Fischer | Physical Therapy | Dupage Medical Group Ltd | 2124 Ogden Ave, 1c, Aurora, IL 60504-7514 |
| Danielle Bryant | Nurse Practitioner | Dupage Medical Group Ltd | 430 Pennsylvania Ave, Glen Ellyn, IL 60137-4464 |
| Kathryn Winkler | Ophthalmology | Dupage Medical Group Ltd | 1327 Butterfield Rd, Suite 618, Downers Grove, IL 60515-1001 |
| Yvonne Tran | Physical Therapy | Dupage Medical Group Ltd | 17129 Harlem Ave, B3, Tinley Park, IL 60477-3369 |
| Emily Koch | Physical Therapy | Dupage Medical Group Ltd | 1163 E Ogden Ave, Suite 719, Naperville, IL 60563-8535 |
| Jennesa K Fahey | Physical Therapy | Dupage Medical Group Ltd | 1504 Essington Rd, Suite B, Joliet, IL 60435-2871 |
| Street Address |
720 S BROM ST SUITE 204 |
| City | NAPERVILLE |
| State | IL |
| Zip | 60540 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Falguni R Vasa | Endocrinology | Dupage Medical Group Ltd | 720 S Brom St, Suite 204, Naperville, IL 60540 |
| Krishna S Bathina | Internal Medicine | Dupage Medical Group Ltd | 720 S Brom St, Suite 204, Naperville, IL 60540 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mary L Theiler | Qualified Audiologist | Dupage Medical Group Ltd | 808 Rickert Dr, Naperville, IL 60540-0905 |
| Lise Guay Bhatia | Ophthalmology | Dupage Medical Group Ltd | 808 Rickert Dr, Naperville, IL 60540-0905 |
| Aaron R Kelly | Optometry | Dupage Medical Group Ltd | 808 Rickert Dr, Naperville, IL 60540-0905 |
| Mohammed A Khan | Diagnostic Radiology | Dupage Medical Group Ltd | 808 Rickert Dr, Naperville, IL 60540-0905 |
| Anne J Zimmermann | Diagnostic Radiology | Dupage Medical Group Ltd | 808 Rickert Dr, Naperville, IL 60540-0905 |
| Shantan Reddy | Ophthalmology | Dupage Medical Group Ltd | 808 Rickert Dr, Naperville, IL 60540-0905 |
| Carrie G Birdwell | Qualified Audiologist | Dupage Medical Group Ltd | 808 Rickert Dr, Naperville, IL 60540-0905 |
| Dinesh Jain | Gastroenterology | Suburban Gastroenterology Ltd | 1243 Rickert Dr, Naperville, IL 60540-0954 |
| Eileen F Mahler | Nurse Practitioner | Suburban Gastroenterology Ltd | 1243 Rickert Dr, Naperville, IL 60540-0954 |
| Michelle A Gulik | Nurse Practitioner | Suburban Gastroenterology Ltd | 1243 Rickert Dr, Naperville, IL 60540-0954 |
| Find all physicians in zip 60540 | |||
| City | NAPERVILLE |
| Zip Code | 60540 |
| Specialty | ENDOCRINOLOGY |
| City + Specialty | NAPERVILLE + ENDOCRINOLOGY |
Please comment or provide details below to improve the information on Mary Deherrera Codo.
| 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.