Jason B Waldinger (NPI# 1437461027, PAC ID# 4981820537) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DERMATOLOGY.
| Nation Provider ID (NPI) | 1437461027 |
| PAC ID by PECOS | 4981820537 |
| Professional Enrollment ID | I20140717001094 |
| Full Name | Jason B Waldinger |
| Organization Legal Name | NORTHSHORE UNIVERSITY HEALTHSYSTEM FACULTY PRACTICE ASSOCIATES |
| Address |
71 Waukegan Rd Suite 700 Lake Bluff IL 60044-1614 |
| Phone Number | 2243642273 |
| Gender | M |
| Medical School | UNIVERSITY OF CHICAGO, PRITZKER SCHOOL OF MEDICINE |
| Graduation Year | 2010 |
| Primary Specialty | DERMATOLOGY |
| Group Practice PAC ID | 2163334699 |
| Number of Group Practice Members | 1274 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140010 | NORTHSHORE UNIVERSITY HEALTHSYSTEM - EVANSTON HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 2650 Ridge Ave, Evanston, IL 60201-1718 | NORTHSHORE UNIVERSITY HEALTHSYSTEM FACULTY PRACTICE ASSOCIATES | |
| 71 Waukegan Rd, Suite 700, Lake Bluff, IL 60044-1614 | 2243642273 | NORTHSHORE UNIVERSITY HEALTHSYSTEM FACULTY PRACTICE ASSOCIATES |
| Organization Legal Name | NORTHSHORE UNIVERSITY HEALTHSYSTEM FACULTY PRACTICE ASSOCIATES |
| Physicians | 1409 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gina R Shokry | Internal Medicine | Northshore University Healthsystem Faculty Practice Associates | 71 Waukegan Rd, Suite 700, Lake Bluff, IL 60044-1614 |
| Amy E Westlake Milroy | Nurse Practitioner | Northshore University Healthsystem Faculty Practice Associates | 920 Milwaukee Ave, Lincolnshire, IL 60069-3839 |
| Eamann Ayyad | Nurse Practitioner | Northshore University Healthsystem Faculty Practice Associates | 9977 Woods Dr 2nd Floor, Skokie, IL 60077-1057 |
| Jennifer M. Magnuson | Nurse Practitioner | Northshore University Healthsystem Faculty Practice Associates | 9977 Woods Dr, Skokie, IL 60077-1057 |
| George Sousanieh | Nephrology | Northshore University Healthsystem Faculty Practice Associates | 777 Park W Ave, Highland Park, IL 60035-2433 |
| Kathleen M Colella | Nurse Practitioner | Northshore University Healthsystem Faculty Practice Associates | 2180 Pfingsten Rd, Suite 3000, Glenview, IL 60026-1340 |
| Michelle Elizabeth John | Psychiatry | Northshore University Healthsystem Faculty Practice Associates | 49 S Waukegan Rd, Suite 200, Deerfield, IL 60015-5204 |
| Rebecca Wanting Tsang | Gastroenterology | Northshore University Healthsystem Faculty Practice Associates | 2150 Pfingsten Rd, Suite 3000, Glenview, IL 60026-1314 |
| Jonathan H Seyfert | Family Medicine | Northshore University Healthsystem Faculty Practice Associates | 1329 N Wolf Rd, Mount Prospect, IL 60056-1500 |
| Emily K Andrew | Internal Medicine | Northshore University Healthsystem Faculty Practice Associates | 1007 Church St, Suite 100, Evanston, IL 60201-5910 |
| Street Address |
71 WAUKEGAN RD SUITE 700 |
| City | LAKE BLUFF |
| State | IL |
| Zip | 60044-1614 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gina R Shokry | Internal Medicine | Northshore University Healthsystem Faculty Practice Associates | 71 Waukegan Rd, Suite 700, Lake Bluff, IL 60044-1614 |
| Susan C Deney | Nurse Practitioner | Northshore University Healthsystem Faculty Practice Associates | 71 Waukegan Rd, Suite 700, Lake Bluff, IL 60044-1614 |
| Janet Han | Qualified Audiologist | Northshore University Healthsystem Faculty Practice Associates | 71 Waukegan Rd, Suite 700, Lake Bluff, IL 60044-1614 |
| Holly M Milojevic | Nurse Practitioner | Northshore University Healthsystem Faculty Practice Associates | 71 Waukegan Rd, Suite 700, Lake Bluff, IL 60044-1614 |
| Tova Chana Price | Physician Assistant | Northshore University Healthsystem Faculty Practice Associates | 71 Waukegan Rd, Suite 700, Lake Bluff, IL 60044-1614 |
| Aileen J Santos | Nurse Practitioner | Northshore University Healthsystem Faculty Practice Associates | 71 Waukegan Rd, Suite 700, Lake Bluff, IL 60044-1614 |
| John Lin | Internal Medicine | Northshore University Healthsystem Faculty Practice Associates | 71 Waukegan Rd, Suite 700, Lake Bluff, IL 60044-1614 |
| Michael S Levi | Internal Medicine | Northshore University Healthsystem Faculty Practice Associates | 71 Waukegan Rd, Suite 700, Lake Bluff, IL 60044-1614 |
| Andrea B Parks | Physician Assistant | Northshore University Healthsystem Faculty Practice Associates | 71 Waukegan Rd, Suite 700, Lake Bluff, IL 60044-1614 |
| Ruvini R. Devasgunawardhane | Nurse Practitioner | Northshore University Healthsystem Faculty Practice Associates | 71 Waukegan Rd, Suite 700, Lake Bluff, IL 60044-1614 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Martin J Mccarthy Jr. | Psychologist, Clinical | 129 Welwyn St, Lake Bluff, IL 60044-1151 | |
| William Wah Hing Lee | Clinical Psychologist | 29 Warrington Dr, Lake Bluff, IL 60044-1322 | |
| Richard E Schultz | Chiropractic | 100 N Waukegan Rd, Suite 105, Lake Bluff, IL 60044-1600 | |
| Judy L Chen | Otolaryngology | Northshore University Healthsystem Faculty Practice Associates | 71 Waukegan Rd, Suite 700, Lake Bluff, IL 60044-1614 |
| John J Munsell | Internal Medicine | Northshore University Healthsystem Faculty Practice Associates | 71 Waukegan Rd, Suite 700, Lake Bluff, IL 60044-1614 |
| Ivana F Ruffolo | Internal Medicine | Northshore University Healthsystem Faculty Practice Associates | 71 Waukegan Rd, Suite 700, Lake Bluff, IL 60044-1614 |
| Scott Dennis Barnes | Ophthalmology | Northshore University Healthsystem Faculty Practice Associates | 71 Waukegan Rd, Suite 700, Lake Bluff, IL 60044-1614 |
| Kristine E Erickson | Qualified Audiologist | Northshore University Healthsystem Faculty Practice Associates | 71 Waukegan Rd, Suite 700, Lake Bluff, IL 60044-1614 |
| Maria P Secaras | Audiologist | Northshore University Healthsystem Faculty Practice Associates | 71 Waukegan Rd, Suite 700, Lake Bluff, IL 60044-1614 |
| Victoria Y Kranz | Psychiatry | 33 N Waukegan Rd, Suite 202, Lake Bluff, IL 60044-1664 | |
| Find all physicians in zip 60044 | |||
| City | LAKE BLUFF |
| Zip Code | 60044 |
| Specialty | DERMATOLOGY |
| City + Specialty | LAKE BLUFF + DERMATOLOGY |
Please comment or provide details below to improve the information on Jason B Waldinger.
| 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.