Mary Maroney (NPI# 1184044117, PAC ID# 5395028351) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1184044117 |
| PAC ID by PECOS | 5395028351 |
| Professional Enrollment ID | I20170216002892 |
| Full Name | Mary Maroney |
| Organization Legal Name | PRIMARY HEALTHCARE ASSOCIATES SC |
| Address |
11250 S Western Ave Chicago IL 60643-4116 |
| Phone Number | 7737797500 |
| Gender | F |
| Graduation Year | 2012 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 4688635337 |
| Number of Group Practice Members | 66 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140118 | METROSOUTH MEDICAL CENTER |
| 140191 | INGALLS MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 12935 S Gregory St, Blue Island, IL 60406-2428 | 7085972000 | BLUE ISLAND CLINIC COMPANY LLC |
| 11250 S Western Ave, Chicago, IL 60643-4116 | 7737797500 | PRIMARY HEALTHCARE ASSOCIATES SC |
| 11250 S Western Ave, Chicago, IL 60643-4116 | BLUE ISLAND CLINIC COMPANY LLC |
| Organization Legal Name | PRIMARY HEALTHCARE ASSOCIATES SC |
| Physicians | 60 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Danielle R Sterrenberg | Hematology/oncology | Primary Healthcare Associates Sc | 19550 Governors Hwy 3300, Flossmoor, IL 60422-2147 |
| Christy Lee Davis | Nurse Practitioner | Primary Healthcare Associates Sc | 4742 Cal Sag Rd, Crestwood, IL 60445-1423 |
| Joseph G Thometz | Orthopedic Surgery | Primary Healthcare Associates Sc | 19550 Governors Hwy, Suite 1400, Flossmoor, IL 60422-2136 |
| Bruce A Parisi | Family Medicine | Primary Healthcare Associates Sc | 1600 167th St, Suite 500, Calumet City, IL 60409-5457 |
| Nanette Y Fabi | Internal Medicine | Primary Healthcare Associates Sc | 18127 William St, Lansing, IL 60438-3921 |
| Dilip T Shah | Cardiovascular Disease (cardiology) | Primary Healthcare Associates Sc | 19550 S Governors Hwy, Suite 2350, Flossmoor, IL 60422-2125 |
| Mary Kanashiro | Internal Medicine | Primary Healthcare Associates Sc | 1 Ingalls Dr, Harvey, IL 60426-3558 |
| Daniel Alan Yohay | Nephrology | Primary Healthcare Associates Sc | 19550 Governors Hwy, Suite 2000, Flossmoor, IL 60422-2142 |
| Mark F Kozloff | Hematology/oncology | Primary Healthcare Associates Sc | 1 Ingalls Dr, Harvey, IL 60426-3558 |
| Christopher J Koenig | Physician Assistant | Primary Healthcare Associates Sc | 1 Ingalls Dr, Harvey, IL 60426-3558 |
| Street Address |
11250 S WESTERN AVE |
| City | CHICAGO |
| State | IL |
| Zip | 60643-4116 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mousami Shah | Hematology/oncology | Advocate Health and Hospitals Corporation | 9831 S Western, Chicago, IL 60643 |
| Mehak Sethi | Internal Medicine | Advocate Health and Hospitals Corporation | 9831 S Western, Chicago, IL 60643 |
| Jennifer H Frankel | Gastroenterology | Advocate Health and Hospitals Corporation | 9831 S Western, Chicago, IL 60643 |
| Timbolin D Holmes | Nurse Practitioner | Advocate Health and Hospitals Corporation | 9831 S Western, Chicago, IL 60643 |
| Katina Hope | Family Medicine | Advocate Health and Hospitals Corporation | 9831 S Western, Chicago, IL 60643 |
| Angela Willis | Nurse Practitioner | Advocate Health and Hospitals Corporation | 9831 S Western, Chicago, IL 60643 |
| Nancy Mrozek | Nurse Practitioner | Advocate Health and Hospitals Corporation | 9831 S Western, Chicago, IL 60643 |
| Katherine C Granberry | Internal Medicine | Advocate Health and Hospitals Corporation | 9831 S Western, Chicago, IL 60643 |
| Eva K Dumasia | Family Practice | Advocate Health and Hospitals Corporation | 9831 S Western, Chicago, IL 60643 |
| Ibi Jessica Jeremiah | Clinical Social Worker | K.a.m Alliance, Inc. | 2215 W 95th St, Suite 100, Chicago, IL 60643-1001 |
| Find all physicians in zip 60643 | |||
| City | CHICAGO |
| Zip Code | 60643 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | CHICAGO + NURSE PRACTITIONER |
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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.