Katie L Mena (NPI# 1790001329, PAC ID# 5395966048) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PEDIATRIC MEDICINE.
| Nation Provider ID (NPI) | 1790001329 |
| PAC ID by PECOS | 5395966048 |
| Professional Enrollment ID | I20141021002105 |
| Full Name | Katie L Mena |
| Organization Legal Name | THE BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS |
| Address |
840 S Wood St Mc 787 Uic Medicine Chicago IL 60612-4325 |
| Phone Number | 3124138687 |
| Gender | F |
| Graduation Year | 2004 |
| Primary Specialty | PEDIATRIC MEDICINE |
| Secondary Specialties | INTERVENTIONAL PAIN MANAGEMENT |
| Group Practice PAC ID | 3072422716 |
| Number of Group Practice Members | 792 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140150 | UNIVERSITY OF ILLINOIS HOSPITAL |
| 140158 | MERCY HOSPITAL AND MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 840 S Wood St Mc, 787 Uic Medicine, Chicago, IL 60612-4325 | 3124138687 | THE BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS |
| Organization Legal Name | THE BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS |
| Physicians | 919 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joseph Karam | Orthopedic Surgery | The Board of Trustees of The University of Illinois | 835 S Wolcott Ave Mc, 844 Uic Orthopedics Sports Medicine, Chicago, IL 60612-3748 |
| Adam Kosloff | Internal Medicine | The Board of Trustees of The University of Illinois | 840 S Wood St Mc, 787 Uic Medicine, Chicago, IL 60612-4325 |
| Claire Thesing | Family Medicine | The Board of Trustees of The University of Illinois | 1919 W Taylor St, Suite 663, Chicago, IL 60612-7246 |
| Nicholas F Callahan | Maxillofacial Surgery | The Board of Trustees of The University of Illinois | 801 S Paulina St, Chicago, IL 60612-7210 |
| Ayman Al-hendy | Obstetrics/gynecology | The Board of Trustees of The University of Illinois | 820 S Wood St Mc, 808 Uic Obstetrics and Gynecology, Chicago, IL 60612-4325 |
| Mario Spaggiari | General Surgery | The Board of Trustees of The University of Illinois | 840 S Wood St, Uic Model Clinics, Chicago, IL 60612-4325 |
| Rayan A Elkattah | Obstetrics/gynecology | The Board of Trustees of The University of Illinois | 1 Illini Dr, Peoria, IL 61605-2576 |
| Jennifer Dugal | Nurse Practitioner | The Board of Trustees of The University of Illinois | 808 S Wood St Mc, 624 Uic Dermatology, Chicago, IL 60612-7300 |
| Katherine E Cappitelli | Nurse Practitioner | The Board of Trustees of The University of Illinois | 808 S Wood St, 722 Uic Emergency Medicine, Chicago, IL 60612-7300 |
| Robison Chan | Ophthalmology | The Board of Trustees of The University of Illinois | 1855 W Taylor St, Mc648, Chicago, IL 60612-7242 |
| Street Address |
840 S WOOD ST MC 787 UIC MEDICINE |
| City | CHICAGO |
| State | IL |
| Zip | 60612-4325 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Adam Kosloff | Internal Medicine | The Board of Trustees of The University of Illinois | 840 S Wood St Mc, 787 Uic Medicine, Chicago, IL 60612-4325 |
| Paul S Heckerling | Internal Medicine | The Board of Trustees of The University of Illinois | 840 S Wood St Mc, 787 Uic Medicine, Chicago, IL 60612-4325 |
| Eduardo Fernandes | General Surgery | The Board of Trustees of The University of Illinois | 840 S Wood St Mc, 958 Uic Surgery, Chicago, IL 60612-4325 |
| Christian J Ascoli | Pulmonary Disease | The Board of Trustees of The University of Illinois | 840 S Wood St Mc, 787 Uic Medicine, Chicago, IL 60612-4325 |
| Dawood Darbar | Cardiovascular Disease (cardiology) | The Board of Trustees of The University of Illinois | 840 S Wood St Mc, 787 Uic Medicine, Chicago, IL 60612-4325 |
| Ashley Carter | Nurse Practitioner | The Board of Trustees of The University of Illinois | 840 S Wood St Mc, 787 Uic Medicine, Chicago, IL 60612-4325 |
| Raechel M Ferry-rooney | Nurse Practitioner | The Board of Trustees of The University of Illinois | 840 S Wood St Mc, 787 Uic Medicine, Chicago, IL 60612-4325 |
| Sarah E Messmer | Internal Medicine | The Board of Trustees of The University of Illinois | 840 S Wood St Mc, 787 Uic Medicine, Chicago, IL 60612-4325 |
| Ibrahim Al Dasoqi | Nurse Practitioner | The Board of Trustees of The University of Illinois | 840 S Wood St Mc, 787 Uic Medicine, Chicago, IL 60612-4325 |
| Matthew J Ranzer | Plastic and Reconstructive Surgery | The Board of Trustees of The University of Illinois | 840 S Wood St Mc, 958 Uic Surgery, Chicago, IL 60612-4325 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Julie A Carbray | Nurse Practitioner | The Board of Trustees of The University of Illinois | 1747 W Roosevelt Rd, Chicago, IL 60612-1264 |
| Keith A La Vallee | Optometry | 2111 W Superior St, Chicago, IL 60612-1315 | |
| Ricky Johnson | Internal Medicine | 3169 W Madison St, Chicago, IL 60612-1809 | |
| Valerie L Wezran | Nurse Practitioner | Access Community Health Network | 2409 W Warren Blvd, Chicago, IL 60612-2115 |
| Shay L Ward | Nurse Practitioner | Housecall Physicians of Illinois Sc | 2003 W Fulton St, Suite 303, Chicago, IL 60612-2345 |
| Angie Wang | Registered Dietitian Or Nutrition Professional | Dietitians At Home Inc | 2003 W Fulton St, Suite 105, Chicago, IL 60612-2345 |
| Amanda Christine Harrington | Registered Dietitian Or Nutrition Professional | Dietitians At Home Inc | 2003 W Fulton St, Suite 105, Chicago, IL 60612-2345 |
| Rena Chaya Schwartz | Nurse Practitioner | Housecall Physicians of Illinois Sc | 2003 W Fulton St, Suite 303, Chicago, IL 60612-2345 |
| Alexia Boima Caulker | Registered Dietitian Or Nutrition Professional | Dietitians At Home Inc | 2003 W Fulton St, Suite 105, Chicago, IL 60612-2345 |
| Brian S Boe | Internal Medicine | Housecall Physicians of Illinois Sc | 2003 W Fulton St, Suite 303, Chicago, IL 60612-2345 |
| Find all physicians in zip 60612 | |||
| City | CHICAGO |
| Zip Code | 60612 |
| Specialty | PEDIATRIC MEDICINE |
| City + Specialty | CHICAGO + PEDIATRIC MEDICINE |
Please comment or provide details below to improve the information on Katie L Mena.
| 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.