Chadwick C Prodromos (NPI# 1265477699, PAC ID# 5496723868) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ORTHOPEDIC SURGERY.
| Nation Provider ID (NPI) | 1265477699 |
| PAC ID by PECOS | 5496723868 |
| Professional Enrollment ID | I20040928000994 |
| Full Name | Chadwick C Prodromos |
| Organization Legal Name | NORTH SHORE SPORTS MEDICINE AND ORTHOPAEDIC CENTER LTD |
| Address |
1714 Milwaukee Ave Glenview IL 60025-1441 |
| Phone Number | 8476996810 |
| Gender | M |
| Credential | MD |
| Medical School | JOHNS HOPKINS UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1979 |
| Primary Specialty | ORTHOPEDIC SURGERY |
| Secondary Specialties | SPORTS MEDICINE |
| Group Practice PAC ID | 1557338217 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140251 | COMMUNITY FIRST MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 9400 Bonita Beach Rd Se, Suite 204, Bonita Springs, FL 34135-4520 | 8476996810 | NORTH SHORE SPORTS MEDICINE AND ORTHOPAEDIC CENTER LTD |
| 3000 N Halsted St, Suite 611, Chicago, IL 60657-5196 | 8476996810 | NORTH SHORE SPORTS MEDICINE AND ORTHOPAEDIC CENTER LTD |
| 1714 Milwaukee Ave, Glenview, IL 60025-1441 | 8476996810 | NORTH SHORE SPORTS MEDICINE AND ORTHOPAEDIC CENTER LTD |
| Organization Legal Name | NORTH SHORE SPORTS MEDICINE AND ORTHOPAEDIC CENTER LTD |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Angelo M Dizon | Physical Therapy | North Shore Sports Medicine and Orthopaedic Center Ltd | 1714 Milwaukee Ave, Glenview, IL 60025-1441 |
| Clifford A Rode | Physical Therapy | North Shore Sports Medicine and Orthopaedic Center Ltd | 1714 Milwaukee Ave, Glenview, IL 60025-1441 |
| Street Address |
1714 MILWAUKEE AVE |
| City | GLENVIEW |
| State | IL |
| Zip | 60025-1441 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Angelo M Dizon | Physical Therapy | North Shore Sports Medicine and Orthopaedic Center Ltd | 1714 Milwaukee Ave, Glenview, IL 60025-1441 |
| Clifford A Rode | Physical Therapy | North Shore Sports Medicine and Orthopaedic Center Ltd | 1714 Milwaukee Ave, Glenview, IL 60025-1441 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Bruce E Noxon | Podiatry | Bruce Noxon Dpm PC | 2050 Pfingsten Rd, Suite 190, Glenview, IL 60025-1377 |
| Paul Goodman | Podiatry | Bruce Noxon Dpm PC | 2050 Pfingsten Rd, Suite 190, Glenview, IL 60025-1377 |
| Eric J Chuang | Internal Medicine | 4712 Laurel Ave, Glenview, IL 60025-1419 | |
| Larry D Yun | Chiropractic | Healing and Wellness Studio PC | 1720 Milwaukee Ave, Glenview, IL 60025-1441 |
| Brian C Healy | Chiropractic | 1824 Johns Dr, Glenview, IL 60025-1657 | |
| Andrew J Neukirch | Optometry | Neukirch Vision Care LLC | 1900 Waukegan Rd, Glenview, IL 60025-1714 |
| Jerome Agrest | Optometry | Neukirch Vision Care LLC | 1900 Waukegan Rd, Glenview, IL 60025-1714 |
| Susan L Streiff | Chiropractic | 1920 Waukegan Rd, Suite 7, Glenview, IL 60025-1756 | |
| Stephen A Beckerman | Optometry | 1920 Waukegan Rd, Suite 1, Glenview, IL 60025-1756 | |
| Randi Nell N Sax | Psychologist, Clinical | Revolution Ptwl LLC | 2200 Waukegan Rd, Glenview, IL 60025-1759 |
| Find all physicians in zip 60025 | |||
| City | GLENVIEW |
| Zip Code | 60025 |
| Specialty | ORTHOPEDIC SURGERY |
| City + Specialty | GLENVIEW + ORTHOPEDIC SURGERY |
Please comment or provide details below to improve the information on Chadwick C Prodromos.
| 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.