Jaynee E Pendergast (NPI# 1235519901, PAC ID# 6608140371) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1235519901 |
| PAC ID by PECOS | 6608140371 |
| Professional Enrollment ID | I20171024002323 |
| Full Name | Jaynee E Pendergast |
| Organization Legal Name | MORRIS HOSPITAL |
| Address |
389 E Main St Braidwood IL 60408-2010 |
| Phone Number | 8154582532 |
| Gender | F |
| Medical School | CHICAGO COLLEGE OF OSTEOPATHIC MEDICINE |
| Graduation Year | 2015 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 1850372459 |
| Number of Group Practice Members | 76 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140101 | MORRIS HOSPITAL & HEALTHCARE CENTERS |
| 140110 | OTTAWA REGIONAL HOSPITAL DBA OSF SAINT ELIZABETH MDL CTR |
| 140186 | RIVERSIDE MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 389 E Main St, Braidwood, IL 60408-2010 | 8154582532 | MORRIS HOSPITAL |
| 27240 W Saxony Dr, Channahon, IL 60410-1417 | MORRIS HOSPITAL | |
| 101 S Prairie Ave, Dwight, IL 60420-1350 | 8155843291 | MORRIS HOSPITAL |
| 580 Sycamore St, Marseilles, IL 61341-1366 | 8157952122 | MORRIS HOSPITAL |
| Organization Legal Name | MORRIS HOSPITAL |
| Physicians | 82 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stefanie L Henline | Nurse Practitioner | Morris Hospital | 25259 S Reed St, Channahon, IL 60410-6003 |
| Hasan O Suleiman | Family Medicine | Morris Hospital | 100 Gore Rd, Morris, IL 60450-9466 |
| Jody R Delind | Obstetrics/gynecology | Morris Hospital | 237 W Waverly St, Morris, IL 60450-1334 |
| Stacey R Johnson | Nurse Practitioner | Morris Hospital | 4 E N St, Coal City, IL 60416-1087 |
| Jennifer A Frye | Nurse Practitioner | Morris Hospital | 522 Depot St, Mazon, IL 60444-3706 |
| Syed M Ahmed | Cardiovascular Disease (cardiology) | Morris Hospital | 151 W High St, Morris, IL 60450-1407 |
| Kathleen A Ulivi | Nurse Practitioner | Morris Hospital | 101 S Prairie Ave, Dwight, IL 60420-1350 |
| Michael J Liston Jr. | Family Medicine | Morris Hospital | 105 Saravanos Rd, Yorkville, IL 60560-5813 |
| Diane M Zuelke | Nurse Practitioner | Morris Hospital | 1802 N Division St, Suite 703, Morris, IL 60450-3104 |
| Courtney A Kelly | Physician Assistant | Morris Hospital | 1345 Edwards St, Morris, IL 60450-1692 |
| Street Address |
389 E MAIN ST |
| City | BRAIDWOOD |
| State | IL |
| Zip | 60408-2010 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kristine H Smith | Clinical Social Worker | Morris Hospital | 389 E Main St, Braidwood, IL 60408-2010 |
| Jennifer L Thomas | Family Medicine | Morris Hospital | 389 E Main St, Braidwood, IL 60408-2010 |
| Mark A Passerman | Family Medicine | Morris Hospital | 389 E Main St, Braidwood, IL 60408-2010 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jason P Lamarche | Chiropractic | 180 E Main St, Braidwood, IL 60408-1912 | |
| Jennifer Wai-ling Chu | Optometry | J. Micetich, Od and Associates Family Eye Care Center P C | 232 S Comet Dr, Braidwood, IL 60408-2028 |
| Michael J Condon | Chiropractic | 208 Comet Dr B, Braidwood, IL 60408-2028 | |
| Jonathan Micetich | Optometry | J. Micetich, Od and Associates Family Eye Care Center P C | 232 S Comet Dr, Braidwood, IL 60408-2028 |
| City | BRAIDWOOD |
| Zip Code | 60408 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | BRAIDWOOD + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Jaynee E Pendergast.
| 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.