Brian D Proctor (NPI# 1649276833, PAC ID# 7517975634) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPHTHALMOLOGY.
| Nation Provider ID (NPI) | 1649276833 |
| PAC ID by PECOS | 7517975634 |
| Professional Enrollment ID | I20060331000435 |
| Full Name | Brian D Proctor |
| Organization Legal Name | TENNENBAUM AND ANSTADT, LTD |
| Address |
675 W N Ave Suite 107 Melrose Park IL 60160-1622 |
| Phone Number | 7084504510 |
| Gender | M |
| Credential | DO |
| Medical School | MICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE |
| Graduation Year | 1990 |
| Primary Specialty | OPHTHALMOLOGY |
| Group Practice PAC ID | 7618985730 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140008 | GOTTLIEB MEMORIAL HOSPITAL |
| 140065 | ADVENTIST LA GRANGE MEMORIAL HOSPITAL |
| 140276 | LOYOLA UNIVERSITY MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 675 W N Ave, Suite 107, Melrose Park, IL 60160-1622 | 7084504510 | TENNENBAUM AND ANSTADT, LTD |
| Organization Legal Name | TENNENBAUM AND ANSTADT, LTD |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Bradford G Anstadt | Ophthalmology | Tennenbaum and Anstadt, Ltd | 386 N York St, Suite 207, Elmhurst, IL 60126-2367 |
| James M Noth | Ophthalmology | Tennenbaum and Anstadt, Ltd | 675 W N Ave, Suite 107, Melrose Park, IL 60160-1622 |
| Beth A Swetland | Optometry | Tennenbaum and Anstadt, Ltd | 675 W N Ave, Suite 107, Melrose Park, IL 60160-1622 |
| Street Address |
675 W N AVE SUITE 107 |
| City | MELROSE PARK |
| State | IL |
| Zip | 60160-1622 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| James M Noth | Ophthalmology | Tennenbaum and Anstadt, Ltd | 675 W N Ave, Suite 107, Melrose Park, IL 60160-1622 |
| Deepti Shivakumar | Family Medicine | Loyola University Medical Center | 675 W N Ave, Suite 416, Melrose Park, IL 60160-1626 |
| Nicole Thalheimer | Psychologist, Clinical | Gersten and Associates | 675 W N Ave, Suite 306, Melrose Park, IL 60160-1623 |
| Beth A Swetland | Optometry | Tennenbaum and Anstadt, Ltd | 675 W N Ave, Suite 107, Melrose Park, IL 60160-1622 |
| Rachna Shah | Allergy/immunology | Rachna Shah Md Sc | 675 W N Ave, Suite 310, Melrose Park, IL 60160-1634 |
| Sameer Ahmed | Interventional Radiology | Midwest Institute for Minimally Invasive Therapies | 675 W N Ave, Suite 402, Melrose Park, IL 60160-1624 |
| Rafiq M Kutty | Pulmonary Disease | Pulmonary Medicine Associates Sc | 675 W N Ave, Suite 214, Melrose Park, IL 60160-1604 |
| Jeffrey Gersten | Psychologist, Clinical | Gersten and Associates | 675 W N Ave, Suite 306, Melrose Park, IL 60160-1623 |
| Rim Joubran | Endocrinology | 675 W N Ave, Suite 104, Melrose Park, IL 60160-1622 | |
| Cynthia Clark-zurawski | Nurse Practitioner | Midwest Institute for Minimally Invasive Therapies | 675 W N Ave, Suite 402, Melrose Park, IL 60160-1624 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brian M Staron | Physical Therapy | Anthony J Martino Md,sc | 2225 W N Ave I, Melrose Park, IL 60160-1107 |
| Anthony J Martino | Internal Medicine | 2225 W N Ave, Suite 1, Melrose Park, IL 60160-1107 | |
| Sarah Jaacks | Physical Therapy | Accelerated Rehabilitation Centers Ltd | 2507 W N Ave, Melrose Park, IL 60160-1121 |
| Vy Hoang | Chiropractic | 1440 W N Ave, Suite 307, Melrose Park, IL 60160-1426 | |
| Rafath Rasheed | Internal Medicine | 1440 W N Ave, Suite 305, Melrose Park, IL 60160-1426 | |
| Hema Azad | Internal Medicine | 1440 W N Ave, Suite 305, Melrose Park, IL 60160-1426 | |
| Sarah Plumley | Physical Therapy | Dpt Holdings LLC | 1440 W N Ave, Suite 310, Melrose Park, IL 60160-1426 |
| Grace L Wurst | Physical Therapy | Dpt Holdings LLC | 1440 W N Ave, Suite 310, Melrose Park, IL 60160-1426 |
| Angela S Lew | Clinical Psychologist | J F Zagotta and Associates LLC | 1440 W N Ave, Suite 303 A, Melrose Park, IL 60160-1428 |
| Cynthia D Pence | Clinical Psychologist | J F Zagotta and Associates LLC | 1440 W N Ave, Suite 303 A, Melrose Park, IL 60160-1428 |
| Find all physicians in zip 60160 | |||
| City | MELROSE PARK |
| Zip Code | 60160 |
| Specialty | OPHTHALMOLOGY |
| City + Specialty | MELROSE PARK + OPHTHALMOLOGY |
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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.