Tariq B Iftikhar (NPI# 1407963879, PAC ID# 8224112693) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ORTHOPEDIC SURGERY.
Nation Provider ID (NPI) | 1407963879 |
PAC ID by PECOS | 8224112693 |
Professional Enrollment ID | I20080222000607 |
Full Name | Tariq B Iftikhar |
Organization Legal Name | L MEDICINE PHYSICIAN GROUP LLC |
Address |
7020 W 79th St Bridgeview IL 60455-4030 |
Phone Number | 7085998200 |
Gender | M |
Graduation Year | 1969 |
Primary Specialty | ORTHOPEDIC SURGERY |
Secondary Specialties | HAND SURGERY |
Group Practice PAC ID | 6305109547 |
Number of Group Practice Members | 70 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
140054 | MACNEAL HOSPITAL |
Address | Phone | Organization |
---|---|---|
7020 W 79th St, Bridgeview, IL 60455-4030 | 7085998200 | L MEDICINE PHYSICIAN GROUP LLC |
Organization Legal Name | L MEDICINE PHYSICIAN GROUP LLC |
Physicians | 58 |
Name | Specialty | Organization | Address |
---|---|---|---|
Kara Linn Totonchi | Obstetrics/gynecology | L Medicine Physician Group LLC | 6187 S Archer Ave, Suite 102, Chicago, IL 60638-2605 |
Christina Arellano | Family Medicine | L Medicine Physician Group LLC | 5700 W Cermak Rd, Cicero, IL 60804-2128 |
Michael S Dewolfe | Plastic and Reconstructive Surgery | L Medicine Physician Group LLC | 3357 N Southport Ave, Chicago, IL 60657-1440 |
Manohar L Jethani | Family Medicine | L Medicine Physician Group LLC | 3635 S Harlem Ave, Berwyn, IL 60402-3212 |
Elsa Valero | Family Medicine | L Medicine Physician Group LLC | 6425 Cermak Rd, Suite 101, Berwyn, IL 60402-4602 |
Janis Wiener | Internal Medicine | L Medicine Physician Group LLC | 7411 Lake St, Bldg A, River Forest, IL 60305-1876 |
Steve Michel | Internal Medicine | L Medicine Physician Group LLC | 47 6th Ave, Suite 1, La Grange, IL 60525-2499 |
Allyson M Lucero | Nurse Practitioner | L Medicine Physician Group LLC | 3231 Euclid Ave, Suite 403, Berwyn, IL 60402-3472 |
Rajni Srivastava | Obstetrics/gynecology | L Medicine Physician Group LLC | 47 6th Ave, Suite M, La Grange, IL 60525-5637 |
Shilpa V Desai | Internal Medicine | L Medicine Physician Group LLC | 47 6th Ave, Suite N, La Grange, IL 60525-5637 |
Street Address |
7020 W 79TH ST |
City | BRIDGEVIEW |
State | IL |
Zip | 60455-4030 |
Name | Specialty | Organization | Address |
---|---|---|---|
Michael V Gavino | Obstetrics/gynecology | L Medicine Physician Group LLC | 7020 W 79th St, Bridgeview, IL 60455-4030 |
Leszek J Ballarin | Internal Medicine | 7020 W 79th St, Bridgeview, IL 60455-4030 | |
Leonor Delgadillo | Nurse Practitioner | Macneal Physicians Group LLC | 7020 W 79th St, Bridgeview, IL 60455-4030 |
Name | Specialty | Organization | Address |
---|---|---|---|
Clotilde Furmanek | Clinical Social Worker | 7945 S Oketo Ave, Suite 202, Bridgeview, IL 60455-1547 | |
Keyona Dena Puckett | Nurse Practitioner | Midwest Post Acute Care LLC | 8100 S Harlem Ave, Bridgeview, IL 60455-1690 |
Rabia Naveed | Family Medicine | 3h Medical Group Sc | 7247 W 87th St, Bridgeview, IL 60455-1821 |
Vishnu V Madireddy | Internal Medicine | 3h Medical Group Sc | 7247 W 87th St, Bridgeview, IL 60455-1821 |
Homer M Diadula | Internal Medicine | American Current Care of Illinois PC | 8755 S Harlem Ave, Bridgeview, IL 60455-1905 |
Grace Mary Zintak | Physician Assistant | American Current Care of Illinois PC | 8755 S Harlem Ave, Bridgeview, IL 60455-1905 |
City | BRIDGEVIEW |
Zip Code | 60455 |
Specialty | ORTHOPEDIC SURGERY |
City + Specialty | BRIDGEVIEW + ORTHOPEDIC SURGERY |
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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.