Jessica M Kubicki (NPI# 1073074894, PAC ID# 8527392869) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1073074894 |
| PAC ID by PECOS | 8527392869 |
| Professional Enrollment ID | I20190620001805 |
| Full Name | Jessica M Kubicki |
| Organization Legal Name | PALOS MEDICAL GROUP LLC |
| Address |
12251 S 80th Ave Palos Height IL 60463-1256 |
| Phone Number | 7089235173 |
| Gender | F |
| Graduation Year | 2018 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 4082743976 |
| Number of Group Practice Members | 106 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140062 | PALOS COMMUNITY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 12251 S 80th Ave, Palos Height, IL 60463-1256 | 7089235173 | PALOS MEDICAL GROUP LLC |
| Organization Legal Name | PALOS MEDICAL GROUP LLC |
| Physicians | 111 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Debora J Ellis | Nurse Practitioner | Palos Medical Group LLC | 15300 W Ave, Orland Park, IL 60462-4600 |
| Thomas F Gutchewsky | Nurse Practitioner | Palos Medical Group LLC | 12251 S 80th Ave, Palos Height, IL 60463-1256 |
| Robert F Lindgren | Obstetrics/gynecology | Palos Medical Group LLC | 15300 W Ave, Orland Park, IL 60462-4600 |
| Valerie R Giannini | Nurse Practitioner | Palos Medical Group LLC | 15300 W Ave, Orland Park, IL 60462-4600 |
| Maureen T Mcshane | Podiatry | Palos Medical Group LLC | 15300 W Ave, Orland Park, IL 60462-4600 |
| Chaher Hussein Alhandalous | Internal Medicine | Palos Medical Group LLC | 12251 S 80th Ave, Palos Height, IL 60463-1256 |
| Joy Mattson-petrusha | Registered Dietitian Or Nutrition Professional | Palos Medical Group LLC | 15300 W Ave, Orland Park, IL 60462-4600 |
| James A Ferrel | Family Medicine | Palos Medical Group LLC | 12251 S 80th Ave, Palos Height, IL 60463-1256 |
| Michael J Liston | Orthopedic Surgery | Palos Medical Group LLC | 12251 S 80th Ave, Palos Height, IL 60463-1256 |
| Susan M Katello | Nurse Practitioner | Palos Medical Group LLC | 12251 S 80th Ave, Palos Height, IL 60463-1256 |
| Street Address |
12251 S 80TH AVE |
| City | PALOS HEIGHT |
| State | IL |
| Zip | 60463-1256 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Thomas F Gutchewsky | Nurse Practitioner | Palos Medical Group LLC | 12251 S 80th Ave, Palos Height, IL 60463-1256 |
| Michael J Bautista | Anesthesiology | Palos Anesthesia Associates, S.c | 12251 S 80th Ave, Palos Height, IL 60463-1256 |
| Rachel P Ferral | Certified Registered Nurse Anesthetist (crna) | Palos Anesthesia Associates, S.c | 12251 S 80th Ave, Palos Height, IL 60463-1256 |
| Chaher Hussein Alhandalous | Internal Medicine | Palos Medical Group LLC | 12251 S 80th Ave, Palos Height, IL 60463-1256 |
| James A Ferrel | Family Medicine | Palos Medical Group LLC | 12251 S 80th Ave, Palos Height, IL 60463-1256 |
| Meredith M Marran | Certified Registered Nurse Anesthetist (crna) | Palos Anesthesia Associates, S.c | 12251 S 80th Ave, Palos Height, IL 60463-1256 |
| Michael J Liston | Orthopedic Surgery | Palos Medical Group LLC | 12251 S 80th Ave, Palos Height, IL 60463-1256 |
| Susan M Katello | Nurse Practitioner | Palos Medical Group LLC | 12251 S 80th Ave, Palos Height, IL 60463-1256 |
| Albert C Song | Emergency Medicine | Emergency Medical Associates of Palos, Ltd. | 12251 S 80th Ave, Palos Height, IL 60463-1256 |
| Zaruhi Vardanyan | Internal Medicine | Palos Medical Group LLC | 12251 S 80th Ave, Palos Height, IL 60463-1256 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Laura A Beaumont | Psychologist, Clinical | 11801 Swhighway 3, Palos Heights, IL 60463 | |
| Todd S Kirk | Ophthalmology | 13303 S Ridgeland Ave Unit B, Palos Heights, IL 60463-0020 | |
| Christopher George Rouches | Chiropractic | Nick C Mallios Dc Ltd | 13301 S Ridgeland Ave, Palos Heights, IL 60463-0029 |
| Nick C Mallios | Chiropractic | Nick C Mallios Dc Ltd | 13301 S Ridgeland Ave, Palos Heights, IL 60463-0029 |
| Gus J Spatharakis | Chiropractic | Applied Wellness Center Sc | 13301 S Ridgeland Ave A, Palos Heights, IL 60463-0030 |
| Ibrahim S Alghafeer | Rheumatology | 13303 S Ridgeland Ave, Unit C, Palos Heights, IL 60463-0200 | |
| Matthew E Schmidt | Ophthalmology | Dr Matthew E Schmidt and Associates Ophthalmologists Sc | 7600 W College Dr, Palos Heights, IL 60463-1001 |
| Russell Hugh Glantz | Neurology | Parkview Orthopaedic Group S C | 7600 W College Dr, Palos Heights, IL 60463-1001 |
| John E Helsel | Optometry | 7600 W College Dr, Palos Heights, IL 60463-1001 | |
| Scott P Price | Orthopedic Surgery | Parkview Orthopaedic Group S C | 7600 W College Dr, Palos Heights, IL 60463-1001 |
| Find all physicians in zip 60463 | |||
| City | PALOS HEIGHT |
| Zip Code | 60463 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | PALOS HEIGHT + NURSE PRACTITIONER |
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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.