Kristal Maureen Kunitomo Brown (NPI# 1326363656, PAC ID# 8628391794) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OTOLARYNGOLOGY.
| Nation Provider ID (NPI) | 1326363656 |
| PAC ID by PECOS | 8628391794 |
| Professional Enrollment ID | I20190412001065 |
| Full Name | Kristal Maureen Kunitomo Brown |
| Organization Legal Name | RIVERSIDE HEALTH SYSTEM |
| Address |
300 Riverside Dr Suite 2600 Bourbonnais IL 60914-5070 |
| Gender | F |
| Medical School | UNIVERSITY OF HAWAII JOHN A. BURNS SCHOOL OF MEDICINE |
| Graduation Year | 2009 |
| Primary Specialty | OTOLARYNGOLOGY |
| Group Practice PAC ID | 3274434717 |
| Number of Group Practice Members | 159 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140186 | RIVERSIDE MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 300 Riverside Dr, Suite 2600, Bourbonnais, IL 60914-5070 | RIVERSIDE HEALTH SYSTEM |
| Organization Legal Name | RIVERSIDE HEALTH SYSTEM |
| Physicians | 170 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mohammad Abdelhafez Issa | Physical Medicine and Rehabilitation | Riverside Health System | 375 N Wall St, P520, Kankakee, IL 60901-3493 |
| Jenna Nicole Sarna | Nurse Practitioner | Riverside Health System | 25711 S Egyptian Trail, Monee, IL 60449-8118 |
| Joshua Devereux Miller | Orthopedic Surgery | Riverside Health System | 400 Riverside Dr, Suite 2800, Bourbonnais, IL 60914-5004 |
| Marisa M Schrum | Nurse Practitioner | Riverside Health System | 106 B Watters Dr, Dwight, IL 60420-2200 |
| Timothy Warren Damrow | Family Medicine | Riverside Health System | 395 N Locust St, Manteno, IL 60950-1222 |
| Sana Hussain | Endocrinology | Riverside Health System | 100 Fitness Dr, Bourbonnais, IL 60914-9584 |
| Sarah Coyne | Nurse Practitioner | Riverside Health System | 401 N Wall St, Suite 206, Kankakee, IL 60901-2949 |
| Lori Cornelius | Nurse Practitioner | Riverside Health System | 720 Bs Crescent St, Gilman, IL 60938-1518 |
| Tammie O Henderson | Nurse Practitioner | Riverside Health System | 1701 E Court St, Kankakee, IL 60901-2670 |
| Jessica M Azoff | Psychiatry | Riverside Health System | 500 N Wall Ste, Suite 200, Kankakee, IL 60901-2942 |
| Street Address |
300 RIVERSIDE DR SUITE 2600 |
| City | BOURBONNAIS |
| State | IL |
| Zip | 60914-5070 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Steven D Williams | Plastic and Reconstructive Surgery | Riverside Health System | 300 Riverside Dr, Suite 2500, Bourbonnais, IL 60914-5069 |
| Adam W Milik | Internal Medicine | 300 Riverside Dr, Suite 2700, Bourbonnais, IL 60914-5071 | |
| Jason L Serpe | Podiatry | Riverside Health System | 300 Riverside Dr, Suite 2400, Bourbonnais, IL 60914-5068 |
| Syeda Ali | Internal Medicine | Riverside Health System | 300 Riverside Dr, Suite 2100, Bourbonnais, IL 60914-4997 |
| Brenda Lamping | Nurse Practitioner | Riverside Health System | 300 Riverside Dr, Suite 2500, Bourbonnais, IL 60914-5069 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John P Grumish | Chiropractic | 40 Briarcliff Professional Ctr, Bourbonnais, IL 60914 | |
| Casey A Moauro | Obstetrics/gynecology | Presence Healthcare Services | 1 Provena Way, Bourbonnais, IL 60914 |
| Brian Egan | Vascular Surgery | Presence Healthcare Services | 1 Provena Way, Bourbonnais, IL 60914 |
| Michael S Schroer | Chiropractic | 40 Briarcliff Professional Ctr, Bourbonnais, IL 60914 | |
| Katrina Schabacker | Nurse Practitioner | Digestive Diseases Consultants of Kankakee Sc | 1615 N Convent, Suite 1, Bourbonnais, IL 60914-1081 |
| Nikhil Bhargava | Gastroenterology | Digestive Diseases Consultants of Kankakee Sc | 1615 N Convent, Suite 1, Bourbonnais, IL 60914-1081 |
| Jamie Slade | Pathology | Digestive Diseases Consultants of Kankakee Sc | 1615 N Convent, Suite 1, Bourbonnais, IL 60914-1081 |
| David B Sutherland | Gastroenterology | Digestive Diseases Consultants of Kankakee Sc | 1615 N Convent, Suite 1, Bourbonnais, IL 60914-1081 |
| Daniel Errampalli | Gastroenterology | Digestive Diseases Consultants of Kankakee Sc | 1615 N Convent, Suite 1, Bourbonnais, IL 60914-1081 |
| Thomas L Oconnor | Gastroenterology | Digestive Diseases Consultants of Kankakee Sc | 1615 N Convent, Suite 1, Bourbonnais, IL 60914-1081 |
| Find all physicians in zip 60914 | |||
| City | BOURBONNAIS |
| Zip Code | 60914 |
| Specialty | OTOLARYNGOLOGY |
| City + Specialty | BOURBONNAIS + OTOLARYNGOLOGY |
Please comment or provide details below to improve the information on Kristal Maureen Kunitomo Brown.
| 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.