Melissa J Theodore (NPI# 1912294083, PAC ID# 8729257126) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1912294083 |
| PAC ID by PECOS | 8729257126 |
| Professional Enrollment ID | I20110801000358 |
| Full Name | Melissa J Theodore |
| Organization Legal Name | HANSA MEDICAL GROUPE LLC |
| Address |
5250 Old Orchard Rd Suite 300 Skokie IL 60077-4462 |
| Phone Number | 8479200902 |
| Gender | F |
| Graduation Year | 2010 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 5092881417 |
| Number of Group Practice Members | 17 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140114 | SWEDISH COVENANT HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 5250 Old Orchard Rd, Suite 300, Skokie, IL 60077-4462 | 8479200902 | HANSA MEDICAL GROUPE LLC |
| Organization Legal Name | HANSA MEDICAL GROUPE LLC |
| Physicians | 13 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jennifer Denise Jackson | Nurse Practitioner | Hansa Medical Groupe LLC | 5620 Sohl Ave, Hammond, IN 46320-2015 |
| Jamilla Brooks | Nurse Practitioner | Hansa Medical Groupe LLC | 7250 Arthur Blvd, Merrillville, IN 46410-3766 |
| Andrilyn J Nededog | Nurse Practitioner | Hansa Medical Groupe LLC | 1865 E Belvidere Rd, Grayslake, IL 60030-2218 |
| Katie G Rahoi | Nurse Practitioner | Hansa Medical Groupe LLC | 5250 Old Orchard Rd, Suite 300, Skokie, IL 60077-4462 |
| Chirag N Patel | Internal Medicine | Hansa Medical Groupe LLC | 510 W Northwest Hwy, Barrington, IL 60010-3051 |
| Robin M Fischer | Physician Assistant | Hansa Medical Groupe LLC | 3775 Grand Ave, Gurnee, IL 60031-2909 |
| Delphine Tar | Nurse Practitioner | Hansa Medical Groupe LLC | 5250 Old Orchard Rd, Suite 300, Skokie, IL 60077-4462 |
| Christine Bolden | Nurse Practitioner | Hansa Medical Groupe LLC | 5250 Old Orchard Rd, Suite 300, Skokie, IL 60077-4462 |
| Marva Hall | Nurse Practitioner | Hansa Medical Groupe LLC | 5250 Old Orchard Rd, Suite 300, Skokie, IL 60077-4462 |
| Brittany L Tobin | Nurse Practitioner | Hansa Medical Groupe LLC | 510 W Northwest Hwy, Barrington, IL 60010-3051 |
| Street Address |
5250 OLD ORCHARD RD SUITE 300 |
| City | SKOKIE |
| State | IL |
| Zip | 60077-4462 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Katie G Rahoi | Nurse Practitioner | Hansa Medical Groupe LLC | 5250 Old Orchard Rd, Suite 300, Skokie, IL 60077-4462 |
| Delphine Tar | Nurse Practitioner | Hansa Medical Groupe LLC | 5250 Old Orchard Rd, Suite 300, Skokie, IL 60077-4462 |
| Christine Bolden | Nurse Practitioner | Hansa Medical Groupe LLC | 5250 Old Orchard Rd, Suite 300, Skokie, IL 60077-4462 |
| Michael E Stone | Psychologist, Clinical | 5250 Old Orchard Rd, Suite 300, Skokie, IL 60077-4462 | |
| Marva Hall | Nurse Practitioner | Hansa Medical Groupe LLC | 5250 Old Orchard Rd, Suite 300, Skokie, IL 60077-4462 |
| Alexander J Paret | Psychologist, Clinical | 5250 Old Orchard Rd, Suite 300, Skokie, IL 60077-4462 | |
| Kristin S Finke | Nurse Practitioner | Hansa Medical Groupe LLC | 5250 Old Orchard Rd, Suite 300, Skokie, IL 60077-4462 |
| Junine D Degraf | Nurse Practitioner | Hansa Medical Groupe LLC | 5250 Old Orchard Rd, Suite 300, Skokie, IL 60077-4462 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Naomi Lynn Bayer | Clinical Social Worker | 64 Old Orchard Ctr, Suite 435, Skokie, IL 60077 | |
| Janice L Johnson | Obstetrics/gynecology | 10024 Skokie Blvd, Suite 308, Skokie, IL 60077-1025 | |
| Susan L Mason | Clinical Social Worker | 5225 Old Orchard Rd, Suite 3, Skokie, IL 60077-1027 | |
| Stephanie A Ross | Psychologist, Clinical | Stephanie A Ross Licensed Clinical Psychologist PC | 5225 Old Orchard Rd, Suite 2, Skokie, IL 60077-1027 |
| Sally B Branch | Clinical Social Worker | 5225 Old Orchard Rd, Suite 29, Skokie, IL 60077-1027 | |
| Alisa M Cohen-stein | Clinical Social Worker | 5225 Old Orchard Rd, 27a, Skokie, IL 60077-1027 | |
| Breena M Freid | Clinical Social Worker | 5225 Old Orchard Rd, Suite 6, Skokie, IL 60077-1027 | |
| Cheryl M Berg | Clinical Social Worker | 5225 Old Orchard Rd, Suite 6, Skokie, IL 60077-1027 | |
| Judy Bakshy | Psychologist, Clinical | 5225 Old Orchard Rd, Suite 27a, Skokie, IL 60077-1027 | |
| Judith L Perlman | Clinical Social Worker | 5225 Old Orchard Rd, Suite 14, Skokie, IL 60077-1027 | |
| Find all physicians in zip 60077 | |||
| City | SKOKIE |
| Zip Code | 60077 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | SKOKIE + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Melissa J Theodore.
| 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.