Angela M Davis
CENTEGRA PRIMARY CARE LLC


Address: 360 Station Dr, Crystal Lake, IL 60014-7978
Phone: 8153562383

Angela M Davis (NPI# 1952844177, PAC ID# 9133498892) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.

Physician Overview

Nation Provider ID (NPI) 1952844177
PAC ID by PECOS 9133498892
Professional Enrollment ID I20170712001137
Full Name Angela M Davis
Organization Legal Name CENTEGRA PRIMARY CARE LLC
Address 360 Station Dr
Crystal Lake
IL 60014-7978
Phone Number 8153562383
Gender F
Graduation Year 2016
Primary Specialty NURSE PRACTITIONER
Group Practice PAC ID 0446157630
Number of Group Practice Members 151
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
140281 NORTHWESTERN MEMORIAL HOSPITAL

Other Locations

Address Phone Organization
675 N St Clair, Chicago, IL 60611-5975 NORTHWESTERN MEDICAL FACULTY FOUNDATION
360 Station Dr, Crystal Lake, IL 60014-7978 8153562383 CENTEGRA PRIMARY CARE LLC

Organization Information

Organization Legal Name CENTEGRA PRIMARY CARE LLC
Physicians 37

Physicians with the same organization

Name Specialty Organization Address
Brian B Blackmon Psychiatry Centegra Primary Care LLC 3701 Doty Rd, Woodstock, IL 60098-7509
Nilam M Patel Physician Assistant Centegra Primary Care LLC 11650 S Il Route 47, Huntley, IL 60142-9613
Marilyn M Lacrosse Emergency Medicine Centegra Primary Care LLC 360 N Terra Cotta Rd C, Crystal Lake, IL 60012-3749
David A Shinherr Chiropractic Centegra Primary Care LLC 11650 S Il Route 47, Huntley, IL 60142-9613
Ryan Miguel Colon Physician Assistant Centegra Primary Care LLC 10400 Haligus Rd, Huntley, IL 60142-9553
Warren S Jablonsky Orthopedic Surgery Centegra Primary Care LLC 10350 Haligus Rd, Huntley, IL 60142-9545
Roseviminda Abano Nurse Practitioner Centegra Primary Care LLC 4309 W Medical Ctr Dr, Mchenry, IL 60050-8419
Nancy R Prokup Nurse Practitioner Centegra Primary Care LLC 2507 N Richmond Rd, Mchenry, IL 60051-5407
William D Cox Jr. Sports Medicine Centegra Primary Care LLC 10350 Haligus Rd, Huntley, IL 60142-9545
Tonya R Fisher Nurse Practitioner Centegra Primary Care LLC 10350 Haligus Rd, Huntley, IL 60142-9545

Office Location

Street Address 360 STATION DR
City CRYSTAL LAKE
State IL
Zip 60014-7978

Physicians in the same location

Name Specialty Organization Address
Rebecca J Baker Nurse Practitioner Northwestern Medical Faculty Foundation 360 Station Dr, Suite 300a, Crystal Lake, IL 60014-7978
Jason A Carman Nurse Practitioner Northwestern Medical Faculty Foundation 360 Station Dr, Suite 300a, Crystal Lake, IL 60014-7978
Sonia C Mehta Internal Medicine Northwestern Medical Faculty Foundation 360 Station Dr, Suite 300a, Crystal Lake, IL 60014-7978
Juliana G Gonzales-hannon Nurse Practitioner Northwestern Medical Faculty Foundation 360 Station Dr, Suite 300a, Crystal Lake, IL 60014-7978
Manoj R Patel Family Medicine Northwestern Medical Faculty Foundation 360 Station Dr, Suite 300a, Crystal Lake, IL 60014-7978
Jacqueline D Keck Nurse Practitioner Northwestern Medical Faculty Foundation 360 Station Dr, Suite 300a, Crystal Lake, IL 60014-7978
Caleb Daniel Family Medicine Northwestern Medical Faculty Foundation 360 Station Dr, Suite 300a, Crystal Lake, IL 60014-7978
Anthony Lemuel Duran Nurse Practitioner Northwestern Medical Faculty Foundation 360 Station Dr, Suite 300a, Crystal Lake, IL 60014-7978
Nicole M Padilla Family Medicine Northwestern Medical Faculty Foundation 360 Station Dr, Suite 300a, Crystal Lake, IL 60014-7978
Khalda H Abbasi Internal Medicine Northwestern Medical Faculty Foundation 360 Station Dr, Suite 300a, Crystal Lake, IL 60014-7978
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Physicians in the same zip code

Name Specialty Organization Address
Michael Socha Chiropractic 435 Angela Ln, Suite 19, Crystal Lake, IL 60014-1074
Mark D Lagerkvist Chiropractic Chiro One Wellness Center of Crystal Lake Sc 435 Angela Ln, Suite 19, Crystal Lake, IL 60014-1074
Michael T Burns Psychologist, Clinical 610 Crystal Point Dr, Suite 3, Crystal Lake, IL 60014-1400
Kenneth E Heinrichs Psychologist, Clinical 755 E Mcardle Dr, Suite E, Crystal Lake, IL 60014-1717
Katherine A Galias Nurse Practitioner Family Medicine for Mchenry County 1095 Pingree Rd, Suite 108, Crystal Lake, IL 60014-1726
Susan G Swanson Nurse Practitioner Family Medicine for Mchenry County 1095 Pingree Rd, Suite 108, Crystal Lake, IL 60014-1726
Christy A Benton Nurse Practitioner Family Medicine for Mchenry County 1095 Pingree Rd, Suite 108, Crystal Lake, IL 60014-1726
Roseann C Iverson Nurse Practitioner Family Medicine for Mchenry County 1095 Pingree Rd, Suite 108, Crystal Lake, IL 60014-1726
Cynthia G Macdonald Nurse Practitioner Family Medicine for Mchenry County 1095 Pingree Rd, Suite 108, Crystal Lake, IL 60014-1726
Michael S Lesser Family Medicine Family Medicine for Mchenry County 1095 Pingree Rd, Suite 108, Crystal Lake, IL 60014-1726
Find all physicians in zip 60014

Competitor

Search similar physicians

City CRYSTAL LAKE
Zip Code 60014
Specialty NURSE PRACTITIONER
City + Specialty CRYSTAL LAKE + NURSE PRACTITIONER

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Dataset Information

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.

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