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.
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 |
Claim Control Number (CCN) | Legal Business Name |
---|---|
140281 | NORTHWESTERN MEMORIAL HOSPITAL |
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 Legal Name | CENTEGRA PRIMARY CARE LLC |
Physicians | 37 |
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 |
Street Address |
360 STATION DR |
City | CRYSTAL LAKE |
State | IL |
Zip | 60014-7978 |
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 |
Find all physicians in the same address |
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 |
City | CRYSTAL LAKE |
Zip Code | 60014 |
Specialty | NURSE PRACTITIONER |
City + Specialty | CRYSTAL LAKE + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Angela M Davis.
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.