Michael J Porter Jr. (NPI# 1225074511, PAC ID# 9436152287) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CARDIAC ELECTROPHYSIOLOGY.
Nation Provider ID (NPI) | 1225074511 |
PAC ID by PECOS | 9436152287 |
Professional Enrollment ID | I20180809005978 |
Full Name | Michael J Porter Jr. |
Organization Legal Name | HEART CARE CENTERS OF ILLINOIS, S.C. |
Address |
10260 191st St Suite 102 Mokena IL 60448-8802 |
Phone Number | 7084784224 |
Gender | M |
Credential | MD |
Graduation Year | 1998 |
Primary Specialty | CARDIAC ELECTROPHYSIOLOGY |
Secondary Specialties | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
Group Practice PAC ID | 6103738810 |
Number of Group Practice Members | 30 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
140062 | PALOS COMMUNITY HOSPITAL |
140213 | SILVER CROSS HOSPITAL AND MEDICAL CENTERS |
Address | Phone | Organization |
---|---|---|
10260 191st St, Suite 102, Mokena, IL 60448-8802 | 7084784224 | HEART CARE CENTERS OF ILLINOIS, S.C. |
Organization Legal Name | HEART CARE CENTERS OF ILLINOIS, S.C. |
Physicians | 22 |
Name | Specialty | Organization | Address |
---|---|---|---|
Jillian Meaney | Physician Assistant | Heart Care Centers of Illinois, S.c. | 2338 New St, Blue Island, IL 60406-2402 |
Jennifer Melcher | Nurse Practitioner | Heart Care Centers of Illinois, S.c. | 195 Springfield Ave, Suite 201, Joliet, IL 60435-6507 |
Kurt W Erickson | Interventional Cardiology | Heart Care Centers of Illinois, S.c. | 3249 S Oak Park Ave, Macneal Hospital, Berwyn, IL 60402-3429 |
Robert A Iaffaldano | Interventional Cardiology | Heart Care Centers of Illinois, S.c. | 3249 S Oak Park Ave, Macneal Hospital, Berwyn, IL 60402-3429 |
Joseph Frank Stella | Interventional Cardiology | Heart Care Centers of Illinois, S.c. | 3231 Euclid Ave, Suite 400, Berwyn, IL 60402-3472 |
Robert C Prentice | Cardiovascular Disease (cardiology) | Heart Care Centers of Illinois, S.c. | 3231 Euclid Ave, Suite 400, Berwyn, IL 60402-3472 |
Roy C Bliley Iii | Interventional Cardiology | Heart Care Centers of Illinois, S.c. | 3231 Euclid Ave, Suite 400, Berwyn, IL 60402-3472 |
Naveed S Iqbal | Interventional Cardiology | Heart Care Centers of Illinois, S.c. | 13011 S 104th Ave, Suite 100, Palos Park, IL 60464-1515 |
Hong Jun Yun | Cardiovascular Disease (cardiology) | Heart Care Centers of Illinois, S.c. | 13011 S 104th Ave, Suite 100, Palos Park, IL 60464-1515 |
Julie M Mueller | Nurse Practitioner | Heart Care Centers of Illinois, S.c. | 13011 S 104th Ave, Suite 100, Palos Park, IL 60464-1515 |
Street Address |
10260 191ST ST SUITE 102 |
City | MOKENA |
State | IL |
Zip | 60448-8802 |
Name | Specialty | Organization | Address |
---|---|---|---|
Nicole A Orwar | Obstetrics/gynecology | Providea Health Partners LLC | 10260 191st St, Suite 100, Mokena, IL 60448-8802 |
David P Beckmann | Family Medicine | Providea Health Partners LLC | 10260 191st St, Suite 100, Mokena, IL 60448-8802 |
Mitchell A Khan | Obstetrics/gynecology | Providea Health Partners LLC | 10260 191st St, Suite 100, Mokena, IL 60448-8802 |
Kathleen J Slugocki | Obstetrics/gynecology | Providea Health Partners LLC | 10260 191st St, Suite 100, Mokena, IL 60448-8802 |
Timothy Brian Johnson | Obstetrics/gynecology | Providea Health Partners LLC | 10260 191st St, Suite 100, Mokena, IL 60448-8802 |
Name | Specialty | Organization | Address |
---|---|---|---|
Jovito G Angeles | Orthopedic Surgery | Dupage Medical Group Ltd | 11243 W Laporate Rd, Mokena, IL 60448 |
Maen Martini | Anesthesiology | American Anesthesiology Associates of Illinois, S.c. | 19627 S Lagrande Rd, Mokena, IL 60448 |
Rosemary Mcgrath | Family Medicine | Dupage Medical Group Ltd | 11243 W Laporate Rd, Mokena, IL 60448 |
Matthew H Newton | Family Medicine | Dupage Medical Group Ltd | 11243 W Laporate Rd, Mokena, IL 60448 |
Yvette M Riker | Certified Registered Nurse Anesthetist | American Anesthesiology Associates of Illinois, S.c. | 19627 S Lagrande Rd, Mokena, IL 60448 |
Pankaj Jain | Internal Medicine | 10712 Canterbury Dr, Mokena, IL 60448-1085 | |
Robert A Bonzani | Urology | 19401 Wolf Rd, Mokena, IL 60448-1100 | |
Phillip D Narcissi | Podiatry | Phillip D. Narcissi Dpm S.c. | 19841 Wolf Rd, Mokena, IL 60448-1315 |
Chase J Smith | Optometry | Absolute Vision Care II Ltd | 20006 Wolf Rd, Mokena, IL 60448-1320 |
Nancy O Gazdziak | Nurse Practitioner | Advocate Health and Hospitals Corporation | 20002 Wolf Rd, Mokena, IL 60448-1320 |
Find all physicians in zip 60448 |
City | MOKENA |
Zip Code | 60448 |
Specialty | CARDIAC ELECTROPHYSIOLOGY |
City + Specialty | MOKENA + CARDIAC ELECTROPHYSIOLOGY |
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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.