William T Larsen (NPI# 1356711584, PAC ID# 9537469846) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1356711584 |
| PAC ID by PECOS | 9537469846 |
| Professional Enrollment ID | I20151118000758 |
| Full Name | William T Larsen |
| Organization Legal Name | BONAVENTURE MEDICAL FOUNDATION LLC |
| Address |
50 S Northwest Hwy Palatine IL 60074-6231 |
| Phone Number | 8472026020 |
| Gender | M |
| Graduation Year | 2015 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 7517863178 |
| Number of Group Practice Members | 199 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140088 | THE UNIVERSITY OF CHICAGO MEDICAL CENTER |
| 140258 | ALEXIAN BROTHERS MEDICAL CENTER 1 |
| Address | Phone | Organization |
|---|---|---|
| 1041 W Stearns Rd, Bartlett, IL 60103-4509 | 6307167500 | BONAVENTURE MEDICAL FOUNDATION LLC |
| 5841 S Maryland Ave, Chicago, IL 60637-1447 | 7737021000 | UNIVERSITY OF CHICAGO PHYSCIANS GROUP |
| 1626 W Algonquin Rd, Hoffman Est, IL 60195-1587 | 8476405640 | BONAVENTURE MEDICAL FOUNDATION LLC |
| 50 S Northwest Hwy, Palatine, IL 60074-6231 | 8472026020 | BONAVENTURE MEDICAL FOUNDATION LLC |
| 2363 63rd St, Woodridge, IL 60517-1369 | 6307167510 | BONAVENTURE MEDICAL FOUNDATION LLC |
| Organization Legal Name | BONAVENTURE MEDICAL FOUNDATION LLC |
| Physicians | 191 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Helen Muchow | Nurse Practitioner | Bonaventure Medical Foundation LLC | 1555 Barrington Rd, Suite 3450, Hoffman Estates, IL 60169-1031 |
| Amy J Walters | Nurse Practitioner | Bonaventure Medical Foundation LLC | 2100 S Finley Rd, Lombard, IL 60148-4830 |
| Ibrahim S Sadek | Internal Medicine | Bonaventure Medical Foundation LLC | 1041 W Stearns Rd, Bartlett, IL 60103-4509 |
| Vanja Cuk | Internal Medicine | Bonaventure Medical Foundation LLC | 955 Beisner Rd, Elk Grove Village, IL 60007-3475 |
| Deepa Potti | Family Medicine | Bonaventure Medical Foundation LLC | 50 S Northwest Hwy, Palatine, IL 60074-6231 |
| Stephen Rittman | Family Medicine | Bonaventure Medical Foundation LLC | 361 W Golf Rd, Schaumburg, IL 60195-3607 |
| Reinhold Llerena | Family Medicine | Bonaventure Medical Foundation LLC | 1626 W Algonquin Rd, Hoffman Est, IL 60195-1587 |
| Mark E Collins | Family Medicine | Bonaventure Medical Foundation LLC | 126 Biesterfield Rd, Elk Grove Village, IL 60007-3657 |
| Michael J Osten | Family Medicine | Bonaventure Medical Foundation LLC | 25 E Schaumburg Rd, Schaumburg, IL 60194-3550 |
| John Wilkerson | Family Medicine | Bonaventure Medical Foundation LLC | 1015 Summit St, Elgin, IL 60120-4362 |
| Street Address |
50 S NORTHWEST HWY |
| City | PALATINE |
| State | IL |
| Zip | 60074-6231 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Deepa Potti | Family Medicine | Bonaventure Medical Foundation LLC | 50 S Northwest Hwy, Palatine, IL 60074-6231 |
| Lauren B Katz Pham | Family Medicine | Bonaventure Medical Foundation LLC | 50 S Northwest Hwy, Palatine, IL 60074-6231 |
| Jeffrey A Lindahl | Internal Medicine | Bonaventure Medical Foundation LLC | 50 S Northwest Hwy, Palatine, IL 60074-6231 |
| Brian A Briggs | Family Medicine | Bonaventure Medical Foundation LLC | 50 S Northwest Hwy, Palatine, IL 60074-6231 |
| Shashi Saigal | Family Medicine | Bonaventure Medical Foundation LLC | 50 S Northwest Hwy, Palatine, IL 60074-6231 |
| Ishvari S Panarker | Family Medicine | Bonaventure Medical Foundation LLC | 50 S Northwest Hwy, Palatine, IL 60074-6231 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Melissa Ann Colon | Psychologist, Clinical | 434 W Rosiland Dr, Palatine, IL 60074-1093 | |
| Kristine M Henninger | Physical Therapy | Athletico Ltd | 1770 N Hicks Rd, Palatine, IL 60074-2339 |
| Arc C Capulong | Physical Therapy | Athletico Ltd | 1770 N Hicks Rd, Palatine, IL 60074-2339 |
| Dina Samrah | Physical Therapy | Athletico Ltd | 1770 N Hicks Rd, Palatine, IL 60074-2339 |
| Jessica King | Physical Therapy | Athletico Ltd | 1770 N Hicks Rd, Palatine, IL 60074-2339 |
| Brianne E Lopez | Physical Therapy | Athletico Ltd | 1770 N Hicks Rd, Palatine, IL 60074-2339 |
| Jun Cesar S Atienza | Physical Therapy | Athletico Ltd | 1770 N Hicks Rd, Palatine, IL 60074-2339 |
| Susan K Green | Chiropractic | 2001 N Rand Rd E, Palatine, IL 60074-2573 | |
| Mary Prewitt | Nurse Practitioner | Advocate Health and Hospitals Corporation | 375 E Dundee Rd, Palatine, IL 60074-2812 |
| Maria Chon | Podiatry | 317 E Dundee Rd, Palatine, IL 60074-2812 | |
| Find all physicians in zip 60074 | |||
| City | PALATINE |
| Zip Code | 60074 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | PALATINE + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on William T Larsen.
| 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.