Jordan A Goodman (NPI# 1538244389, PAC ID# 9931162807) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1538244389 |
| PAC ID by PECOS | 9931162807 |
| Professional Enrollment ID | I20041111000091 |
| Full Name | Jordan A Goodman |
| Organization Legal Name | PRESENCE HEALTHCARE SERVICES |
| Address |
656 N Convent St Bourbonnais IL 60914-1391 |
| Phone Number | 8159365167 |
| Gender | M |
| Credential | MD |
| Medical School | RUSH MEDICAL COLLEGE OF RUSH UNIVERSITY |
| Graduation Year | 1988 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 2860396769 |
| Number of Group Practice Members | 319 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140186 | RIVERSIDE MEDICAL CENTER |
| 140155 | PRESENCE ST MARYS HOSPITAL |
| 140191 | INGALLS MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 656 N Convent St, Bourbonnais, IL 60914-1391 | 8159365167 | PRESENCE HEALTHCARE SERVICES |
| Organization Legal Name | PRESENCE HEALTHCARE SERVICES |
| Physicians | 345 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Alaina Lastres | Nurse Practitioner | Presence Healthcare Services | 455 W Court St, Kankakee, IL 60901-3695 |
| Taha Alrifai | Internal Medicine | Presence Healthcare Services | 2900 N Lake Shore Dr, Chicago, IL 60657-5640 |
| Miriam Nuer | Internal Medicine | Presence Healthcare Services | 7380 N Lincoln Ave, Lincolnwood, IL 60712-1705 |
| Sarah Freeburg | Physician Assistant | Presence Healthcare Services | 27025 W Eames St, Channahon, IL 60410-5619 |
| Jemia D Martin | Nurse Practitioner | Presence Healthcare Services | 9000 S Stony Island Ave, Chicago, IL 60617-3508 |
| Julia Gold | Family Medicine | Presence Healthcare Services | 4833 N Milwaukee Ave, Chicago, IL 60630-2145 |
| Saima Najam | Family Medicine | Presence Healthcare Services | 2201 Randall Rd, Carpentersville, IL 60110-3355 |
| Gopika Chandra | Internal Medicine | Presence Healthcare Services | 1150 W Fullerton Ave, Chicago, IL 60614-8160 |
| Muhammad Omer M Ansari | Family Medicine | Presence Healthcare Services | 410e Lincoln Hwy 101, New Lenox, IL 60451-1976 |
| Lester Ferra | Family Medicine | Presence Healthcare Services | 2233 W Division St, Suite 205, Chicago, IL 60622-8151 |
| Street Address |
656 N CONVENT ST |
| City | BOURBONNAIS |
| State | IL |
| Zip | 60914-1391 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Abraham Thomas | Internal Medicine | Presence Healthcare Services | 656 N Convent St, Bourbonnais, IL 60914-1391 |
| Erin Husch | Nurse Practitioner | Presence Healthcare Services | 656 N Convent St, Bourbonnais, IL 60914-1391 |
| Reynaldo Nepomuceno | Family Medicine | Presence Healthcare Services | 656 N Convent St, Bourbonnais, IL 60914-1391 |
| Venketa Moparthi | Internal Medicine | Presence Healthcare Services | 656 N Convent St, Bourbonnais, IL 60914-1391 |
| Rebecca Ellen Veasey | Physician Assistant | Presence Healthcare Services | 656 N Convent St, Bourbonnais, IL 60914-1391 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John P Grumish | Chiropractic | 40 Briarcliff Professional Ctr, Bourbonnais, IL 60914 | |
| Casey A Moauro | Obstetrics/gynecology | Presence Healthcare Services | 1 Provena Way, Bourbonnais, IL 60914 |
| Brian Egan | Vascular Surgery | Presence Healthcare Services | 1 Provena Way, Bourbonnais, IL 60914 |
| Michael S Schroer | Chiropractic | 40 Briarcliff Professional Ctr, Bourbonnais, IL 60914 | |
| Katrina Schabacker | Nurse Practitioner | Digestive Diseases Consultants of Kankakee Sc | 1615 N Convent, Suite 1, Bourbonnais, IL 60914-1081 |
| Nikhil Bhargava | Gastroenterology | Digestive Diseases Consultants of Kankakee Sc | 1615 N Convent, Suite 1, Bourbonnais, IL 60914-1081 |
| Jamie Slade | Pathology | Digestive Diseases Consultants of Kankakee Sc | 1615 N Convent, Suite 1, Bourbonnais, IL 60914-1081 |
| David B Sutherland | Gastroenterology | Digestive Diseases Consultants of Kankakee Sc | 1615 N Convent, Suite 1, Bourbonnais, IL 60914-1081 |
| Daniel Errampalli | Gastroenterology | Digestive Diseases Consultants of Kankakee Sc | 1615 N Convent, Suite 1, Bourbonnais, IL 60914-1081 |
| Thomas L Oconnor | Gastroenterology | Digestive Diseases Consultants of Kankakee Sc | 1615 N Convent, Suite 1, Bourbonnais, IL 60914-1081 |
| Find all physicians in zip 60914 | |||
| City | BOURBONNAIS |
| Zip Code | 60914 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | BOURBONNAIS + FAMILY MEDICINE |
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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.