Jacqueline D Smart (NPI# 1891184412, PAC ID# 9931429248) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1891184412 |
| PAC ID by PECOS | 9931429248 |
| Professional Enrollment ID | I20150527001819 |
| Full Name | Jacqueline D Smart |
| Organization Legal Name | EPMG OF ILLINOIS LLC |
| Address |
6701 159th St Tinley Park IL 60477-1758 |
| Phone Number | 7084293300 |
| Gender | F |
| Graduation Year | 2013 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 1254225345 |
| Number of Group Practice Members | 89 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140088 | THE UNIVERSITY OF CHICAGO MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 5841 S Maryland Ave, Chicago, IL 60637-1447 | 7737021000 | UNIVERSITY OF CHICAGO PHYSCIANS GROUP |
| 1 Ingalls Dr, Harvey, IL 60426-3558 | 7083332300 | HARVEY EMERGENCY PHYSICIANS LLC |
| 6701 159th St, Tinley Park, IL 60477-1758 | 7084293300 | EPMG OF ILLINOIS LLC |
| Organization Legal Name | EPMG OF ILLINOIS LLC |
| Physicians | 85 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Naila A Oconnell | Nurse Practitioner | Epmg of Illinois LLC | 6701 159th St, Tinley Park, IL 60477-1758 |
| Matthew D Swayze | Emergency Medicine | Epmg of Illinois LLC | 3 Eire Ct, Oak Park, IL 60302-2519 |
| Mark D Stossel | Emergency Medicine | Epmg of Illinois LLC | 1 Ingalls Dr, Harvey, IL 60426-3558 |
| Eduardo J Navarrete | Emergency Medicine | Epmg of Illinois LLC | 3 Eire Ct, Oak Park, IL 60302-2519 |
| Renee L Peksa-sink | Emergency Medicine | Epmg of Illinois LLC | 1 Ingalls Dr, Harvey, IL 60426-3558 |
| Ray Andrew Mendez | Family Medicine | Epmg of Illinois LLC | 1 Ingalls Dr, Harvey, IL 60426-3558 |
| Apiwat W Ford | Emergency Medicine | Epmg of Illinois LLC | 10400 Haligus Rd, Huntley, IL 60142-9553 |
| Reda Kubilius | Nurse Practitioner | Epmg of Illinois LLC | 1 Ingalls Dr, Harvey, IL 60426-3558 |
| Sarah Jane N Zuniga | Nurse Practitioner | Epmg of Illinois LLC | 701 W N Ave, Melrose Park, IL 60160-1612 |
| Leonard Levites | Emergency Medicine | Epmg of Illinois LLC | 10400 Haligus Rd, Huntley, IL 60142-9553 |
| Street Address |
6701 159TH ST |
| City | TINLEY PARK |
| State | IL |
| Zip | 60477-1758 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Naila A Oconnell | Nurse Practitioner | Epmg of Illinois LLC | 6701 159th St, Tinley Park, IL 60477-1758 |
| Kaveh B Rahmani | Family Medicine | Primary Healthcare Associates Sc | 6701 159th St, Suite 1, Tinley Park, IL 60477-1758 |
| Lena Modieh | Nurse Practitioner | Epmg of Illinois LLC | 6701 159th St, Tinley Park, IL 60477-1758 |
| James L Brown | Urology | United Shockwave Services Ltd | 6701 159th St, Tinley Park, IL 60477-1758 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sana Ali | Diagnostic Radiology | Progressive Radiology of Illinois LLC | 7711 W 159th St, Suite 100, Tinley Park, IL 60477-1336 |
| Jason A Kaapke | Chiropractic | 15930 75th Ct, Suite 200, Tinley Park, IL 60477-1340 | |
| Dana Berns | Podiatry | Advanced Orthopedic and Spine Care Sc | 16255 Harlem Ave, Tinley Park, IL 60477-1615 |
| Nicholas Angelopoulos | Anesthesiology | 6850 Centennial Dr, Tinley Park, IL 60477-1653 | |
| Daniel T Weber | Orthopedic Surgery | Daniel T Weber Md Sc | 6850 Centennial Dr, Tinley Park, IL 60477-1653 |
| Sheila D Crowe | Chiropractic | Body and Soul Health Care P C | 7060 Centennial Dr, Tinley Park, IL 60477-1699 |
| Maria S Viola | Optometry | Cmr LLC | 16630 Oak Park Ave, Tinley Park, IL 60477-1755 |
| Mindi J Kieffer | Optometry | Cmr LLC | 16630 Oak Park Ave, Tinley Park, IL 60477-1755 |
| Chirag H Rana | Optometry | Cmr LLC | 16630 Oak Park Ave, Tinley Park, IL 60477-1755 |
| Joseph C Beck | Psychiatry | 6701 W 159th St, Suite 2, Tinley Park, IL 60477-1758 | |
| Find all physicians in zip 60477 | |||
| City | TINLEY PARK |
| Zip Code | 60477 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | TINLEY PARK + NURSE PRACTITIONER |
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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.