Jessie L Mabaquiao (NPI# 1417922634, PAC ID# 0042306128) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHIATRY.
| Nation Provider ID (NPI) | 1417922634 |
| PAC ID by PECOS | 0042306128 |
| Professional Enrollment ID | I20071020000082 |
| Full Name | Jessie L Mabaquiao |
| Organization Legal Name | OPEN DOOR CLINIC OF GREATER ELGIN |
| Address |
157 S Lincoln Ave K Aurora IL 60505-4291 |
| Phone Number | 6302641819 |
| Gender | M |
| Graduation Year | 1976 |
| Primary Specialty | PSYCHIATRY |
| Secondary Specialties | INFECTIOUS DISEASE |
| Group Practice PAC ID | 4486687050 |
| Number of Group Practice Members | 9 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 157 S Lincoln Ave K, Aurora, IL 60505-4291 | 6302641819 | OPEN DOOR CLINIC OF GREATER ELGIN |
| Organization Legal Name | OPEN DOOR CLINIC OF GREATER ELGIN |
| Physicians | 10 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Zeba S Geloo | Family Medicine | Open Door Clinic of Greater Elgin | 1665 Larkin Ave, Elgin, IL 60123-5977 |
| Emma Ab Cabusao | Psychiatry | Open Door Clinic of Greater Elgin | 157 S Lincoln Ave, Suite K, Aurora, IL 60505-4291 |
| Monica R Herdrich | Nurse Practitioner | Open Door Clinic of Greater Elgin | 1665 Larkin Ave, Elgin, IL 60123-5977 |
| Juan P Mercado | Nurse Practitioner | Open Door Clinic of Greater Elgin | 157 S Lincoln Ave, Suite K, Aurora, IL 60505-4291 |
| Anila Khan | Family Practice | Open Door Clinic of Greater Elgin | 1665 Larkin Ave, Elgin, IL 60123-5977 |
| Shannon Marie Lane | Clinical Social Worker | Open Door Clinic of Greater Elgin | 1665 Larkin Ave, Elgin, IL 60123-5977 |
| Rocio Santiago | Clinical Social Worker | Open Door Clinic of Greater Elgin | 1665 Larkin Ave, Elgin, IL 60123-5977 |
| Carla R Heiser | Registered Dietitian Or Nutrition Professional | Open Door Clinic of Greater Elgin | 1665 Larkin Ave, Elgin, IL 60123-5977 |
| Marcia J Huston | Infectious Disease | Open Door Clinic of Greater Elgin | 157 S Lincoln Ave K, Aurora, IL 60505-4291 |
| Street Address |
157 S LINCOLN AVE K |
| City | AURORA |
| State | IL |
| Zip | 60505-4291 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Marcia J Huston | Infectious Disease | Open Door Clinic of Greater Elgin | 157 S Lincoln Ave K, Aurora, IL 60505-4291 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Roger P Hatcher | Clinical Psychologist | Psychcare Associates P.C. | 1700 N Farnsworth Ave, Aurora, IL 60505-1187 |
| Oki Kim Villarreal | Chiropractic | 1695 N Farnsworth Ave, Aurora, IL 60505-1509 | |
| Mary B Mcmillan | Clinical Social Worker | 1599 N Farnsworth Ave, Aurora, IL 60505-1530 | |
| David G Lifka | Chiropractic | 1660 N Farnsworth Ave, Suite 1, Aurora, IL 60505-1895 | |
| Imelda Dawis | General Practice | 364 N Farnsworth Ave, Aurora, IL 60505-3083 | |
| Akil Moinuddin | Internal Medicine | 302 E New York St, Aurora, IL 60505-3424 | |
| Irma E Urrutia-potter | Family Practice | Community Health Partnership of Illinois | 157 S Lincoln Ave D, Aurora, IL 60505-4291 |
| Emma Ab Cabusao | Psychiatry | Open Door Clinic of Greater Elgin | 157 S Lincoln Ave, Suite K, Aurora, IL 60505-4291 |
| Juan P Mercado | Nurse Practitioner | Open Door Clinic of Greater Elgin | 157 S Lincoln Ave, Suite K, Aurora, IL 60505-4291 |
| City | AURORA |
| Zip Code | 60505 |
| Specialty | PSYCHIATRY |
| City + Specialty | AURORA + PSYCHIATRY |
Please comment or provide details below to improve the information on Jessie L Mabaquiao.
| 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.