Stacie E Wharton (NPI# 1639321482, PAC ID# 0244492304) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1639321482 |
| PAC ID by PECOS | 0244492304 |
| Professional Enrollment ID | I20120507000533 |
| Full Name | Stacie E Wharton |
| Organization Legal Name | GATEWAY SPINE AND PAIN PHYSICIANS LLC |
| Address |
329 Remington Blvd Suite 205 Bolingbrook IL 60440-5817 |
| Phone Number | 6302261130 |
| Gender | F |
| Graduation Year | 2008 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 6507941598 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140288 | ADVOCATE GOOD SAMARITAN HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 329 Remington Blvd, Suite 205, Bolingbrook, IL 60440-5817 | 6302261130 | GATEWAY SPINE AND PAIN PHYSICIANS LLC |
| Organization Legal Name | GATEWAY SPINE AND PAIN PHYSICIANS LLC |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Neli Yordanova Cohen | Psychologist, Clinical | Gateway Spine and Pain Physicians LLC | 329 Remington Blvd, Suite 205, Bolingbrook, IL 60440-5817 |
| George E Charuk | Physical Medicine and Rehabilitation | Gateway Spine and Pain Physicians LLC | 329 Remington Blvd, Suite 205, Bolingbrook, IL 60440-5817 |
| Andrew W Kalin | Interventional Pain Management | Gateway Spine and Pain Physicians LLC | 329 Remington Blvd, Suite 205, Bolingbrook, IL 60440-5817 |
| John K Hong | Interventional Pain Management | Gateway Spine and Pain Physicians LLC | 3253 S Harlem Ave, Suite 4, Berwyn, IL 60402-2996 |
| Street Address |
329 REMINGTON BLVD SUITE 205 |
| City | BOLINGBROOK |
| State | IL |
| Zip | 60440-5817 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jennifer Bates | Physical Therapy | Athletic and Therapeutic Institute of Bourbonnais, LLC | 329 Remington Blvd, Suite 200, Bolingbrook, IL 60440-5817 |
| Julianne J Gatlin | Family Medicine | Adventist Health Partners Inc | 329 Remington Blvd, Suite 100, Bolingbrook, IL 60440-4921 |
| Neli Yordanova Cohen | Psychologist, Clinical | Gateway Spine and Pain Physicians LLC | 329 Remington Blvd, Suite 205, Bolingbrook, IL 60440-5817 |
| Christine H Shih | Family Medicine | Adventist Health Partners Inc | 329 Remington Blvd, Suite 100, Bolingbrook, IL 60440-4921 |
| George E Charuk | Physical Medicine and Rehabilitation | Gateway Spine and Pain Physicians LLC | 329 Remington Blvd, Suite 205, Bolingbrook, IL 60440-5817 |
| Andrew W Kalin | Interventional Pain Management | Gateway Spine and Pain Physicians LLC | 329 Remington Blvd, Suite 205, Bolingbrook, IL 60440-5817 |
| Anthony J Placek | Physical Therapy | Athletic and Therapeutic Institute of Bourbonnais, LLC | 329 Remington Blvd, Suite 200, Bolingbrook, IL 60440-5817 |
| Geoffrey S Kuhlman | Family Medicine | Adventist Health Partners Inc | 329 Remington Blvd, Suite 100, Bolingbrook, IL 60440-4921 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Vafa Shayani | General Surgery | 402 S Schmidt Rd, Suite 235, Bolingbrook, IL 60440 | |
| Gary R Speulda | Clinical Psychologist | Gary R. Speulda, Psy.d. Ltd. | 4 Vigilance Ct, Bolingbrook, IL 60440-1223 |
| Ronald P Pieroni | Podiatry | 469 N Bolingbrook Dr, Bolingbrook, IL 60440-1322 | |
| Sijun Yang | Internal Medicine | 454 W Boughton Rd C, Bolingbrook, IL 60440-1378 | |
| Jeffrey M Mackler | Podiatry | 454 W Boughton Rd, Suite B, Bolingbrook, IL 60440-1378 | |
| Amara Bukhari | Chiropractic | 440 W Boughton Rd, Suite 102, Bolingbrook, IL 60440-1400 | |
| Mark J Mcnally | Chiropractic | 440 W Boughton Rd, Suite 102, Bolingbrook, IL 60440-1400 | |
| Ashley Lederman | Chiropractic | Jbh Medical Corporation, Ltd | 440 W Boughton Rd, Suite 102, Bolingbrook, IL 60440-1400 |
| Brian P Berry | Optometry | 1243 W Boughton Rd, Bolingbrook, IL 60440-1509 | |
| Riddhi Pakrasi | Internal Medicine | Edward Health Ventures | 130 Weber Rd, Suite 100, Bolingbrook, IL 60440-1519 |
| Find all physicians in zip 60440 | |||
| City | BOLINGBROOK |
| Zip Code | 60440 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | BOLINGBROOK + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Stacie E Wharton.
| 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.