Nicolaas Michael Jongerius (NPI# 1235144056, PAC ID# 0547354342) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1235144056 |
| PAC ID by PECOS | 0547354342 |
| Professional Enrollment ID | I20070925000302 |
| Full Name | Nicolaas Michael Jongerius |
| Organization Legal Name | IOWA PHYSICIANS CLINIC MEDICAL FOUNDATION |
| Address |
900 Main St Suite 470 Peoria IL 61602-5021 |
| Phone Number | 3096724908 |
| Gender | M |
| Medical School | UNIVERSITY OF MISSOURI, COLUMBIA SCHOOL OF MEDICINE |
| Graduation Year | 1981 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 8729992318 |
| Number of Group Practice Members | 956 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140209 | METHODIST MEDICAL CENTER OF ILLINOIS |
| 140013 | PROCTOR HOSPITAL |
| 140067 | OSF SAINT FRANCIS MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 900 Main St, Suite 470, Peoria, IL 61602-5021 | 3096724908 | IOWA PHYSICIANS CLINIC MEDICAL FOUNDATION |
| Organization Legal Name | IOWA PHYSICIANS CLINIC MEDICAL FOUNDATION |
| Physicians | 930 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michelle Ann Burgard | Internal Medicine | Iowa Physicians Clinic Medical Foundation | 2515 Sw State St, 100 Internal Med Ankeny At Prairie Trai, Ankeny, IA 50023-7079 |
| Meredith Swenson | Family Medicine | Iowa Physicians Clinic Medical Foundation | 6010 Mills Civic Pkwy, Suite 200, West Des Moines, IA 50266-8345 |
| Aimee R Sarchet | Nurse Practitioner | Iowa Physicians Clinic Medical Foundation | 3591 Griffin Ave, Pekin, IL 61554-6258 |
| Valerie Hannenberg | Clinical Social Worker | Iowa Physicians Clinic Medical Foundation | 1824 W 8th St, Cedar Falls, IA 50613-2056 |
| Maged A Ghoprial | Family Medicine | Iowa Physicians Clinic Medical Foundation | 5401 44th Ave Dr, Suite 101, Moline, IL 61265-8126 |
| Emily A Grarup | Nurse Practitioner | Iowa Physicians Clinic Medical Foundation | 2140 Logan Ave, Suite C, Waterloo, IA 50703-1002 |
| Kyle P Kosman | Nurse Practitioner | Iowa Physicians Clinic Medical Foundation | 801 Colonial Cir, Norwalk, IA 50211-9637 |
| Nicholas C Rains | Physician Assistant | Iowa Physicians Clinic Medical Foundation | 111 Tower St, Denver, IA 50622-2201 |
| Kurtis A Lucas | Family Medicine | Iowa Physicians Clinic Medical Foundation | 1825 Logan Ave, Waterloo, IA 50703-1999 |
| Christina L Aquino | Clinical Social Worker | Iowa Physicians Clinic Medical Foundation | 830 4th Ave Se, 1 Family Medicine Medical District, Cedar Rapids, IA 52403-2445 |
| Street Address |
900 MAIN ST SUITE 470 |
| City | PEORIA |
| State | IL |
| Zip | 61602-5021 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Karen M Kyle | Psychiatry | Associates In Mental Health Sc | 900 Main St, Suite 580, Peoria, IL 61602-1065 |
| Andrew Wang | Psychiatry | Associates In Mental Health Sc | 900 Main St, Suite 580, Peoria, IL 61602-1065 |
| Christopher P Holly | Clinical Social Worker | Associates In Mental Health Sc | 900 Main St, Suite 580, Peoria, IL 61602-1065 |
| Avni Gupta | Anesthesiology | Millennium Pain Center LLC | 900 Main St, 780 Methodist Comprehensive Pain and Spine Center, Peoria, IL 61602-1067 |
| Blair M Brown | Psychologist, Clinical | Psychology Specialists Ltd | 900 Main St, Suite 780, Peoria, IL 61602-1067 |
| Athena M Dacanay | Psychologist, Clinical | Psychology Specialists Ltd | 900 Main St, Suite 780, Peoria, IL 61602-1067 |
| Allan Y Wu | Obstetrics/gynecology | Clinicas De Salud Del Pueblo Inc | 900 Main St, Brawley, CA 92227-2630 |
| Narayana Reddy | Psychiatry | Methodist Medical Center of Illinois | 900 Main St, Suite 400, Peoria, IL 61602-5019 |
| Gerald P Nelezen | Family Medicine | Agnesian Healthcare Inc | 900 Main St, Brownsville, WI 53006-1439 |
| Matthew M Preston | Psychiatry | Associates In Mental Health Sc | 900 Main St, Suite 580, Peoria, IL 61602-1065 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| James N Kenny Jr. | Urology | 900 Main St, 530b, Peoria, IL 61602-1005 | |
| Terry Meriden | Endocrinology | 900 Main St, Suite 300, Peoria, IL 61602-1049 | |
| Frandy S Raso | Clinical Social Worker | Associates In Mental Health Sc | 900 Main St, Suite 580, Peoria, IL 61602-1065 |
| Baljit Singh | Psychiatry | Associates In Mental Health Sc | 900 Main St, Suite 580, Peoria, IL 61602-1065 |
| Edna Y Ng | Clinical Social Worker | Associates In Mental Health Sc | 900 Main St, Suite 580, Peoria, IL 61602-1065 |
| Bradford E Colen | Psychiatry | Associates In Mental Health Sc | 900 Main St, Suite 580, Peoria, IL 61602-1065 |
| Sarah E Cain | Clinical Social Worker | Psychology Specialists Ltd | 900 Main St, Suite 780, Peoria, IL 61602-1067 |
| Brittney M Mcvey | Clinical Social Worker | Psychology Specialists Ltd | 900 Main St, Suite 780, Peoria, IL 61602-1067 |
| Paul D Willett | Clinical Psychologist | Psychology Specialists Ltd | 900 Main St, Suite 780, Peoria, IL 61602-1067 |
| Kimberly A Kolarik | Clinical Social Worker | Psychology Specialists Ltd | 900 Main St, Suite 780, Peoria, IL 61602-1067 |
| Find all physicians in zip 61602 | |||
| City | PEORIA |
| Zip Code | 61602 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | PEORIA + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Nicolaas Michael Jongerius.
| 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.