Angela Gathings (NPI# 1598242802, PAC ID# 1052659844) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1598242802 |
| PAC ID by PECOS | 1052659844 |
| Professional Enrollment ID | I20190221001188 |
| Full Name | Angela Gathings |
| Organization Legal Name | PILSEN MEDICAL CLINIC AND ASSOCIATES LLC |
| Address |
4415 Harrison St Suite 247 Hillside IL 60162-1919 |
| Phone Number | 3127383355 |
| Gender | F |
| Graduation Year | 2017 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 5294972501 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 4415 Harrison St, Suite 247, Hillside, IL 60162-1919 | 3127383355 | PILSEN MEDICAL CLINIC AND ASSOCIATES LLC |
| Organization Legal Name | PILSEN MEDICAL CLINIC AND ASSOCIATES LLC |
| Physicians | 7 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Alexandra Mendez | Nurse Practitioner | Pilsen Medical Clinic and Associates LLC | 4415 Harrison St, Suite 247, Hillside, IL 60162-1919 |
| Kaamilya T James | Physician Assistant | Pilsen Medical Clinic and Associates LLC | 1870 S Blue Island Ave 2nd Floor, Chicago, IL 60608-3013 |
| Paige A Kelly | Nurse Practitioner | Pilsen Medical Clinic and Associates LLC | 4415 Harrison St, Suite 247, Hillside, IL 60162-1919 |
| Dayna A Gaskins | Nurse Practitioner | Pilsen Medical Clinic and Associates LLC | 4415 Harrison St, Hillside, IL 60162-1910 |
| Alicia A Johnson | Physician Assistant | Pilsen Medical Clinic and Associates LLC | 1870 S Blue Island Ave 2nd Floor, Chicago, IL 60608-3013 |
| Mildred M Porter | Nurse Practitioner | Pilsen Medical Clinic and Associates LLC | 1870 S Blue Island Ave 2nd Floor, Chicago, IL 60608-3013 |
| Street Address |
4415 HARRISON ST SUITE 247 |
| City | HILLSIDE |
| State | IL |
| Zip | 60162-1919 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Alexandra Mendez | Nurse Practitioner | Pilsen Medical Clinic and Associates LLC | 4415 Harrison St, Suite 247, Hillside, IL 60162-1919 |
| Paige A Kelly | Nurse Practitioner | Pilsen Medical Clinic and Associates LLC | 4415 Harrison St, Suite 247, Hillside, IL 60162-1919 |
| Dayna A Gaskins | Nurse Practitioner | Pilsen Medical Clinic and Associates LLC | 4415 Harrison St, Hillside, IL 60162-1910 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Minal Patel | Physician Assistant | Integrative Rehabmedicine Sc | 4600 Frontage Rd, Hillside, IL 60162-1761 |
| Diane Baboulas | Nurse Practitioner | Midwest Post Acute Care LLC | 4600 Frontage Rd, Hillside, IL 60162-1761 |
| Robert H Priebe | Chiropractic | Integrative Rehabmedicine Sc | 4600 Frontage Rd, Hillside, IL 60162-1761 |
| Raymond J Mcdonald | Geriatric Medicine | 323 Oak Ridge Ave, Hillside, IL 60162-2019 | |
| Dana Lynn Celar | Chiropractic | Celar Chiropractic Ltd | 4413 W Roosevelt Rd, Suite 100, Hillside, IL 60162-2057 |
| Michael J Kochanski | Chiropractic | Celar Chiropractic Ltd | 4413 W Roosevelt Rd, Suite 100, Hillside, IL 60162-2057 |
| City | HILLSIDE |
| Zip Code | 60162 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | HILLSIDE + 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.