Forum Purnendu Dave (NPI# 1043695901, PAC ID# 1355638818) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1043695901 |
| PAC ID by PECOS | 1355638818 |
| Professional Enrollment ID | I20160927001307 |
| Full Name | Forum Purnendu Dave |
| Organization Legal Name | SAM SALITURO INC |
| Address |
1070 E Oakton St Des Plaines IL 60018-2033 |
| Phone Number | 8472946722 |
| Gender | F |
| Medical School | ILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO |
| Graduation Year | 2015 |
| Primary Specialty | OPTOMETRY |
| Group Practice PAC ID | 4880752278 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1070 E Oakton St, Des Plaines, IL 60018-2033 | 8472946722 | SAM SALITURO INC |
| Organization Legal Name | SAM SALITURO INC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sam M Salituro Jr. | Optometry | Sam Salituro Inc | 1070 E Oakton St, Des Plaines, IL 60018-2033 |
| Street Address |
1070 E OAKTON ST |
| City | DES PLAINES |
| State | IL |
| Zip | 60018-2033 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sam M Salituro Jr. | Optometry | Sam Salituro Inc | 1070 E Oakton St, Des Plaines, IL 60018-2033 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lauren Anne Macnab | Physical Therapy | Athletico Ltd | 1479 S Lee St, Des Plaines, IL 60018-1516 |
| Frederick Duane Sampang | Physical Therapy | Athletico Ltd | 1479 S Lee St, Des Plaines, IL 60018-1516 |
| Mariola A Gruba | Physical Therapy | Athletico Ltd | 1479 S Lee St, Des Plaines, IL 60018-1516 |
| Artur R Wozniczka | Physical Therapy | Athletico Ltd | 1479 S Lee St, Des Plaines, IL 60018-1516 |
| Tina F Bailey | Occupational Therapy | Athletico Ltd | 1479 S Lee St, Des Plaines, IL 60018-1516 |
| Allison N Welch | Physical Therapy | Athletico Ltd | 1479 S Lee St, Des Plaines, IL 60018-1516 |
| Melissa L Mara | Occupational Therapy | Athletico Ltd | 1479 S Lee St, Des Plaines, IL 60018-1516 |
| Joseph E Rappa | Occupational Therapy | Athletico Ltd | 1479 S Lee St, Des Plaines, IL 60018-1516 |
| Melissa J Winterhalter | Physical Therapy | Athletico Ltd | 1479 S Lee St, Des Plaines, IL 60018-1516 |
| Benjamin V Jose | Physical Therapy | Athletico Ltd | 1479 S Lee St, Des Plaines, IL 60018-1516 |
| Find all physicians in zip 60018 | |||
| City | DES PLAINES |
| Zip Code | 60018 |
| Specialty | OPTOMETRY |
| City + Specialty | DES PLAINES + OPTOMETRY |
Please comment or provide details below to improve the information on Forum Purnendu Dave.
| 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.