Edward James Jurkovic (NPI# 1558360842, PAC ID# 1456341627) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GASTROENTEROLOGY.
| Nation Provider ID (NPI) | 1558360842 |
| PAC ID by PECOS | 1456341627 |
| Professional Enrollment ID | I20040727000194 |
| Full Name | Edward James Jurkovic |
| Organization Legal Name | DIGESTIVE DISEASES CONSULTANTS OF KANKAKEE SC |
| Address |
350 N Wall St Kankakee IL 60901-2901 |
| Phone Number | 8159331671 |
| Gender | M |
| Credential | DO |
| Medical School | CHICAGO COLLEGE OF OSTEOPATHIC MEDICINE |
| Graduation Year | 1990 |
| Primary Specialty | GASTROENTEROLOGY |
| Group Practice PAC ID | 3476543646 |
| Number of Group Practice Members | 14 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100012 | LEE MEMORIAL HOSPITAL |
| 140186 | RIVERSIDE MEDICAL CENTER |
| 140213 | SILVER CROSS HOSPITAL AND MEDICAL CENTERS |
| 140155 | PRESENCE ST MARYS HOSPITAL |
| 140242 | CENTRAL DUPAGE HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1615 N Convent, Suite 1, Bourbonnais, IL 60914-1081 | 8159375200 | DIGESTIVE DISEASES CONSULTANTS OF KANKAKEE SC |
| 1615 N Convent St, Suite 1, Bourbonnais, IL 60914-1081 | 8159375200 | DIGESTIVE DISEASES CONSULTANTS OF KANKAKEE SC |
| 16410 Healthpark Commons Dr, Fort Myers, FL 33908-9621 | 2393436202 | LEE MEMORIAL HEALTH SYSTEM |
| 350 N Wall St, Kankakee, IL 60901-2901 | 8159331671 | DIGESTIVE DISEASES CONSULTANTS OF KANKAKEE SC |
| Organization Legal Name | DIGESTIVE DISEASES CONSULTANTS OF KANKAKEE SC |
| Physicians | 14 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Krupa Mahesh Shah | Gastroenterology | Digestive Diseases Consultants of Kankakee Sc | 1890 Sivercross Blvd, Suite 215, New Lenox, IL 60451 |
| Katrina Schabacker | Nurse Practitioner | Digestive Diseases Consultants of Kankakee Sc | 1615 N Convent, Suite 1, Bourbonnais, IL 60914-1081 |
| Melissa A Rivette | Nurse Practitioner | Digestive Diseases Consultants of Kankakee Sc | 1890 Sivercross Blvd, Suite 215, New Lenox, IL 60451 |
| Matthew Kaplan | Gastroenterology | Digestive Diseases Consultants of Kankakee Sc | 1900 Silver Cross Blvd, New Lenox, IL 60451-9509 |
| Brian Charles Sasso | Internal Medicine | Digestive Diseases Consultants of Kankakee Sc | 1900 Silver Cross Blvd, New Lenox, IL 60451-9509 |
| Nikhil Bhargava | Gastroenterology | Digestive Diseases Consultants of Kankakee Sc | 1615 N Convent, Suite 1, Bourbonnais, IL 60914-1081 |
| Jamie Slade | Pathology | Digestive Diseases Consultants of Kankakee Sc | 1615 N Convent, Suite 1, Bourbonnais, IL 60914-1081 |
| David B Sutherland | Gastroenterology | Digestive Diseases Consultants of Kankakee Sc | 1615 N Convent, Suite 1, Bourbonnais, IL 60914-1081 |
| Daniel Errampalli | Gastroenterology | Digestive Diseases Consultants of Kankakee Sc | 1615 N Convent, Suite 1, Bourbonnais, IL 60914-1081 |
| Thomas L Oconnor | Gastroenterology | Digestive Diseases Consultants of Kankakee Sc | 1615 N Convent, Suite 1, Bourbonnais, IL 60914-1081 |
| Street Address |
350 N WALL ST |
| City | KANKAKEE |
| State | IL |
| Zip | 60901-2901 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lawrence C Wang | Diagnostic Radiology | Central Illinois Radiological Associates Ltd | 350 N Wall St, Kankakee, IL 60901-2901 |
| Howard I Roth | Diagnostic Radiology | Central Illinois Radiological Associates Ltd | 350 N Wall St, Kankakee, IL 60901-2901 |
| Silas L Harrington | Anesthesiology | North American Partners In Anesthesia Illinois LLC | 350 N Wall St, Kankakee, IL 60901-2901 |
| Racheal M Patel | Certified Registered Nurse Anesthetist (crna) | North American Partners In Anesthesia Illinois LLC | 350 N Wall St, Kankakee, IL 60901-2901 |
| Steven J Ullenius | Diagnostic Radiology | Central Illinois Radiological Associates Ltd | 350 N Wall St, Kankakee, IL 60901-2901 |
| Yun P Kipnis | Anesthesiology | North American Partners In Anesthesia Illinois LLC | 350 N Wall St, Kankakee, IL 60901-2901 |
| Karen J Cohs Murray | Certified Registered Nurse Anesthetist (crna) | North American Partners In Anesthesia Illinois LLC | 350 N Wall St, Kankakee, IL 60901-2901 |
| Barbara Y Verhaar | Certified Registered Nurse Anesthetist (crna) | North American Partners In Anesthesia Illinois LLC | 350 N Wall St, Kankakee, IL 60901-2901 |
| Steven G Schaeffer | Certified Registered Nurse Anesthetist (crna) | North American Partners In Anesthesia Illinois LLC | 350 N Wall St, Kankakee, IL 60901-2901 |
| Julie L Van Asten | Certified Registered Nurse Anesthetist (crna) | North American Partners In Anesthesia Illinois LLC | 350 N Wall St, Kankakee, IL 60901-2901 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Van H Do | Physical Medicine and Rehabilitation | Medical Services Ric | 836 W Wellington Ave, Chicago, IL 60901 |
| Jana M Wahlen | Qualified Audiologist | Riverside Health System | 43 Meadowview Ctr D, Kankakee, IL 60901-2041 |
| Robert A Raley | Podiatry | 70 Meadowview Ctr, Suite 401, Kankakee, IL 60901-2061 | |
| Harris Waheed | Family Medicine | 70 Meadowview Ctr, Suite 200, Kankakee, IL 60901-2063 | |
| Tammie O Henderson | Nurse Practitioner | Riverside Health System | 1701 E Court St, Kankakee, IL 60901-2670 |
| Kaitlain Cavender | Nurse Practitioner | Riverside Health System | 1701 E Court St, Kankakee, IL 60901-2670 |
| Olatunji R Akintilo | Family Medicine | Riverside Health System | 1701 E Court St, Kankakee, IL 60901-2670 |
| Keyoma Jamerson | Nurse Practitioner | Riverside Health System | 1701 E Court St, Kankakee, IL 60901-2670 |
| Samuel G Deguzman | Internal Medicine | 450 N Kennedy Dr, Kankakee, IL 60901-2900 | |
| Brian Patrick Olofsson | Family Medicine | 350 N Wall, Kankakee, IL 60901-2901 | |
| Find all physicians in zip 60901 | |||
| City | KANKAKEE |
| Zip Code | 60901 |
| Specialty | GASTROENTEROLOGY |
| City + Specialty | KANKAKEE + GASTROENTEROLOGY |
Please comment or provide details below to improve the information on Edward James Jurkovic.
| 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.