Danielle M Roach (NPI# 1548646243, PAC ID# 1658689567) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1548646243 |
| PAC ID by PECOS | 1658689567 |
| Professional Enrollment ID | I20150925001657 |
| Full Name | Danielle M Roach |
| Organization Legal Name | VASCULAR SPECIALISTS LLC |
| Address |
20060 Governors Dr Suite 102 Olympia Fields IL 60461-1099 |
| Phone Number | 8158244406 |
| Gender | F |
| Graduation Year | 2015 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 1153551494 |
| Number of Group Practice Members | 6 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140213 | SILVER CROSS HOSPITAL AND MEDICAL CENTERS |
| 140062 | PALOS COMMUNITY HOSPITAL |
| 140250 | ADVOCATE SOUTH SUBURBAN HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 20060 Governors Dr, Suite 102, Olympia Fields, IL 60461-1099 | 8158244406 | VASCULAR SPECIALISTS LLC |
| Organization Legal Name | VASCULAR SPECIALISTS LLC |
| Physicians | 8 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Eugene Michael Tanquilut | Vascular Surgery | Vascular Specialists LLC | 20060 Governors Dr, Suite 102, Olympia Fields, IL 60461-1099 |
| Kristen L Forsythe | Nurse Practitioner | Vascular Specialists LLC | 20060 Governors Dr, Suite 102, Olympia Fields, IL 60461-1099 |
| Saadi Mohy Aldeen Alhalbouni | Vascular Surgery | Vascular Specialists LLC | 20060 Governors Dr, Suite 102, Olympia Fields, IL 60461-1099 |
| Sanjeev K Pradhan | Vascular Surgery | Vascular Specialists LLC | 20060 Governors Dr, Suite 102, Olympia Fields, IL 60461-1099 |
| Alejandro Del Real | Nurse Practitioner | Vascular Specialists LLC | 20060 Governors Dr, Suite 102, Olympia Fields, IL 60461-1099 |
| Lisamarie F Ruffolo | Nurse Practitioner | Vascular Specialists LLC | 20060 Governors Dr, Suite 102, Olympia Fields, IL 60461-1099 |
| Courtney A Miller | Nurse Practitioner | Vascular Specialists LLC | 20060 Governors Dr, Suite 102, Olympia Fields, IL 60461-1099 |
| Street Address |
20060 GOVERNORS DR SUITE 102 |
| City | OLYMPIA FIELDS |
| State | IL |
| Zip | 60461-1099 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Eugene Michael Tanquilut | Vascular Surgery | Vascular Specialists LLC | 20060 Governors Dr, Suite 102, Olympia Fields, IL 60461-1099 |
| Savio G Manatt | Internal Medicine | Savio Manatt, Sc | 20060 Governors Dr, Suite 204, Olympia Fields, IL 60461-1099 |
| Kristen L Forsythe | Nurse Practitioner | Vascular Specialists LLC | 20060 Governors Dr, Suite 102, Olympia Fields, IL 60461-1099 |
| Veena Nayak | Rheumatology | Veena Nayak Md Sc | 20060 Governors Dr, Suite 300, Olympia Fields, IL 60461-1099 |
| Saba M Ziaee | Rheumatology | Veena Nayak Md Sc | 20060 Governors Dr, Suite 300, Olympia Fields, IL 60461-1099 |
| Saadi Mohy Aldeen Alhalbouni | Vascular Surgery | Vascular Specialists LLC | 20060 Governors Dr, Suite 102, Olympia Fields, IL 60461-1099 |
| Sanjeev K Pradhan | Vascular Surgery | Vascular Specialists LLC | 20060 Governors Dr, Suite 102, Olympia Fields, IL 60461-1099 |
| Alejandro Del Real | Nurse Practitioner | Vascular Specialists LLC | 20060 Governors Dr, Suite 102, Olympia Fields, IL 60461-1099 |
| William S Tan | Family Medicine | Savio Manatt, Sc | 20060 Governors Dr, Suite 204, Olympia Fields, IL 60461-1099 |
| Ram P Aribindi | Orthopedic Surgery | Southland Orthopaedics Ltd | 20060 Governors Dr, Suite 300, Olympia Fields, IL 60461-1099 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Shinu P Varghese | Optometry | Bolingbrook Eye Specialists Ltd | 7516 S Cass Ave Brookhaven Plz, Suite 12, Darien, IL 60461 |
| Robert R Richardson | Optometry | Bolingbrook Eye Specialists Ltd | 7516 S Cass Ave Brookhaven Plz, Suite 12, Darien, IL 60461 |
| Gordon A Schulz | Psychologist, Clinical | Franciscan Physician Network | 20121 Crawford Ave, Olympia Fields, IL 60461-1009 |
| Kyle J Kleist | Hospitalist | Franciscan Physician Network | 20201 Crawford Ave, Olympia Fields, IL 60461-1010 |
| Jared Mahylis | Orthopedic Surgery | Specialty Physicians of Illinois LLC | 20201 S Crawford Ave, Suite 1400, Olympia Fields, IL 60461-1010 |
| Veera A Rao | Hospitalist | Franciscan Physician Network | 20201 Crawford Ave, Olympia Fields, IL 60461-1010 |
| Anil Kumar Lamba | General Surgery | Specialty Physicians of Illinois LLC | 20201 Crawford Ave, Suite 1276, Olympia Fields, IL 60461-1010 |
| Charles E Geringer | Rheumatology | Specialty Physicians of Illinois LLC | 20201 Crawford Ave, Suite 1276, Olympia Fields, IL 60461-1010 |
| James Siegert | Internal Medicine | Specialty Physicians of Illinois LLC | 20201 Crawford Ave, Suite 1276, Olympia Fields, IL 60461-1010 |
| Ritchie L Ambroise | Hospitalist | Franciscan Physician Network | 20201 Crawford Ave, Olympia Fields, IL 60461-1010 |
| Find all physicians in zip 60461 | |||
| City | OLYMPIA FIELDS |
| Zip Code | 60461 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | OLYMPIA FIELDS + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Danielle M Roach.
| 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.