David U Ilo (NPI# 1104094689, PAC ID# 1759458797) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1104094689 |
| PAC ID by PECOS | 1759458797 |
| Professional Enrollment ID | I20080917000500 |
| Full Name | David U Ilo |
| Address |
327 E Wayne St Suite 150 Ft Wayne IN 46802-2720 |
| Gender | M |
| Graduation Year | 2000 |
| Primary Specialty | INTERNAL MEDICINE |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 150017 | LUTHERAN HOSPITAL OF INDIANA |
| 150047 | ST JOSEPH HOSPITAL |
| 151313 | WOODLAWN HOSPITAL |
| 150021 | PARKVIEW REGIONAL MEDICAL CENTER |
| 151318 | DUKES MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 327 E Wayne St, Suite 150, Ft Wayne, IN 46802-2720 |
| Street Address |
327 E WAYNE ST SUITE 150 |
| City | FT WAYNE |
| State | IN |
| Zip | 46802-2720 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nikkiya Fraser | Infectious Disease | Lutheran Medical Group LLC | 700 Broadway, Fort Wayne, IN 46802-1402 |
| Tara J Little | Nurse Practitioner | Associated Surgeons and Physicians LLC | 700 Broadway, Fl 2, Fort Wayne, IN 46802-1402 |
| Debra K Brandenberger | Nurse Practitioner | Associated Surgeons and Physicians LLC | 700 Broadway, Fl 2, Fort Wayne, IN 46802-1402 |
| Melissa K Gephart | Nurse Practitioner | Lutheran Medical Group LLC | 700 Broadway, Fort Wayne, IN 46802-1402 |
| April Renee Morrison | Infectious Disease | Lutheran Medical Group LLC | 700 Broadway, Fort Wayne, IN 46802-1402 |
| Dedrick K. Bowe | Pulmonary Disease | Lutheran Medical Group LLC | 700 Broadway, Fort Wayne, IN 46802-1402 |
| Maryann Meo | General Surgery | Lutheran Medical Group LLC | 700 Broadway, Fort Wayne, IN 46802-1402 |
| Carrie B Price | Nurse Practitioner | Associated Surgeons and Physicians LLC | 700 Broadway, Fl 2, Fort Wayne, IN 46802-1402 |
| William A Wood | Plastic and Reconstructive Surgery | Lutheran Medical Group LLC | 700 Broadway, Fort Wayne, IN 46802-1402 |
| Glenn Alan Glogas | Undersea and Hyperbaric Medicine | Associated Surgeons and Physicians LLC | 700 Broadway, Fl 2, Fort Wayne, IN 46802-1402 |
| Find all physicians in zip 46802 | |||
| City | FT WAYNE |
| Zip Code | 46802 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | FT WAYNE + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on David U Ilo.
| 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.