Juanita Mora (NPI# 1750557179, PAC ID# 1850562794) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ALLERGY/IMMUNOLOGY.
| Nation Provider ID (NPI) | 1750557179 |
| PAC ID by PECOS | 1850562794 |
| Professional Enrollment ID | I20110926000244 |
| Full Name | Juanita Mora |
| Organization Legal Name | GRAND VEIN SPECIALISTS LLC |
| Address |
1508 Grand Ave Waukegan IL 60085-3653 |
| Phone Number | 8476724695 |
| Gender | F |
| Medical School | UNIVERSITY COLLEGE OF MEDICINE |
| Graduation Year | 2003 |
| Primary Specialty | ALLERGY/IMMUNOLOGY |
| Group Practice PAC ID | 9739343203 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1508 Grand Ave, Waukegan, IL 60085-3653 | 8476724695 | GRAND VEIN SPECIALISTS LLC |
| Organization Legal Name | GRAND VEIN SPECIALISTS LLC |
| Physicians | 1 |
| Street Address |
1508 GRAND AVE |
| City | WAUKEGAN |
| State | IL |
| Zip | 60085-3653 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Fernando Striedinger | Internal Medicine | 1508 Grand Ave, Waukegan, IL 60085-3604 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Thomas M Winslow | Chiropractic | 1390 N Green Bay Rd, Waukegan, IL 60085-1104 | |
| Adeel Kamal | Physician Assistant | App of Illinois Hm Pllc | 1324 N Sheridan Rd, Waukegan, IL 60085-2161 |
| Josia N Henry | Internal Medicine | App of Illinois Hm Pllc | 1324 N Sheridan Rd, Waukegan, IL 60085-2161 |
| Haili Campanella | Nurse Practitioner | App of Illinois Hm Pllc | 1324 N Sheridan Rd, Waukegan, IL 60085-2161 |
| Jeffrey B Helwig | Emergency Medicine | App of Illinois Ed Pllc | 1324 N Sheridan Rd, Waukegan, IL 60085-2161 |
| James Song | Diagnostic Radiology | Vista Imaging Associates Sc | 1324 N Sheridan Rd, Waukegan, IL 60085-2161 |
| David N Zull | Emergency Medicine | App of Illinois Ed Pllc | 1324 N Sheridan Rd, Waukegan, IL 60085-2161 |
| Wei Wei | Physician Assistant | App of Illinois Hm Pllc | 1324 N Sheridan Rd, Waukegan, IL 60085-2161 |
| Marina A Sodagar | Physician Assistant | App of Illinois Hm Pllc | 1324 N Sheridan Rd, Waukegan, IL 60085-2161 |
| Sara Ferrera | Emergency Medicine | App of Illinois Ed Pllc | 1324 N Sheridan Rd, Waukegan, IL 60085-2161 |
| Find all physicians in zip 60085 | |||
| City | WAUKEGAN |
| Zip Code | 60085 |
| Specialty | ALLERGY/IMMUNOLOGY |
| City + Specialty | WAUKEGAN + ALLERGY/IMMUNOLOGY |
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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.