Justin Koehl (NPI# 1952814568, PAC ID# 1850655309) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1952814568 |
| PAC ID by PECOS | 1850655309 |
| Professional Enrollment ID | I20180509000262 |
| Full Name | Justin Koehl |
| Organization Legal Name | CORE ORTHOPEDICS AND SPORTS MEDICINE LLC |
| Address |
555 Biesterfield Rd Elk Grove Village IL 60007-3306 |
| Phone Number | 8476901776 |
| Gender | M |
| Medical School | BOSTON UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2017 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 1850482712 |
| Number of Group Practice Members | 9 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140258 | ALEXIAN BROTHERS MEDICAL CENTER 1 |
| 140290 | ST ALEXIUS MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 555 Biesterfield Rd, Elk Grove Village, IL 60007-3306 | 8476901776 | CORE ORTHOPEDICS AND SPORTS MEDICINE LLC |
| 1555 Barrington Rd, Hoffman Estate, IL 60169-1019 | 8478432000 | CORE ORTHOPEDICS AND SPORTS MEDICINE LLC |
| 2380 Lakewood Blvd, Hoffman Estates, IL 60192-2025 | 8476901776 | CORE ORTHOPEDICS AND SPORTS MEDICINE LLC |
| Organization Legal Name | CORE ORTHOPEDICS AND SPORTS MEDICINE LLC |
| Physicians | 9 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Raymond Joseph Metz | Orthopedic Surgery | Core Orthopedics and Sports Medicine LLC | 555 Biesterfield Rd, Elk Grove Village, IL 60007-3306 |
| Thomas M Rosen | Physician Assistant | Core Orthopedics and Sports Medicine LLC | 555 Biesterfield Rd, Elk Grove Village, IL 60007-3306 |
| Jefferson Swisher | Physician Assistant | Core Orthopedics and Sports Medicine LLC | 555 Biesterfield Rd, Elk Grove Village, IL 60007-3306 |
| Jeffrey A. Murray | Orthopedic Surgery | Core Orthopedics and Sports Medicine LLC | 555 Biesterfield Rd, Elk Grove Village, IL 60007-3306 |
| Daniel T Kuesis | Orthopedic Surgery | Core Orthopedics and Sports Medicine LLC | 555 Biesterfield Rd, Elk Grove Village, IL 60007-3306 |
| Sarah Bennett | Nurse Practitioner | Core Orthopedics and Sports Medicine LLC | 555 Biesterfield Rd, Elk Grove Village, IL 60007-3306 |
| Gregory Drake | Orthopedic Surgery | Core Orthopedics and Sports Medicine LLC | 555 Biesterfield Rd, Elk Grove Village, IL 60007-3306 |
| Kelly Krzosek | Nurse Practitioner | Core Orthopedics and Sports Medicine LLC | 555 Biesterfield Rd, Elk Grove Village, IL 60007-3306 |
| Street Address |
555 BIESTERFIELD RD |
| City | ELK GROVE VILLAGE |
| State | IL |
| Zip | 60007-3306 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Raymond Joseph Metz | Orthopedic Surgery | Core Orthopedics and Sports Medicine LLC | 555 Biesterfield Rd, Elk Grove Village, IL 60007-3306 |
| Thomas M Rosen | Physician Assistant | Core Orthopedics and Sports Medicine LLC | 555 Biesterfield Rd, Elk Grove Village, IL 60007-3306 |
| Jefferson Swisher | Physician Assistant | Core Orthopedics and Sports Medicine LLC | 555 Biesterfield Rd, Elk Grove Village, IL 60007-3306 |
| Jeffrey A. Murray | Orthopedic Surgery | Core Orthopedics and Sports Medicine LLC | 555 Biesterfield Rd, Elk Grove Village, IL 60007-3306 |
| Daniel T Kuesis | Orthopedic Surgery | Core Orthopedics and Sports Medicine LLC | 555 Biesterfield Rd, Elk Grove Village, IL 60007-3306 |
| Sarah Bennett | Nurse Practitioner | Core Orthopedics and Sports Medicine LLC | 555 Biesterfield Rd, Elk Grove Village, IL 60007-3306 |
| Gregory Drake | Orthopedic Surgery | Core Orthopedics and Sports Medicine LLC | 555 Biesterfield Rd, Elk Grove Village, IL 60007-3306 |
| Kelly Krzosek | Nurse Practitioner | Core Orthopedics and Sports Medicine LLC | 555 Biesterfield Rd, Elk Grove Village, IL 60007-3306 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Leonor D Banez | Nurse Practitioner | Nani Elk Grove | 910 Bisterfield Rd, Suite 310, Elk Grove Village, IL 60007 |
| Richard Lee | Nephrology | Nani Elk Grove | 910 Bisterfield Rd, Suite 310, Elk Grove Village, IL 60007 |
| Samir T Kumar | Nephrology | Nani Elk Grove | 910 Bisterfield Rd, Suite 310, Elk Grove Village, IL 60007 |
| Anne C Allen | Physician Assistant | Nani Elk Grove | 910 Bisterfield Rd, Suite 310, Elk Grove Village, IL 60007 |
| Renee P Spacapan | Nurse Practitioner | Nani Elk Grove | 910 Bisterfield Rd, Suite 310, Elk Grove Village, IL 60007 |
| Naresh Julka | Nephrology | Nani Elk Grove | 910 Bisterfield Rd, Suite 310, Elk Grove Village, IL 60007 |
| Anand Brahmamdam | Diagnostic Radiology | Bright Light Radiologists Sc | 31 Arlington Heights Rd, Elk Grove Village, IL 60007-1405 |
| Monica Owerczuk | Diagnostic Radiology | Bright Light Radiologists Sc | 31 Arlington Heights Rd, Elk Grove Village, IL 60007-1405 |
| Ramit Mendi | Diagnostic Radiology | Bright Light Radiologists Sc | 31 Arlington Heights Rd, Elk Grove Village, IL 60007-1405 |
| Neal Sawlani | Cardiovascular Disease (cardiology) | Bright Light Radiologists Sc | 31 Arlington Heights Rd, Elk Grove Village, IL 60007-1405 |
| Find all physicians in zip 60007 | |||
| City | ELK GROVE VILLAGE |
| Zip Code | 60007 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | ELK GROVE VILLAGE + PHYSICIAN ASSISTANT |
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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.