Alfredo J Mena Lora (NPI# 1639307283, PAC ID# 2163736208) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INFECTIOUS DISEASE.
| Nation Provider ID (NPI) | 1639307283 |
| PAC ID by PECOS | 2163736208 |
| Professional Enrollment ID | I20150803000469 |
| Full Name | Alfredo J Mena Lora |
| Organization Legal Name | SAINT ANTHONY HEALTH AFFILIATES |
| Address |
2875 W 19th St The Physician Center Chicago IL 60623-3501 |
| Phone Number | 7734844425 |
| Gender | M |
| Graduation Year | 2007 |
| Primary Specialty | INFECTIOUS DISEASE |
| Secondary Specialties | INTERNAL MEDICINE |
| Group Practice PAC ID | 1254321474 |
| Number of Group Practice Members | 8 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140150 | UNIVERSITY OF ILLINOIS HOSPITAL |
| 140095 | SAINT ANTHONY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 2875 W 19th St, The Physician Center, Chicago, IL 60623-3501 | 7734844425 | SAINT ANTHONY HEALTH AFFILIATES |
| 840 S Wood St Mc, 787 Uic Medicine, Chicago, IL 60612-4325 | 3124138687 | THE BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS |
| Organization Legal Name | SAINT ANTHONY HEALTH AFFILIATES |
| Physicians | 21 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Dixita D Patel | Nurse Practitioner | Saint Anthony Health Affiliates | 4455 S Kedzie Ave, Chicago, IL 60632-2814 |
| Richard Doyle | Emergency Medicine | Saint Anthony Health Affiliates | 4177 S Archer Ave, Chicago, IL 60632-1849 |
| Kamran Heydarpour | Gastroenterology | Saint Anthony Health Affiliates | 2875 W 19th St, Chicago, IL 60623-3501 |
| Michelle Korzec | Certified Nurse Midwife (cnm) | Saint Anthony Health Affiliates | 2875 W 19th St, Chicago, IL 60623-3501 |
| Molly K Kirkwood | Certified Nurse Midwife (cnm) | Saint Anthony Health Affiliates | 2875 W 19th St, Chicago, IL 60623-3501 |
| Bessie N Metrou | Family Medicine | Saint Anthony Health Affiliates | 2875 W 19th St, Apex Anesthesia, Chicago, IL 60623-3501 |
| Kim Tran | Nurse Practitioner | Saint Anthony Health Affiliates | 2875 W 19th St, Chicago, IL 60623-3501 |
| Kenneth I Oriordan | Gastroenterology | Saint Anthony Health Affiliates | 2875 W 19th St, The Physician Center, Chicago, IL 60623-3501 |
| Howard N Sankary | General Surgery | Saint Anthony Health Affiliates | 4177 S Archer Ave, Chicago, IL 60632-1849 |
| Pamela J Kohlenberg | Certified Nurse Midwife | Saint Anthony Health Affiliates | 2875 W 19th St, Apex Anesthesia, Chicago, IL 60623-3501 |
| Street Address |
2875 W 19TH ST THE PHYSICIAN CENTER |
| City | CHICAGO |
| State | IL |
| Zip | 60623-3501 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jennifer A Schnell | Nurse Practitioner | Mea Chicago PC | 2875 W 19th St, Chicago, IL 60623-3501 |
| Scott A Zimmerman | Podiatry | Baaltz Mobile Health Services Inc | 2875 W 19th St, Chicago, IL 60623-3501 |
| Ayesha Khatoon | Emergency Medicine | Mea Chicago PC | 2875 W 19th St, Chicago, IL 60623-3501 |
| Kamran Heydarpour | Gastroenterology | Saint Anthony Health Affiliates | 2875 W 19th St, Chicago, IL 60623-3501 |
| Michelle Korzec | Certified Nurse Midwife (cnm) | Saint Anthony Health Affiliates | 2875 W 19th St, Chicago, IL 60623-3501 |
| Mohammed Haris Hashim | Nurse Practitioner | Mea Chicago PC | 2875 W 19th St, Chicago, IL 60623-3501 |
| Aatish Madhiwala | Anesthesiology | Sahag LLC | 2875 W 19th St, Chicago, IL 60623-3501 |
| Monica J Sheth | Anesthesiology | Sahag LLC | 2875 W 19th St, Chicago, IL 60623-3501 |
| Helen S Gue | Internal Medicine | 2875 W 19th St, Chicago, IL 60623-3501 | |
| Molly K Kirkwood | Certified Nurse Midwife (cnm) | Saint Anthony Health Affiliates | 2875 W 19th St, Chicago, IL 60623-3501 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Wesley R Harmston | Family Medicine | Access Community Health Network | 3752 W 16th St, Chicago, IL 60623-2028 |
| Rebecca R Smith | Certified Nurse Midwife | Access Community Health Network | 3752 W 16th St, Chicago, IL 60623-2028 |
| Ivy Lou V Iraula | Certified Nurse Midwife | Access Community Health Network | 3752 W 16th St, Chicago, IL 60623-2028 |
| Donald B Lassus | Family Medicine | Erie Family Health Center Inc | 1504 S Albany Ave, Chicago, IL 60623-2209 |
| Dorothy A Dschida | Family Medicine | Erie Family Health Center Inc | 1504 S Albany Ave, Chicago, IL 60623-2209 |
| Anne B Conquest | Certified Nurse Midwife (cnm) | Erie Family Health Center Inc | 1504 S Albany Ave, Chicago, IL 60623-2209 |
| Christopher M Boisselle | Family Medicine | Erie Family Health Center Inc | 1504 S Albany Ave, Chicago, IL 60623-2209 |
| Santina J Wheat | Family Medicine | Erie Family Health Center Inc | 1504 S Albany Ave, Chicago, IL 60623-2209 |
| Alissa R Carlson | Obstetrics/gynecology | Erie Family Health Center Inc | 1504 S Albany Ave, Chicago, IL 60623-2209 |
| Nancy E Newbury | Certified Nurse Midwife | Erie Family Health Center Inc | 1504 S Albany Ave, Chicago, IL 60623-2209 |
| Find all physicians in zip 60623 | |||
| City | CHICAGO |
| Zip Code | 60623 |
| Specialty | INFECTIOUS DISEASE |
| City + Specialty | CHICAGO + INFECTIOUS DISEASE |
Please comment or provide details below to improve the information on Alfredo J Mena Lora.
| 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.