Tessa Qualkinbush (NPI# 1841645843, PAC ID# 2365776093) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1841645843 |
| PAC ID by PECOS | 2365776093 |
| Professional Enrollment ID | I20190628000997 |
| Full Name | Tessa Qualkinbush |
| Organization Legal Name | MOUNT SINAI COMMUNITY FOUNDATION |
| Address |
1611 S Cicero Ave Cicero IL 60804-1520 |
| Phone Number | 7084774840 |
| Gender | F |
| Medical School | INDIANA UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2016 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 5991600405 |
| Number of Group Practice Members | 213 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140018 | MT SINAI HOSPITAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1611 S Cicero Ave, Cicero, IL 60804-1520 | 7084774840 | MOUNT SINAI COMMUNITY FOUNDATION |
| Organization Legal Name | MOUNT SINAI COMMUNITY FOUNDATION |
| Physicians | 195 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sarah Argentine | Nurse Practitioner | Mount Sinai Community Foundation | 6084 S Archer Ave, Chicago, IL 60638-2747 |
| Mark Hagerty | Nurse Practitioner | Mount Sinai Community Foundation | 2901 W Touhy Ave, Chicago, IL 60645-2937 |
| Amanda L Dick | Clinical Social Worker | Mount Sinai Community Foundation | 2653 W Ogden Ave, ', Chicago, IL 60608-1647 |
| Dennys Omar Vera Daner | Family Medicine | Mount Sinai Community Foundation | 3109 W Armitage Ave, Chicago, IL 60647-3818 |
| Sharad Koirala | Psychiatry | Mount Sinai Community Foundation | California Ave At 15th St, ', Chicago, IL 60608-1858 |
| Elizabeth J Kelly | Nurse Practitioner | Mount Sinai Community Foundation | 1611 S Cicero Ave, Cicero, IL 60804-1520 |
| Karen M Williams | Nurse Practitioner | Mount Sinai Community Foundation | 5050 S State St, Chicago, IL 60609-5302 |
| Amar P Shah | Diagnostic Radiology | Mount Sinai Community Foundation | 2720 W 15th St Fl, 2 ', Chicago, IL 60608-1610 |
| Nancy A Sibigtroth | Radiation Oncology | Mount Sinai Community Foundation | 1401 S California Ave, Chicago, IL 60608-1858 |
| Ezekiel Sakyiama | Internal Medicine | Mount Sinai Community Foundation | 3857 W Washington Blvd, Chicago, IL 60624-2342 |
| Street Address |
1611 S CICERO AVE |
| City | CICERO |
| State | IL |
| Zip | 60804-1520 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Elizabeth J Kelly | Nurse Practitioner | Mount Sinai Community Foundation | 1611 S Cicero Ave, Cicero, IL 60804-1520 |
| Sherrone D Simon | Obstetrics/gynecology | Mount Sinai Community Foundation | 1611 S Cicero Ave, Cicero, IL 60804-1520 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Patricia Broderick | Clinical Social Worker | Catholic Charities of The Archdiocese of Chicago | 1400 S Austin Blvd, Cicero, IL 60804-1003 |
| Juanita Uribe | Clinical Social Worker | Catholic Charities of The Archdiocese of Chicago | 1400 S Austin Blvd, Cicero, IL 60804-1003 |
| Adriana Carmona | Clinical Social Worker | Catholic Charities of The Archdiocese of Chicago | 1400 S Austin Blvd, Cicero, IL 60804-1003 |
| Maeve A Raphelson | Clinical Social Worker | Catholic Charities of The Archdiocese of Chicago | 1400 S Austin Blvd, Cicero, IL 60804-1003 |
| Linda J Volino | Clinical Social Worker | Catholic Charities of The Archdiocese of Chicago | 1400 S Austin Blvd, Cicero, IL 60804-1003 |
| Kevin George Hendrix | Physical Therapy | Accelerated Rehabilitation Centers Ltd | 1621 S Cicero Ave, Cicero, IL 60804-1520 |
| Siu Yeung | Physical Therapy | Accelerated Rehabilitation Centers Ltd | 1621 S Cicero Ave, Cicero, IL 60804-1520 |
| Richard E Pugh | Physical Therapy | Accelerated Rehabilitation Centers Ltd | 1621 S Cicero Ave, Cicero, IL 60804-1520 |
| Justin J. Payette | Physical Therapy | Accelerated Rehabilitation Centers Ltd | 1621 S Cicero Ave, Cicero, IL 60804-1520 |
| Laura M Lebeau | Podiatry | 2124 S Austin Blvd, Cicero, IL 60804-2012 | |
| Find all physicians in zip 60804 | |||
| City | CICERO |
| Zip Code | 60804 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | CICERO + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Tessa Qualkinbush.
| 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.