Brett Vassallo (NPI# 1386654408, PAC ID# 2668455098) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OBSTETRICS/GYNECOLOGY.
| Nation Provider ID (NPI) | 1386654408 |
| PAC ID by PECOS | 2668455098 |
| Professional Enrollment ID | I20040609000144 |
| Full Name | Brett Vassallo |
| Organization Legal Name | ILLINOIS UROGYNECOLOGY LTD |
| Address |
800 W Central Rd Arlington Heights IL 60005-2349 |
| Phone Number | 8478251590 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF CHICAGO, PRITZKER SCHOOL OF MEDICINE |
| Graduation Year | 1995 |
| Primary Specialty | OBSTETRICS/GYNECOLOGY |
| Secondary Specialties | UROLOGY |
| Group Practice PAC ID | 0840180303 |
| Number of Group Practice Members | 6 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140223 | ADVOCATE LUTHERAN GENERAL HOSPITAL |
| 140252 | NORTHWEST COMMUNITY HOSPITAL 1 |
| Address | Phone | Organization |
|---|---|---|
| 800 W Central Rd, Arlington Heights, IL 60005-2349 | 8478251590 | ILLINOIS UROGYNECOLOGY LTD |
| 1875 Dempster St, Suite 665, Park Ridge, IL 60068-1168 | 8478251590 | ILLINOIS UROGYNECOLOGY LTD |
| Organization Legal Name | ILLINOIS UROGYNECOLOGY LTD |
| Physicians | 6 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Katarzyna Bochenska | Obstetrics/gynecology | Illinois Urogynecology Ltd | 1875 Dempster St, Suite 665, Park Ridge, IL 60068-1168 |
| Michael D Moen | Obstetrics/gynecology | Illinois Urogynecology Ltd | 1875 Dempster St, Suite 665, Park Ridge, IL 60068-1168 |
| Roberta E Blandon | Obstetrics/gynecology | Illinois Urogynecology Ltd | 1875 Dempster St, Suite 665, Park Ridge, IL 60068-1168 |
| Michael B Noone | Obstetrics/gynecology | Illinois Urogynecology Ltd | 1875 Dempster St, Suite 665, Park Ridge, IL 60068-1168 |
| Kelly Jirschele | Obstetrics/gynecology | Illinois Urogynecology Ltd | 1875 Dempster St, Suite 665, Park Ridge, IL 60068-1168 |
| Street Address |
800 W CENTRAL RD |
| City | ARLINGTON HEIGHTS |
| State | IL |
| Zip | 60005-2349 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John A Shanley | Critical Care (intensivists) | Critical Care Physicians of Illinois LLC | 800 W Central Rd, Arlington Heights, IL 60005-2349 |
| Kishen S Manglani | Pathology | Arlington Ridge Pathology Sc | 800 W Central Rd, Arlington Heights, IL 60005-2349 |
| Marek Filipiuk | Internal Medicine | Best Practices Inpatient Care,ltd | 800 W Central Rd, Arlington Heights, IL 60005-2349 |
| Stephen Zivin | Diagnostic Radiology | Northwest Radiology Associates Sc | 800 W Central Rd, Arlington Heights, IL 60005-2349 |
| Vishal S Oza | Anesthesiology | Midwest Anesthesia Partners LLC | 800 W Central Rd, Arlington Heights, IL 60005-2349 |
| Kelly Tan | Internal Medicine | Best Practices Inpatient Care,ltd | 800 W Central Rd, Arlington Heights, IL 60005-2349 |
| Thomas R Oryszczak | Internal Medicine | Northwest Community Health Services Inc | 800 W Central Rd, Arlington Heights, IL 60005-2349 |
| Helen Okorie | Nurse Practitioner | Best Practices Inpatient Care,ltd | 800 W Central Rd, Arlington Heights, IL 60005-2349 |
| Carl L Kalbhen | Diagnostic Radiology | Northwest Radiology Associates Sc | 800 W Central Rd, Arlington Heights, IL 60005-2349 |
| David F Dubois | Diagnostic Radiology | Northwest Radiology Associates Sc | 800 W Central Rd, Arlington Heights, IL 60005-2349 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mary L Kreiter | Endocrinology | Pediatric Faculty Foundation Inc | 880 W Central Ave, Arlington Heights, IL 60005 |
| Sergey Mark Kachar | Orthopedic Surgery | Northwest Orthopedic Surgery, S.c. | 3030 Salt Creek Lane, Suite 100, Arlington Heights, IL 60005 |
| Jacqueline B Corboy | Emergency Medicine | Pediatric Faculty Foundation Inc | 880 W Central Ave, Arlington Heights, IL 60005 |
| Darcy L Marr | Orthopedic Surgery | Northwest Orthopedic Surgery, S.c. | 3030 Salt Creek Lane, Suite 100, Arlington Heights, IL 60005 |
| Thomas C Tingle | Orthopedic Surgery | Northwest Orthopedic Surgery, S.c. | 3030 Salt Creek Lane, Suite 100, Arlington Heights, IL 60005 |
| Lucas Anthony Scheitz | Physician Assistant | Northwest Orthopedic Surgery, S.c. | 3030 Salt Creek Lane, Suite 100, Arlington Heights, IL 60005 |
| Gerard R Marty | Orthopedic Surgery | Northwest Orthopedic Surgery, S.c. | 3030 Salt Creek Lane, Suite 100, Arlington Heights, IL 60005 |
| Richard S Tuttle | Orthopedic Surgery | Northwest Orthopedic Surgery, S.c. | 3030 Salt Creek Lane, Suite 100, Arlington Heights, IL 60005 |
| Anat Cohen | Pediatric Medicine | Pediatric Faculty Foundation Inc | 880 W Central Ave, Arlington Heights, IL 60005 |
| Richard A Mannion | Orthopedic Surgery | Northwest Orthopedic Surgery, S.c. | 3030 Salt Creek Lane, Suite 100, Arlington Heights, IL 60005 |
| Find all physicians in zip 60005 | |||
| City | ARLINGTON HEIGHTS |
| Zip Code | 60005 |
| Specialty | OBSTETRICS/GYNECOLOGY |
| City + Specialty | ARLINGTON HEIGHTS + OBSTETRICS/GYNECOLOGY |
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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.