Kimberly Kristine Lopez (NPI# 1154876498, PAC ID# 2668769928) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1154876498 |
| PAC ID by PECOS | 2668769928 |
| Professional Enrollment ID | I20160929002498 |
| Full Name | Kimberly Kristine Lopez |
| Organization Legal Name | MILLENNIUM PAIN CENTER LLC |
| Address |
7435 W Talcott Ave Chicago IL 60631-3707 |
| Phone Number | 7737748000 |
| Gender | F |
| Graduation Year | 2016 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 4486543691 |
| Number of Group Practice Members | 13 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140120 | PEKIN MEMORIAL HOSPITAL |
| 141309 | ADVOCATE EUREKA HOSPITAL |
| 140209 | METHODIST MEDICAL CENTER OF ILLINOIS |
| Address | Phone | Organization |
|---|---|---|
| 1015 S Mercer Ave, Bloomington, IL 61701-7107 | 3096624321 | MILLENNIUM PAIN CENTER LLC |
| 2406 E Empire St, Bloomington, IL 61704-3630 | 3096624321 | MILLENNIUM PAIN CENTER LLC |
| 7435 W Talcott Ave, Chicago, IL 60631-3707 | 7737748000 | MILLENNIUM PAIN CENTER LLC |
| 101 S Major St, Eureka, IL 61530-1246 | 3096624321 | MILLENNIUM PAIN CENTER LLC |
| 600 S 13th St, Suite K, Pekin, IL 61554-4936 | 3093471151 | MILLENNIUM PAIN CENTER LLC |
| 900 Main St, 780 Methodist Comprehensive Pain and Spine Center, Peoria, IL 61602-1067 | 3096725950 | MILLENNIUM PAIN CENTER LLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PHCDRR_1 | Immunization Registry Reporting | % | |
| ACI_EC_TRANS_PHCDRR_2 | Syndromic Surveillance Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % |
| Organization Legal Name | MILLENNIUM PAIN CENTER LLC |
| Physicians | 14 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Angela S Birdsell | Nurse Practitioner | Millennium Pain Center LLC | 1015 S Mercer Ave, Bloomington, IL 61701-7107 |
| Francesco Vetri | Anesthesiology | Millennium Pain Center LLC | 301 W Hay, Decatur, IL 62526-4162 |
| Avni Gupta | Anesthesiology | Millennium Pain Center LLC | 900 Main St, 780 Methodist Comprehensive Pain and Spine Center, Peoria, IL 61602-1067 |
| Ramsin M Benyamin | Interventional Pain Management | Millennium Pain Center LLC | 7435 W Talcott Ave, Chicago, IL 60631-3707 |
| Atiq Rehman | Interventional Pain Management | Millennium Pain Center LLC | 7435 W Talcott Ave, Chicago, IL 60631-3707 |
| Ricardo Vallejo | Pain Management | Millennium Pain Center LLC | 101 S Major St, Eureka, IL 61530-1246 |
| Leonard Jenkins | Certified Registered Nurse Anesthetist (crna) | Millennium Pain Center LLC | 1015 S Mercer Ave, Bloomington, IL 61701-7107 |
| Meliha Malagic | Nurse Practitioner | Millennium Pain Center LLC | 7435 W Talcott Ave, Chicago, IL 60631-3707 |
| Tracy Lynn Schierer | Nurse Practitioner | Millennium Pain Center LLC | 1015 S Mercer Ave, Bloomington, IL 61701-7107 |
| Eric Jeffries | Nurse Practitioner | Millennium Pain Center LLC | 1880 W Winchester Rd, Suite 101, Libertyville, IL 60048-5321 |
| Street Address |
7435 W TALCOTT AVE |
| City | CHICAGO |
| State | IL |
| Zip | 60631-3707 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert P Rifenburg | Emergency Medicine | Cepamerica Illinois LLP | 7435 W Talcott Ave, Chicago, IL 60631-3707 |
| Kristin E Peterson | Emergency Medicine | Cepamerica Illinois LLP | 7435 W Talcott Ave, Chicago, IL 60631-3707 |
| Tina Maria Vinson | Internal Medicine | Presence Healthcare Services | 7435 W Talcott Ave, Chicago, IL 60631-3707 |
| Osaretin L Oronsaye | Obstetrics/gynecology | Presence Healthcare Services | 7435 W Talcott Ave, Chicago, IL 60631-3707 |
| Jeffrey Park | Internal Medicine | Presence Healthcare Services | 7435 W Talcott Ave, Chicago, IL 60631-3707 |
| Kristina Potanos | General Surgery | Presence Healthcare Services | 7435 W Talcott Ave, Chicago, IL 60631-3707 |
| Netali Ginsberg | Emergency Medicine | Cepamerica Illinois LLP | 7435 W Talcott Ave, Chicago, IL 60631-3707 |
| Kelly Niemaszyk | Physician Assistant | Northwestern Neurosurgical Associates., S.c. | 7435 W Talcott Ave, Chicago, IL 60631-3707 |
| David J Bordo | Emergency Medicine | Cepamerica Illinois LLP | 7435 W Talcott Ave, Chicago, IL 60631-3707 |
| Diane M Csajaghy | Nurse Practitioner | Presence Healthcare Services | 7435 W Talcott Ave, Chicago, IL 60631-3707 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Henry Val Spunar | Podiatry | 6780 Northwest Hwy, Dr Henry Spunar, Chicago, IL 60631-1201 | |
| Ivelina Frantchechkova | Chiropractic | 6774n Northwest Hwy A, Chicago, IL 60631-1275 | |
| Terese M Black | Chiropractic | Wellbeing Chiropractic Sc | 6774n Northwest Hwy A, Chicago, IL 60631-1275 |
| Janice M Merten | Clinical Social Worker | 6650 N Northwest Hwy 201, Chicago, IL 60631-1307 | |
| Jack C Sanders | Clinical Social Worker | 6650 N Northwest Hwy 201, Chicago, IL 60631-1307 | |
| Angelika Danek | Clinical Social Worker | 6650 N Northwest Hwy, Suite 215, Chicago, IL 60631-1363 | |
| Domenic Anthony Cusano | Chiropractic | 6580 N Northwest Hwy, Chicago, IL 60631-1415 | |
| Roger D Roberts | Optometry | Senior Eye Associates Sc | 6601 N Avondale Ave, Suite 102, Chicago, IL 60631-1567 |
| Heidi Kalman | Clinical Social Worker | Urban Wellness Ltd | 6601 N Avondale Ave, Suite 101, Chicago, IL 60631-1567 |
| Ryan C Barnes | Optometry | Senior Eye Associates Sc | 6601 N Avondale Ave, Suite 102, Chicago, IL 60631-1567 |
| Find all physicians in zip 60631 | |||
| City | CHICAGO |
| Zip Code | 60631 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | CHICAGO + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Kimberly Kristine Lopez.
| 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.