Mark E Collins (NPI# 1508894882, PAC ID# 2961536354) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1508894882 |
| PAC ID by PECOS | 2961536354 |
| Professional Enrollment ID | I20100820000626 |
| Full Name | Mark E Collins |
| Organization Legal Name | BONAVENTURE MEDICAL FOUNDATION LLC |
| Address |
126 Biesterfield Rd Elk Grove Village IL 60007-3657 |
| Phone Number | 8479813500 |
| Gender | M |
| Medical School | NORTHWESTERN UNIVERSITY MEDICAL SCHOOL |
| Graduation Year | 1979 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 7517863178 |
| Number of Group Practice Members | 199 |
| 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 |
|---|---|---|
| 126 Biesterfield Rd, Elk Grove Village, IL 60007-3657 | 8479813500 | BONAVENTURE MEDICAL FOUNDATION LLC |
| 1626 W Algonquin Rd, Hoffman Est, IL 60195-1587 | 8476405640 | BONAVENTURE MEDICAL FOUNDATION LLC |
| 190 W Irving Park Rd, Wood Dale, IL 60191-1364 | 6307660412 | BONAVENTURE MEDICAL FOUNDATION LLC |
| Organization Legal Name | BONAVENTURE MEDICAL FOUNDATION LLC |
| Physicians | 191 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Helen Muchow | Nurse Practitioner | Bonaventure Medical Foundation LLC | 1555 Barrington Rd, Suite 3450, Hoffman Estates, IL 60169-1031 |
| Amy J Walters | Nurse Practitioner | Bonaventure Medical Foundation LLC | 2100 S Finley Rd, Lombard, IL 60148-4830 |
| Ibrahim S Sadek | Internal Medicine | Bonaventure Medical Foundation LLC | 1041 W Stearns Rd, Bartlett, IL 60103-4509 |
| Vanja Cuk | Internal Medicine | Bonaventure Medical Foundation LLC | 955 Beisner Rd, Elk Grove Village, IL 60007-3475 |
| Deepa Potti | Family Medicine | Bonaventure Medical Foundation LLC | 50 S Northwest Hwy, Palatine, IL 60074-6231 |
| Stephen Rittman | Family Medicine | Bonaventure Medical Foundation LLC | 361 W Golf Rd, Schaumburg, IL 60195-3607 |
| Reinhold Llerena | Family Medicine | Bonaventure Medical Foundation LLC | 1626 W Algonquin Rd, Hoffman Est, IL 60195-1587 |
| Michael J Osten | Family Medicine | Bonaventure Medical Foundation LLC | 25 E Schaumburg Rd, Schaumburg, IL 60194-3550 |
| John Wilkerson | Family Medicine | Bonaventure Medical Foundation LLC | 1015 Summit St, Elgin, IL 60120-4362 |
| Janet Aganad | Internal Medicine | Bonaventure Medical Foundation LLC | 305 N York St, Elmhurst, IL 60126-2317 |
| Street Address |
126 BIESTERFIELD RD |
| City | ELK GROVE VILLAGE |
| State | IL |
| Zip | 60007-3657 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Betty P Lo | Family Medicine | Bonaventure Medical Foundation LLC | 126 Biesterfield Rd, Elk Grove Village, IL 60007-3657 |
| Brenda Streicher | Nurse Practitioner | Bonaventure Medical Foundation LLC | 126 Biesterfield Rd, Elk Grove Village, IL 60007-3657 |
| Magdalena Tipton | Nurse Practitioner | Bonaventure Medical Foundation LLC | 126 Biesterfield Rd, Elk Grove Village, IL 60007-3657 |
| Sandra V Doyle | Family Medicine | Bonaventure Medical Foundation LLC | 126 Biesterfield Rd, Elk Grove Village, IL 60007-3657 |
| Jessica H Landeroz | Physician Assistant | Bonaventure Medical Foundation LLC | 126 Biesterfield Rd, Elk Grove Village, IL 60007-3657 |
| 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 | FAMILY MEDICINE |
| City + Specialty | ELK GROVE VILLAGE + FAMILY MEDICINE |
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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.