Rosalva Acosta (NPI# 1972663466, PAC ID# 3577785328) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1972663466 |
| PAC ID by PECOS | 3577785328 |
| Professional Enrollment ID | I20141111000170 |
| Full Name | Rosalva Acosta |
| Organization Legal Name | PROVIDA HEALTH CENTER SC |
| Address |
1425 N Hunt Club Rd Suite 100 Gurnee IL 60031-2632 |
| Phone Number | 8475482200 |
| Gender | F |
| Graduation Year | 2001 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 1557386273 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140202 | ADVOCATE CONDELL MEDICAL CENTER |
| 140084 | VISTA MEDICAL CENTER EAST |
| 140130 | NORTHWESTERN LAKE FOREST HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1425 N Hunt Club Rd, Suite 100, Gurnee, IL 60031-2632 | 8475482200 | PROVIDA HEALTH CENTER SC |
| Organization Legal Name | PROVIDA HEALTH CENTER SC |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Luis I Salazar | Family Medicine | Provida Health Center Sc | 1425 N Hunt Club Rd, Suite 100, Gurnee, IL 60031-2632 |
| Caitlin M Chandran | Nurse Practitioner | Provida Health Center Sc | 1425 N Hunt Club Rd, Suite 100, Gurnee, IL 60031-2632 |
| Monica Haydee Gonzalez | Registered Dietitian Or Nutrition Professional | Provida Health Center Sc | 1425 N Hunt Club Rd, Suite 100, Gurnee, IL 60031-2632 |
| Ksenia Samvel | Physician Assistant | Provida Health Center Sc | 1425 N Hunt Club Rd, Suite 100, Gurnee, IL 60031-2632 |
| Street Address |
1425 N HUNT CLUB RD SUITE 100 |
| City | GURNEE |
| State | IL |
| Zip | 60031-2632 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Luis I Salazar | Family Medicine | Provida Health Center Sc | 1425 N Hunt Club Rd, Suite 100, Gurnee, IL 60031-2632 |
| Kelly Kyunghwa Park | Dermatology | Lakeside Dermatology | 1425 N Hunt Club Rd, Suite 202, Gurnee, IL 60031-2635 |
| Caitlin M Chandran | Nurse Practitioner | Provida Health Center Sc | 1425 N Hunt Club Rd, Suite 100, Gurnee, IL 60031-2632 |
| Monica Haydee Gonzalez | Registered Dietitian Or Nutrition Professional | Provida Health Center Sc | 1425 N Hunt Club Rd, Suite 100, Gurnee, IL 60031-2632 |
| Ksenia Samvel | Physician Assistant | Provida Health Center Sc | 1425 N Hunt Club Rd, Suite 100, Gurnee, IL 60031-2632 |
| Ira J Piel | Hematology/oncology | Ira J Piel Md Facp Sc | 1425 N Hunt Club Rd, Gurnee, IL 60031-2639 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amanda J Caplan | Family Medicine | Northshore University Healthsystem Faculty Practice Associates | 7900 Rollins Rd, Gurnee, IL 60031-1512 |
| Rebecca E Jacobson | Obstetrics/gynecology | Northshore University Healthsystem Faculty Practice Associates | 7900 Rollins Rd, Gurnee, IL 60031-1512 |
| Lauren E Rosen | Nurse Practitioner | Northshore University Healthsystem Faculty Practice Associates | 7900 Rollins Rd, Gurnee, IL 60031-1512 |
| Esther Y Liu | Family Medicine | Northshore University Healthsystem Faculty Practice Associates | 7900 Rollins Rd, Gurnee, IL 60031-1512 |
| Erik B Pauls | Physician Assistant | Northshore University Healthsystem Faculty Practice Associates | 7900 Rollins Rd, Gurnee, IL 60031-1512 |
| Smitha K. John | Nurse Practitioner | Northshore University Healthsystem Faculty Practice Associates | 7900 Rollins Rd, Gurnee, IL 60031-1512 |
| Brenda Y Kim | Obstetrics/gynecology | Northshore University Healthsystem Faculty Practice Associates | 7900 Rollins Rd, Gurnee, IL 60031-1512 |
| Rajiv K Udani | Hospitalist | Northshore University Healthsystem Faculty Practice Associates | 7900 Rollins Rd, Gurnee, IL 60031-1512 |
| Nancy A Nora | Nephrology | Northshore University Healthsystem Faculty Practice Associates | 7900 Rollins Rd, Gurnee, IL 60031-1512 |
| Therese A Hughes | Obstetrics/gynecology | Northshore University Healthsystem Faculty Practice Associates | 7900 Rollins Rd, Gurnee, IL 60031-1512 |
| Find all physicians in zip 60031 | |||
| City | GURNEE |
| Zip Code | 60031 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | GURNEE + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Rosalva Acosta.
| 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.