Jenny Tam (NPI# 1184990343, PAC ID# 3971891003) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OBSTETRICS/GYNECOLOGY.
| Nation Provider ID (NPI) | 1184990343 |
| PAC ID by PECOS | 3971891003 |
| Professional Enrollment ID | I20181227000781 |
| Full Name | Jenny Tam |
| Organization Legal Name | THOREK MEMORIAL HOSPITAL |
| Address |
840 W Irving Park Rd Suite 305 Chicago IL 60613-3011 |
| Phone Number | 7739756775 |
| Gender | F |
| Graduation Year | 2012 |
| Primary Specialty | OBSTETRICS/GYNECOLOGY |
| Group Practice PAC ID | 4981593399 |
| Number of Group Practice Members | 44 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140115 | THOREK MEMORIAL HOSPITAL |
| 140224 | PRESENCE SAINT JOSEPH HOSPITAL - CHICAGO |
| Address | Phone | Organization |
|---|---|---|
| 2845 N Sheridan Rd, Suite 902, Chicago, IL 60657-7227 | 7739048641 | ALL FOR WOMEN HEALTHCARE SC |
| 840 W Irving Park Rd, Suite 305, Chicago, IL 60613-3011 | 7739756775 | THOREK MEMORIAL HOSPITAL |
| Organization Legal Name | THOREK MEMORIAL HOSPITAL |
| Physicians | 21 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Catherine Chung | Nurse Practitioner | Thorek Memorial Hospital | 2142 S Archer Ave, Chicago, IL 60616-1514 |
| Neal A Spero | Dermatology | Thorek Memorial Hospital | 850 W Irving Park Rd, Chicago, IL 60613-3077 |
| David M Shore | Urology | Thorek Memorial Hospital | 840 W Irving Park Rd, Suite 305, Chicago, IL 60613-3011 |
| Steven Z Comrov | Family Medicine | Thorek Memorial Hospital | 840 W Irving Park Rd, Chicago, IL 60613-3011 |
| Rhonda D Clifton | Nurse Practitioner | Thorek Memorial Hospital | 850 W Irving Park Rd, Chicago, IL 60613-3077 |
| Tatjana Guzina | Internal Medicine | Thorek Memorial Hospital | 850 W Irving Park Rd, Chicago, IL 60613-3077 |
| Stephanie Ann Fawbush | Registered Dietitian Or Nutrition Professional | Thorek Memorial Hospital | 850 W Irving Park Rd, Chicago, IL 60613-3077 |
| Suzanne Chan | Nurse Practitioner | Thorek Memorial Hospital | 850 W Irving Park Rd, Chicago, IL 60613-3077 |
| Virgilio A Caramay | Nurse Practitioner | Thorek Memorial Hospital | 850 W Irving Park Rd, Chicago, IL 60613-3077 |
| Harold R Diaz | Internal Medicine | Thorek Memorial Hospital | 850 W Irving Park Rd, Suite 2014, Chicago, IL 60613-3077 |
| Street Address |
840 W IRVING PARK RD SUITE 305 |
| City | CHICAGO |
| State | IL |
| Zip | 60613-3011 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Elizabeth M Cruz | Internal Medicine | 840 W Irving Park Rd, Suite 206, Chicago, IL 60613-3011 | |
| David M Shore | Urology | Thorek Memorial Hospital | 840 W Irving Park Rd, Suite 305, Chicago, IL 60613-3011 |
| Steven Z Comrov | Family Medicine | Thorek Memorial Hospital | 840 W Irving Park Rd, Chicago, IL 60613-3011 |
| Laura L Grimes | Clinical Social Worker | 840 W Irving Park Rd, Suite 302, Chicago, IL 60613-3011 | |
| James R Diesfeld | Interventional Pain Management | 840 W Irving Park Rd, Suite 203, Chicago, IL 60613-3011 | |
| Olumuyiwa Idowu | Internal Medicine | 840 W Irving Park Rd, Suite 204, Chicago, IL 60613-3011 | |
| Paul Yonover | Urology | Thorek Memorial Hospital | 840 W Irving Park Rd, Suite 305, Chicago, IL 60613-3011 |
| Srilakshmi Maguluri | Ophthalmology | 840 W Irving Park Rd, Suite 401, Chicago, IL 60613-3011 | |
| Amal K Mukherjee | General Surgery | 840 W Irving Park Rd, Suite 301, Chicago, IL 60613-3011 | |
| Nayna H Navik | Internal Medicine | Thorek Memorial Hospital | 840 W Irving Park Rd, Suite 301, Chicago, IL 60613-3011 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Dianna W Bolen | Psychologist, Clinical | 4350 N Hermitage Ave, Chicago, IL 60613-1106 | |
| Seth Solway | Psychologist, Clinical | 4256 N Ravenswood Ave, Suite 211, Chicago, IL 60613-1114 | |
| Dennis F Pomerleau | Clinical Social Worker | 4256 N Ravenswood Ave, Suite 314, Chicago, IL 60613-1114 | |
| Damita Larue | Psychologist, Clinical | 4256 N Ravenswood Ave, Suite 220, Chicago, IL 60613-1114 | |
| Judith H Bobbe | Clinical Social Worker | 4256 N Ravenswood Ave, Suite 304, Chicago, IL 60613-1114 | |
| Andrea H Fink | Psychologist, Clinical | 4256 N Ravenswood Ave, Suite 314, Chicago, IL 60613-1114 | |
| Tatiana A Jaramillo | Nurse Practitioner | Ravenswood Health and Wellness Center S.c. | 4256 N Ravenswood Ave, Suite 101, Chicago, IL 60613-1114 |
| Jason G Fennema | Chiropractic | Ravenswood Health and Wellness Center S.c. | 4256 N Ravenswood Ave, Suite 101, Chicago, IL 60613-1114 |
| Kristin Buller | Clinical Social Worker | 4256 N Ravenswood Ave, Suite 303, Chicago, IL 60613-1114 | |
| Ashok C Shah | Internal Medicine | 1624 W Montrose Ave, Chicago, IL 60613-1214 | |
| Find all physicians in zip 60613 | |||
| City | CHICAGO |
| Zip Code | 60613 |
| Specialty | OBSTETRICS/GYNECOLOGY |
| City + Specialty | CHICAGO + OBSTETRICS/GYNECOLOGY |
Please comment or provide details below to improve the information on Jenny Tam.
| 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.