Timothy Warren Damrow (NPI# 1225418981, PAC ID# 4385917798) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1225418981 |
| PAC ID by PECOS | 4385917798 |
| Professional Enrollment ID | I20180719002152 |
| Full Name | Timothy Warren Damrow |
| Organization Legal Name | RIVERSIDE HEALTH SYSTEM |
| Address |
395 N Locust St Manteno IL 60950-1222 |
| Phone Number | 8154683474 |
| Gender | M |
| Medical School | CHICAGO COLLEGE OF OSTEOPATHIC MEDICINE |
| Graduation Year | 2015 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 3274434717 |
| Number of Group Practice Members | 159 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140186 | RIVERSIDE MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 395 N Locust St, Manteno, IL 60950-1222 | 8154683474 | RIVERSIDE HEALTH SYSTEM |
| Organization Legal Name | RIVERSIDE HEALTH SYSTEM |
| Physicians | 170 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mohammad Abdelhafez Issa | Physical Medicine and Rehabilitation | Riverside Health System | 375 N Wall St, P520, Kankakee, IL 60901-3493 |
| Jenna Nicole Sarna | Nurse Practitioner | Riverside Health System | 25711 S Egyptian Trail, Monee, IL 60449-8118 |
| Joshua Devereux Miller | Orthopedic Surgery | Riverside Health System | 400 Riverside Dr, Suite 2800, Bourbonnais, IL 60914-5004 |
| Marisa M Schrum | Nurse Practitioner | Riverside Health System | 106 B Watters Dr, Dwight, IL 60420-2200 |
| Sana Hussain | Endocrinology | Riverside Health System | 100 Fitness Dr, Bourbonnais, IL 60914-9584 |
| Sarah Coyne | Nurse Practitioner | Riverside Health System | 401 N Wall St, Suite 206, Kankakee, IL 60901-2949 |
| Lori Cornelius | Nurse Practitioner | Riverside Health System | 720 Bs Crescent St, Gilman, IL 60938-1518 |
| Tammie O Henderson | Nurse Practitioner | Riverside Health System | 1701 E Court St, Kankakee, IL 60901-2670 |
| Jessica M Azoff | Psychiatry | Riverside Health System | 500 N Wall Ste, Suite 200, Kankakee, IL 60901-2942 |
| Jonathan C Cotton | Orthopedic Surgery | Riverside Health System | 23120 S Lagrange Rd, Suite 200, Frankfort, IL 60423-7760 |
| Street Address |
395 N LOCUST ST |
| City | MANTENO |
| State | IL |
| Zip | 60950-1222 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Elizabeth Hofmeister | Podiatry | Prairie Rock Foot and Ankle Clinic Ltd | 2825 W Division St, Manteno, IL 60950-1002 |
| Robert P Martin | Podiatry | Prairie Rock Foot and Ankle Clinic Ltd | 2825 W Division St, Manteno, IL 60950-1002 |
| Rebecca J Hodulik | Podiatry | Prairie Rock Foot and Ankle Clinic Ltd | 2825 W Division St, Manteno, IL 60950-1002 |
| Christina R Stimson | Clinical Social Worker | 10 N Locust St, Suite 1, Manteno, IL 60950-1500 | |
| Jeofrey D Delacruz | Physical Therapy | Marian Physical Therapy LLC | 70 N Locust St, Manteno, IL 60950-1514 |
| Melissa Salazar | Physical Therapy | Marian Physical Therapy LLC | 70 N Locust St, Manteno, IL 60950-1514 |
| David M Schneller | Physical Therapy | Marian Physical Therapy LLC | 70 N Locust St, Manteno, IL 60950-1514 |
| Elizabeth A Wagner | Physical Therapy | Manteno Physical Therapy, LLC | 19 W Division St, Manteno, IL 60950-1533 |
| Ashley Beane | Nurse Practitioner | Presence Healthcare Services | 501 S Locust St, Manteno, IL 60950-1654 |
| Rhodora A Sy | Family Medicine | Presence Healthcare Services | 501 S Locust St, Manteno, IL 60950-1654 |
| Find all physicians in zip 60950 | |||
| City | MANTENO |
| Zip Code | 60950 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | MANTENO + 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.