Lily Phouikham (NPI# 1730408899, PAC ID# 4981907821) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1730408899 |
| PAC ID by PECOS | 4981907821 |
| Professional Enrollment ID | I20160707000933 |
| Full Name | Lily Phouikham |
| Organization Legal Name | ELIO M VENTO MD AND ASSOCIATES SC |
| Address |
2350 Royal Blvd Suite 100 Elgin IL 60123-4718 |
| Phone Number | 8476958100 |
| Gender | F |
| Medical School | CHICAGO COLLEGE OF OSTEOPATHIC MEDICINE |
| Graduation Year | 2010 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 4284688748 |
| Number of Group Practice Members | 9 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140030 | ADVOCATE SHERMAN HOSPITAL |
| 140217 | PRESENCE SAINT JOSEPH HOSPITAL - ELGIN |
| 140252 | NORTHWEST COMMUNITY HOSPITAL 1 |
| Address | Phone | Organization |
|---|---|---|
| 2350 Royal Blvd, Suite 100, Elgin, IL 60123-4718 | 8476958100 | ELIO M VENTO MD AND ASSOCIATES SC |
| 921 N Plum Grove Rd, Schaumburg, IL 60173-4761 | 8473593400 | HEALING HANDS PRIMARY CARE LLC |
| Organization Legal Name | ELIO M VENTO MD AND ASSOCIATES SC |
| Physicians | 7 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Carrie L Kopala | Physician Assistant | Elio M Vento Md and Associates Sc | 2350 Royal Blvd, Suite 100, Elgin, IL 60123-4718 |
| Michelle Krause | Nurse Practitioner | Elio M Vento Md and Associates Sc | 2350 Royal Blvd, Suite 100, Elgin, IL 60123-4718 |
| Janelle T Kloch | Nurse Practitioner | Elio M Vento Md and Associates Sc | 2350 Royal Blvd, Suite 100, Elgin, IL 60123-4718 |
| Elio Vento | Internal Medicine | Elio M Vento Md and Associates Sc | 2350 Royal Blvd, Suite 100, Elgin, IL 60123-4718 |
| Gordon Copeland Newsom | Internal Medicine | Elio M Vento Md and Associates Sc | 2350 Royal Blvd, Suite 100, Elgin, IL 60123-4718 |
| Sylvia M Scrima | Nurse Practitioner | Elio M Vento Md and Associates Sc | 2350 Royal Blvd, Suite 100, Elgin, IL 60123-4718 |
| Street Address |
2350 ROYAL BLVD SUITE 100 |
| City | ELGIN |
| State | IL |
| Zip | 60123-4718 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Carrie L Kopala | Physician Assistant | Elio M Vento Md and Associates Sc | 2350 Royal Blvd, Suite 100, Elgin, IL 60123-4718 |
| Melissa Joy Miller | Obstetrics/gynecology | Suburban Womens Health Specialists Ltd | 2350 Royal Blvd, Suite 600, Elgin, IL 60123-4727 |
| Joshua M Alpert | Orthopedic Surgery | Orthopedic and Spine Surgery Assoc | 2350 Royal Blvd, Suite 200, Elgin, IL 60123-4718 |
| Michelle Krause | Nurse Practitioner | Elio M Vento Md and Associates Sc | 2350 Royal Blvd, Suite 100, Elgin, IL 60123-4718 |
| Katherine A Virnig | Physician Assistant | Orthopedic and Spine Surgery Assoc | 2350 Royal Blvd, Suite 200, Elgin, IL 60123-4718 |
| Joyce M Wesner | Physician Assistant | Orthopedic and Spine Surgery Assoc | 2350 Royal Blvd, Suite 200, Elgin, IL 60123-4718 |
| Janelle T Kloch | Nurse Practitioner | Elio M Vento Md and Associates Sc | 2350 Royal Blvd, Suite 100, Elgin, IL 60123-4718 |
| Elio Vento | Internal Medicine | Elio M Vento Md and Associates Sc | 2350 Royal Blvd, Suite 100, Elgin, IL 60123-4718 |
| Gordon Copeland Newsom | Internal Medicine | Elio M Vento Md and Associates Sc | 2350 Royal Blvd, Suite 100, Elgin, IL 60123-4718 |
| Denise M Mcgowan | Physical Therapy | Athletic and Therapeutic Institute of Bourbonnais, LLC | 2350 Royal Blvd, Suite 700, Elgin, IL 60123-4727 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Craig M Torosian | Hand Surgery | Fox Valley Orthopaedic Associates, S.c. | 1975 Lin Lor Lane, Elgin, IL 60123 |
| Jeffrey A Jacoby | Orthopedic Surgery | Fox Valley Orthopaedic Associates, S.c. | 1975 Lin Lor Lane, Elgin, IL 60123 |
| Kevan E Ketterling | Sports Medicine | Fox Valley Orthopaedic Associates, S.c. | 1975 Lin Lor Lane, Elgin, IL 60123 |
| Yasser Alhaj -hussein | Anesthesiology | 1554 Todd Farm Dr, Elgin, IL 60123-1287 | |
| Mukund Komanduri | Orthopedic Surgery | Elgin Surgicare LLC | 1550 Todd Farm Dr, Elgin, IL 60123-1287 |
| Pocholo S Florentino | Family Medicine | Elgin Surgicare LLC | 1550 Todd Farm Dr, Elgin, IL 60123-1287 |
| Mario J Astacio | Physician Assistant | 1140 N Mclean Blvd, Unit C, Elgin, IL 60123-1782 | |
| Seung Hyun Jung | Chiropractic | 1530 Weatherstone Ln, Elgin, IL 60123-2019 | |
| Joseph Fred Ferstl | Chiropractic | 1557 Weatherstone Lane, Elgin, IL 60123-2019 | |
| Annie W Kot | Clinical Social Worker | Ecker Center for Mental Health | 1475 Royal Blvd, Elgin, IL 60123-2040 |
| Find all physicians in zip 60123 | |||
| City | ELGIN |
| Zip Code | 60123 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | ELGIN + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Lily Phouikham.
| 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.