Elizabeth A Kiracofe (NPI# 1336400217, PAC ID# 5092956631) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DERMATOLOGY.
| Nation Provider ID (NPI) | 1336400217 |
| PAC ID by PECOS | 5092956631 |
| Professional Enrollment ID | I20160829002697 |
| Full Name | Elizabeth A Kiracofe |
| Organization Legal Name | ILLINOIS DERMATOLOGY INSTITUTE LLC |
| Address |
719 S Blvd Oak Park IL 60302-2903 |
| Phone Number | 7084067222 |
| Gender | F |
| Medical School | CASE WESTERN RESERVE UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2012 |
| Primary Specialty | DERMATOLOGY |
| Group Practice PAC ID | 7911043054 |
| Number of Group Practice Members | 43 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 719 S Blvd, Oak Park, IL 60302-2903 | 7084067222 | ILLINOIS DERMATOLOGY INSTITUTE LLC |
| Organization Legal Name | ILLINOIS DERMATOLOGY INSTITUTE LLC |
| Physicians | 42 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mouhammad Aouthmany | Dermatology | Illinois Dermatology Institute LLC | 719 S Blvd, Oak Park, IL 60302-2903 |
| Margarita Vega-suarez | Nurse Practitioner | Illinois Dermatology Institute LLC | 1225 E Coolspring Ave, Michigan City, IN 46360-6312 |
| Amanda M Schallman | Physician Assistant | Illinois Dermatology Institute LLC | 1220 Meadow Rd, Suite 210, Northbrook, IL 60062-3671 |
| Leslie E Bernstein | Dermatology | Illinois Dermatology Institute LLC | 1550 Northwest Hwy, Suite 300, Park Ridge, IL 60068-1460 |
| Sara R Dickie | Plastic and Reconstructive Surgery | Illinois Dermatology Institute LLC | 9711 Skokie Blvd, J, Skokie, IL 60077-1384 |
| Louisa K Gehlmann | Dermatology | Illinois Dermatology Institute LLC | 901 N Elm St, Suite 250, Hinsdale, IL 60521-3632 |
| Marianne N Odonoghue | Dermatology | Illinois Dermatology Institute LLC | 2434 S Wolf Rd, Westchester, IL 60154-5634 |
| Charles Zugerman | Dermatology | Illinois Dermatology Institute LLC | 1 E Delaware Pl, Suite 501, Chicago, IL 60611-1666 |
| Sandra E Scholebo | Nurse Practitioner | Illinois Dermatology Institute LLC | 3190 Lancer St, Portage, IN 46368-4488 |
| Melanie E Griem | Dermatology | Illinois Dermatology Institute LLC | 1420 N Renaissance Dr, Suite 204, Park Ridge, IL 60068-1330 |
| Street Address |
719 S BLVD |
| City | OAK PARK |
| State | IL |
| Zip | 60302-2903 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mouhammad Aouthmany | Dermatology | Illinois Dermatology Institute LLC | 719 S Blvd, Oak Park, IL 60302-2903 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ramsey G Tanakatsubo | Optometry | 7011 W N Ave, Oak Park, IL 60302-1001 | |
| Sharon E Pelletier | Clinical Social Worker | 6601 N Ave, Suite 3, Oak Park, IL 60302-1005 | |
| Lee L Madden | Psychologist, Clinical | 6601 W N Ave, Oak Park, IL 60302-1005 | |
| Alejandra Campos | Internal Medicine | 6715 N Ave, Oak Park, IL 60302-1006 | |
| Benjamin A Okai | Internal Medicine | 6429 W N Ave, Suite 106, Oak Park, IL 60302-1012 | |
| Nesreen Hermes | Family Medicine | 7047 N Ave, Oak Park, IL 60302-1015 | |
| Hector C Jose | Nurse Practitioner | Chicago Cardiology Institute Sc | 7035 W N Ave, Oak Park, IL 60302-1015 |
| James L Mccarthy | Ophthalmology | Mc Carthy Eye Center Sc | 7055 N Ave, Oak Park, IL 60302-1015 |
| Richard I Bernstein | Dermatology | Academic and Clinical Associates In Dermatology Ltd | 7047 N Ave, Oak Park, IL 60302-1015 |
| Santi Rukvidtayasas | Dermatology | Academic and Clinical Associates In Dermatology Ltd | 7047 N Ave, Oak Park, IL 60302-1015 |
| Find all physicians in zip 60302 | |||
| City | OAK PARK |
| Zip Code | 60302 |
| Specialty | DERMATOLOGY |
| City + Specialty | OAK PARK + DERMATOLOGY |
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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.