Daniela Huerta De Hathaway (NPI# 1235390154, PAC ID# 5294913463) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1235390154 |
| PAC ID by PECOS | 5294913463 |
| Professional Enrollment ID | I20110617000521 |
| Full Name | Daniela Huerta De Hathaway |
| Organization Legal Name | CENTRAL DUPAGE PHYSICIAN GROUP |
| Address |
650 Dakota St Crystal Lake IL 60012-3744 |
| Phone Number | 8153386600 |
| Gender | F |
| Graduation Year | 2003 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 5890696231 |
| Number of Group Practice Members | 660 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140116 | CENTEGRA HOSPITAL-MCHENRY |
| 140242 | CENTRAL DUPAGE HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 650 Dakota St, Crystal Lake, IL 60012-3744 | 8153386600 | CENTRAL DUPAGE PHYSICIAN GROUP |
| 444 N Park Blvd, Glen Ellyn, IL 60137-4622 | 6304690045 | CENTRAL DUPAGE PHYSICIAN GROUP |
| 1800 N Main St, Wheaton, IL 60187-3112 | 6306144960 | CENTRAL DUPAGE PHYSICIAN GROUP |
| Organization Legal Name | CENTRAL DUPAGE PHYSICIAN GROUP |
| Physicians | 623 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert James Kasper | Family Medicine | Central Dupage Physician Group | 298 Randall Rd, Geneva, IL 60134-4203 |
| Lauren E Miser | Physician Assistant | Central Dupage Physician Group | 2425 Fargo Blvd, Geneva, IL 60134-3591 |
| Melissa Lancaster | Psychologist, Clinical | Central Dupage Physician Group | 302 Randall Rd, Geneva, IL 60134-4209 |
| Deborah A Henschler | Nurse Practitioner | Central Dupage Physician Group | 224 E Railroad St, Sandwich, IL 60548-2240 |
| Mehr Iqbal | Psychiatry | Central Dupage Physician Group | 1800 N Main St, Wheaton, IL 60187-3112 |
| Rakhee Kalelkar | Internal Medicine | Central Dupage Physician Group | 1019 School St, Lisle, IL 60532-1870 |
| Katharyn Lupo | Pediatric Medicine | Central Dupage Physician Group | 636 Raymond Dr, Naperville, IL 60563-9789 |
| Carrie A Feid | Nurse Practitioner | Central Dupage Physician Group | 304 Randall Rd, Geneva, IL 60134-4200 |
| Spring S Piatek | Certified Clinical Nurse Specialist (cns) | Central Dupage Physician Group | 473 W Army Trail Rd, Bloomingdale, IL 60108-2674 |
| Rhonda Koach | Qualified Speech Language Pathologist | Central Dupage Physician Group | 2127 Midlands Ct, Unit 203, Sycamore, IL 60178-3173 |
| Street Address |
650 DAKOTA ST |
| City | CRYSTAL LAKE |
| State | IL |
| Zip | 60012-3744 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joy A Valko | Psychologist, Clinical | Central Dupage Physician Group | 650 Dakota St, Crystal Lake, IL 60012-3744 |
| William A Stinson | Internal Medicine | Central Dupage Physician Group | 650 Dakota St, Crystal Lake, IL 60012-3744 |
| Lindsay Morgan Esch | Internal Medicine | Central Dupage Physician Group | 650 Dakota St, Crystal Lake, IL 60012-3744 |
| Barbara F Burrell | Internal Medicine | Central Dupage Physician Group | 650 Dakota St, Crystal Lake, IL 60012-3744 |
| Shruti Bahadur | Family Medicine | Central Dupage Physician Group | 650 Dakota St, Crystal Lake, IL 60012-3744 |
| Boguslaw S Bonczak | Family Medicine | Central Dupage Physician Group | 650 Dakota St, Crystal Lake, IL 60012-3744 |
| Zbigniew Ted Lorenc | Internal Medicine | Central Dupage Physician Group | 650 Dakota St, Crystal Lake, IL 60012-3744 |
| Sarah J Buytendorp | Registered Dietitian Or Nutrition Professional | Centegra Primary Care LLC | 650 Dakota St, Crystal Lake, IL 60012-3744 |
| Peggy A Preidis | Nurse Practitioner | Centegra Primary Care LLC | 650 Dakota St, Crystal Lake, IL 60012-3744 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Edward B Rusin | Psychologist, Clinical | 7009 Crystal Springs Rd, Crystal Lake, IL 60012-1154 | |
| Linda Bedsole | Clinical Psychologist | Creative Psychology, Ltd. | 3305 Opengate Rd, Crystal Lake, IL 60012-1171 |
| Antonio C Yuk | Neurosurgery | 380 N Terra Cotta Rd, Suite I, Crystal Lake, IL 60012-1809 | |
| Hiralal Goklani Maheshwari | Endocrinology | 380 N Terra Cotta Rd, Suite A, Crystal Lake, IL 60012-1809 | |
| Margaret Miller | Occupational Therapy | Bowes In-home Care, Inc | 965 N Brighton Cir W, Crystal Lake, IL 60012-2036 |
| Lori Conway | Occupational Therapy | Bowes In-home Care, Inc | 965 N Brighton Cir W, Crystal Lake, IL 60012-2036 |
| Tracy Shadley | Nurse Practitioner | Chestnut Health of Illinois LLC | 1000 E Brighton Ln, Crystal Lake, IL 60012-2074 |
| Laura Ann Strong | Psychologist, Clinical | 8600 Us Hwy 14, Suite 105, Crystal Lake, IL 60012-2700 | |
| John P Terlep | Chiropractic | 8600 Us Hwy 14 140, Crystal Lake, IL 60012-2700 | |
| Gale L Harris | Clinical Social Worker | 8600 Us Route 14, Suite 105, Crystal Lake, IL 60012-2700 | |
| Find all physicians in zip 60012 | |||
| City | CRYSTAL LAKE |
| Zip Code | 60012 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | CRYSTAL LAKE + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Daniela Huerta De Hathaway.
| 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.