Ivy E Poma (NPI# 1215287289, PAC ID# 5294987988) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1215287289 |
| PAC ID by PECOS | 5294987988 |
| Professional Enrollment ID | I20191113002201 |
| Full Name | Ivy E Poma |
| Organization Legal Name | PHYSICIANS IMMEDIATE CARE NORTH CHICAGO LLC |
| Address |
811 S State St Chicago IL 60605-2225 |
| Phone Number | 3125669510 |
| Gender | F |
| Graduation Year | 2012 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 8729064159 |
| Number of Group Practice Members | 127 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 360017 | GRANT MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 4211 N Cicero Ave, Chicago, IL 60641-1651 | 7737941000 | PHYSICIANS IMMEDIATE CARE NORTH CHICAGO LLC |
| 6140 N Broadway St, Chicago, IL 60660-2538 | 7734359028 | PHYSICIANS IMMEDIATE CARE NORTH CHICAGO LLC |
| 811 S State St, Chicago, IL 60605-2225 | 3125669510 | PHYSICIANS IMMEDIATE CARE NORTH CHICAGO LLC |
| Organization Legal Name | PHYSICIANS IMMEDIATE CARE NORTH CHICAGO LLC |
| Physicians | 122 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amani J Elayan | Physician Assistant | Physicians Immediate Care North Chicago LLC | 21035 S La Grange Rd, Frankfort, IL 60423-2006 |
| Angela J Kostner | Nurse Practitioner | Physicians Immediate Care North Chicago LLC | 13641 S Route 59, Plainfield, IL 60544-9701 |
| Brian B Minardi | Physician Assistant | Physicians Immediate Care North Chicago LLC | 2853 Kirk Rd, Aurora, IL 60502-6031 |
| Eva M Doyle | Physician Assistant | Physicians Immediate Care North Chicago LLC | 2490 Bushwood Dr, Elgin, IL 60124-7898 |
| Kayla A Kohlmeier | Physician Assistant | Physicians Immediate Care North Chicago LLC | 5228 N Northwest Hwy, Chicago, IL 60630-4620 |
| Brenda J Kelley | Physician Assistant | Physicians Immediate Care North Chicago LLC | 6050 Caton Farm Rd, Plainfield, IL 60586-8218 |
| Erin K Frommeyer | Physician Assistant | Physicians Immediate Care North Chicago LLC | 2077 N Clybourn Ave, Chicago, IL 60614-4003 |
| Stephanie Larios | Physician Assistant | Physicians Immediate Care North Chicago LLC | 121 W N Ave, Chicago, IL 60610-1315 |
| Vinod Khandate | Physical Therapy | Physicians Immediate Care North Chicago LLC | 391 S Bolingbrook Dr, Bolingbrook, IL 60440-3411 |
| Elodie Fnp Schembri | Nurse Practitioner | Physicians Immediate Care North Chicago LLC | 1360 Houbolt Rd, Joliet, IL 60431-9215 |
| Street Address |
811 S STATE ST |
| City | CHICAGO |
| State | IL |
| Zip | 60605-2225 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tara A Miller | Physician Assistant | Physicians Immediate Care North Chicago LLC | 811 S State St, Chicago, IL 60605-2225 |
| Darcy Marie Dubinsky Ituarte | Physician Assistant | Physicians Immediate Care North Chicago LLC | 811 S State St, Chicago, IL 60605-2225 |
| Benjamen Jones | Physician Assistant | Physicians Immediate Care North Chicago LLC | 811 S State St, Chicago, IL 60605-2225 |
| Jamie E Hitro | Physician Assistant | Physicians Immediate Care North Chicago LLC | 811 S State St, Chicago, IL 60605-2225 |
| Jack C Enter Jr. | Physician Assistant | Physicians Immediate Care North Chicago LLC | 811 S State St, Chicago, IL 60605-2225 |
| Lauren Nicole Dykens | Physician Assistant | Physicians Immediate Care North Chicago LLC | 811 S State St, Chicago, IL 60605-2225 |
| Gregory J Taycher | Physician Assistant | Physicians Immediate Care North Chicago LLC | 811 S State St, Chicago, IL 60605-2225 |
| Nicholas G Apostolopoulos | Family Medicine | Physicians Immediate Care North Chicago LLC | 811 S State St, Chicago, IL 60605-2225 |
| Erin H Kane | Physician Assistant | Physicians Immediate Care North Chicago LLC | 811 S State St, Chicago, IL 60605-2225 |
| Florence Roche | Family Medicine | Physicians Immediate Care North Chicago LLC | 811 S State St, Chicago, IL 60605-2225 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Paul Joseph Fitzgerald | Psychologist, Clinical | 401 S La Salle St, 1600p, Chicago, IL 60605-1020 | |
| Caroline Nawara | Internal Medicine | 401 S State St, Suite 430, Chicago, IL 60605-1229 | |
| Eugene P Mele | Psychologist, Clinical | 410 S Michigan Ave, Suite 707, Chicago, IL 60605-1311 | |
| Matthew Daniel Pietruszka | Optometry | 555 S Dearborn St, Chicago, IL 60605-1586 | |
| Aimee K Heslop | Physical Therapy | Athletico Ltd | 557 S State St, Chicago, IL 60605-1616 |
| David A Prentis | Physical Therapy | Athletico Ltd | 557 S State St, Chicago, IL 60605-1616 |
| Ally E Walker | Physical Therapy | Athletico Ltd | 557 S State St, Chicago, IL 60605-1616 |
| John Acquaye Awah | Internal Medicine | Dr. John Awah and Associates, Ltd. | 850 S Clark St, Suite 1015, Chicago, IL 60605-1782 |
| Robbin D Lewis | Nurse Practitioner | Dr. John Awah and Associates, Ltd. | 850 S Clark St, Suite 1015, Chicago, IL 60605-1782 |
| Uchenna D Ezenekwe | Nurse Practitioner | Dr. John Awah and Associates, Ltd. | 850 S Clark St, Suite 1015, Chicago, IL 60605-1782 |
| Find all physicians in zip 60605 | |||
| City | CHICAGO |
| Zip Code | 60605 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | CHICAGO + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Ivy E Poma.
| 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.