Nancy Marie Mantich (NPI# 1487713038, PAC ID# 5890727523) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1487713038 |
| PAC ID by PECOS | 5890727523 |
| Professional Enrollment ID | I20050902000136 |
| Full Name | Nancy Marie Mantich |
| Organization Legal Name | NORTHSHORE UNIVERSITY HEALTHSYSTEM FACULTY PRACTICE ASSOCIATES |
| Address |
1435 Waukegan Rd Glenview IL 60025-2120 |
| Phone Number | 8478326500 |
| Gender | F |
| Credential | MD |
| Medical School | WEST VIRGINIA UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1994 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 2163334699 |
| Number of Group Practice Members | 1274 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140010 | NORTHSHORE UNIVERSITY HEALTHSYSTEM - EVANSTON HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 2650 Ridge Ave, Evanston, IL 60201-1718 | NORTHSHORE UNIVERSITY HEALTHSYSTEM FACULTY PRACTICE ASSOCIATES | |
| 1435 Waukegan Rd, Glenview, IL 60025-2120 | 8478326500 | NORTHSHORE UNIVERSITY HEALTHSYSTEM FACULTY PRACTICE ASSOCIATES |
| Organization Legal Name | NORTHSHORE UNIVERSITY HEALTHSYSTEM FACULTY PRACTICE ASSOCIATES |
| Physicians | 1409 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gina R Shokry | Internal Medicine | Northshore University Healthsystem Faculty Practice Associates | 71 Waukegan Rd, Suite 700, Lake Bluff, IL 60044-1614 |
| Amy E Westlake Milroy | Nurse Practitioner | Northshore University Healthsystem Faculty Practice Associates | 920 Milwaukee Ave, Lincolnshire, IL 60069-3839 |
| Eamann Ayyad | Nurse Practitioner | Northshore University Healthsystem Faculty Practice Associates | 9977 Woods Dr 2nd Floor, Skokie, IL 60077-1057 |
| Jennifer M. Magnuson | Nurse Practitioner | Northshore University Healthsystem Faculty Practice Associates | 9977 Woods Dr, Skokie, IL 60077-1057 |
| George Sousanieh | Nephrology | Northshore University Healthsystem Faculty Practice Associates | 777 Park W Ave, Highland Park, IL 60035-2433 |
| Kathleen M Colella | Nurse Practitioner | Northshore University Healthsystem Faculty Practice Associates | 2180 Pfingsten Rd, Suite 3000, Glenview, IL 60026-1340 |
| Michelle Elizabeth John | Psychiatry | Northshore University Healthsystem Faculty Practice Associates | 49 S Waukegan Rd, Suite 200, Deerfield, IL 60015-5204 |
| Rebecca Wanting Tsang | Gastroenterology | Northshore University Healthsystem Faculty Practice Associates | 2150 Pfingsten Rd, Suite 3000, Glenview, IL 60026-1314 |
| Jonathan H Seyfert | Family Medicine | Northshore University Healthsystem Faculty Practice Associates | 1329 N Wolf Rd, Mount Prospect, IL 60056-1500 |
| Emily K Andrew | Internal Medicine | Northshore University Healthsystem Faculty Practice Associates | 1007 Church St, Suite 100, Evanston, IL 60201-5910 |
| Street Address |
1435 WAUKEGAN RD |
| City | GLENVIEW |
| State | IL |
| Zip | 60025-2120 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John Mark Revis | Internal Medicine | Northshore University Healthsystem Faculty Practice Associates | 1435 Waukegan Rd, Glenview, IL 60025-2120 |
| Robert Mitchell Figura | Internal Medicine | Northshore University Healthsystem Faculty Practice Associates | 1435 Waukegan Rd, Glenview, IL 60025-2120 |
| Kavitha Srinivasan | Internal Medicine | Northshore University Healthsystem Faculty Practice Associates | 1435 Waukegan Rd, Glenview, IL 60025-2120 |
| Mary S Shapiro | Internal Medicine | Northshore University Healthsystem Faculty Practice Associates | 1435 Waukegan Rd, Glenview, IL 60025-2120 |
| Kathleen W Cordeiro | Internal Medicine | Northshore University Healthsystem Faculty Practice Associates | 1435 Waukegan Rd, Glenview, IL 60025-2120 |
| Sanjeev Lulla | Internal Medicine | Northshore University Healthsystem Faculty Practice Associates | 1435 Waukegan Rd, Glenview, IL 60025-2120 |
| Johan Olof Lane | Internal Medicine | Northshore University Healthsystem Faculty Practice Associates | 1435 Waukegan Rd, Glenview, IL 60025-2120 |
| Scott B Cienkus | Internal Medicine | Northshore University Healthsystem Faculty Practice Associates | 1435 Waukegan Rd, Glenview, IL 60025-2120 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Bruce E Noxon | Podiatry | Bruce Noxon Dpm PC | 2050 Pfingsten Rd, Suite 190, Glenview, IL 60025-1377 |
| Paul Goodman | Podiatry | Bruce Noxon Dpm PC | 2050 Pfingsten Rd, Suite 190, Glenview, IL 60025-1377 |
| Eric J Chuang | Internal Medicine | 4712 Laurel Ave, Glenview, IL 60025-1419 | |
| Angelo M Dizon | Physical Therapy | North Shore Sports Medicine and Orthopaedic Center Ltd | 1714 Milwaukee Ave, Glenview, IL 60025-1441 |
| Larry D Yun | Chiropractic | Healing and Wellness Studio PC | 1720 Milwaukee Ave, Glenview, IL 60025-1441 |
| Chadwick C Prodromos | Orthopedic Surgery | North Shore Sports Medicine and Orthopaedic Center Ltd | 1714 Milwaukee Ave, Glenview, IL 60025-1441 |
| Clifford A Rode | Physical Therapy | North Shore Sports Medicine and Orthopaedic Center Ltd | 1714 Milwaukee Ave, Glenview, IL 60025-1441 |
| Brian C Healy | Chiropractic | 1824 Johns Dr, Glenview, IL 60025-1657 | |
| Andrew J Neukirch | Optometry | Neukirch Vision Care LLC | 1900 Waukegan Rd, Glenview, IL 60025-1714 |
| Jerome Agrest | Optometry | Neukirch Vision Care LLC | 1900 Waukegan Rd, Glenview, IL 60025-1714 |
| Find all physicians in zip 60025 | |||
| City | GLENVIEW |
| Zip Code | 60025 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | GLENVIEW + INTERNAL 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.