Matthew R Andersen (NPI# 1265637623, PAC ID# 6103984406) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NEPHROLOGY.
| Nation Provider ID (NPI) | 1265637623 |
| PAC ID by PECOS | 6103984406 |
| Professional Enrollment ID | I20081015000041 |
| Full Name | Matthew R Andersen |
| Organization Legal Name | NEPHROLOGY ASSOCIATES OF NORTHERN ILLINOIS LTD |
| Address |
6827 W Stanley Ave Berwyn Neph Assoc Berwyn IL 60402-3287 |
| Phone Number | 7087494617 |
| Gender | M |
| Medical School | UNIVERSITY OF ILLINOIS AT CHICAGO HEALTH SCIENCE CENTER |
| Graduation Year | 2003 |
| Primary Specialty | NEPHROLOGY |
| Secondary Specialties | INTERNAL MEDICINE |
| Group Practice PAC ID | 2163328675 |
| Number of Group Practice Members | 117 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140054 | MACNEAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 6827 W Stanley Ave, Berwyn Neph Assoc, Berwyn, IL 60402-3287 | 7087494617 | NEPHROLOGY ASSOCIATES OF NORTHERN ILLINOIS LTD |
| 12935 Gregory St, Blue Island, IL 60406-2428 | 7085972000 | NEPHROLOGY ASSOCIATES OF NORTHERN ILLINOIS LTD |
| 3223 W 63rd St, Lawn Terr Nephrology Assc, Chicago, IL 60629-3333 | 7737354884 | NEPHROLOGY ASSOCIATES OF NORTHERN ILLINOIS LTD |
| 3825 Highland Ave, Downers Grove, IL 60515-1550 | 6309681595 | NEPHROLOGY ASSOCIATES OF NORTHERN ILLINOIS LTD |
| Organization Legal Name | NEPHROLOGY ASSOCIATES OF NORTHERN ILLINOIS LTD |
| Physicians | 120 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ashwin R Shetty | Nephrology | Nephrology Associates of Northern Illinois Ltd | 9200 S S Chicago Ave, South Chicago Dialysis Unit, Chicago, IL 60617-4512 |
| Genti Manco | Nurse Practitioner | Nephrology Associates of Northern Illinois Ltd | Erie At Austin, West Sub Hosp and Med Ctr, Oak Park, IL 60302-2599 |
| Andrew Kowalski | Nephrology | Nephrology Associates of Northern Illinois Ltd | 6827 W Stanley Ave, Berwyn Neph Assoc, Berwyn, IL 60402-3287 |
| John T Ducker | Nephrology | Nephrology Associates of Northern Illinois Ltd | 90 W 86th Ave, Nani, Merrillville, IN 46410-7086 |
| George J Naratadam | Nephrology | Nephrology Associates of Northern Illinois Ltd | 719 W N Ave, North Ave Dialysis, Melrose Park, IL 60160-1612 |
| Aamir Adam Memon | Internal Medicine | Nephrology Associates of Northern Illinois Ltd | 2203 Randall Rd, Carpentersville, IL 60110-3355 |
| Arthur M Morris | Nephrology | Nephrology Associates of Northern Illinois Ltd | 1 Erie Ct, 4120 Oak Park Nephology Assoc, Oak Park, IL 60302-2511 |
| Jeffrey J Kropp | Nephrology | Nephrology Associates of Northern Illinois Ltd | 0 N25 Winfield Rd, Central Dupage Pd Dialysis, Winfield, IL 60190-1237 |
| Peter D Hart | General Practice | Nephrology Associates of Northern Illinois Ltd | 3223 W 63rd St, Lawn Terr Nephrology Assc, Chicago, IL 60629-3333 |
| Madhavi E Ryali | Nephrology | Nephrology Associates of Northern Illinois Ltd | 518 N Austin Blvd, West Suburban Dialysis, Oak Park, IL 60302-2508 |
| Street Address |
6827 W STANLEY AVE BERWYN NEPH ASSOC |
| City | BERWYN |
| State | IL |
| Zip | 60402-3287 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Andrew Kowalski | Nephrology | Nephrology Associates of Northern Illinois Ltd | 6827 W Stanley Ave, Berwyn Neph Assoc, Berwyn, IL 60402-3287 |
| Joanne T Wheaton | Nurse Practitioner | Nephrology Associates of Northern Illinois Ltd | 6827 W Stanley Ave, Berwyn Neph Assoc, Berwyn, IL 60402-3287 |
| Juan P Ruiz | Internal Medicine | Nephrology Associates of Northern Illinois Ltd | 6827 W Stanley Ave, Berwyn Neph Assoc, Berwyn, IL 60402-3287 |
| Rajiv Gandhi | Nephrology | Nephrology Associates of Northern Illinois Ltd | 6827 W Stanley Ave, Berwyn Neph Assoc, Berwyn, IL 60402-3287 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Elizabeth A Dowell | Family Medicine | Pcc Community Wellness Center | 6201 Roosevelt Rd, Berwyn, IL 60402-1108 |
| Katherine Herold | Certified Nurse Midwife (cnm) | Pcc Community Wellness Center | 6201 Roosevelt Rd, Berwyn, IL 60402-1108 |
| Christine Elaine Schultheiss | Family Medicine | Pcc Community Wellness Center | 6201 Roosevelt Rd, Berwyn, IL 60402-1108 |
| Erika Montoya | Family Medicine | Pcc Community Wellness Center | 6201 Roosevelt Rd, Berwyn, IL 60402-1108 |
| Katherine M Wehrmann | Certified Nurse Midwife (cnm) | Pcc Community Wellness Center | 6201 Roosevelt Rd, Berwyn, IL 60402-1108 |
| Rebecca C Dehoek | Family Medicine | Pcc Community Wellness Center | 6201 Roosevelt Rd, Berwyn, IL 60402-1108 |
| Moshini Sivasubramaniam | Family Medicine | Pcc Community Wellness Center | 6201 Roosevelt Rd, Berwyn, IL 60402-1108 |
| Brian Kroener | Family Practice | Pcc Community Wellness Center | 6201 Roosevelt Rd, Berwyn, IL 60402-1108 |
| Ellen B Barton | Nurse Practitioner | Pcc Community Wellness Center | 6201 Roosevelt Rd, Berwyn, IL 60402-1108 |
| Charles T Yingling | Nurse Practitioner | Pcc Community Wellness Center | 6201 Roosevelt Rd, Berwyn, IL 60402-1108 |
| Find all physicians in zip 60402 | |||
| City | BERWYN |
| Zip Code | 60402 |
| Specialty | NEPHROLOGY |
| City + Specialty | BERWYN + NEPHROLOGY |
Please comment or provide details below to improve the information on Matthew R Andersen.
| 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.