Brook Ernestine Medici (NPI# 1578953972, PAC ID# 6204154107) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1578953972 |
| PAC ID by PECOS | 6204154107 |
| Professional Enrollment ID | I20150403001017 |
| Full Name | Brook Ernestine Medici |
| Organization Legal Name | LOCKPORT EXPRESS MEDICAL GROUP INC |
| Address |
16221 W 159th St Lockport IL 60441-7959 |
| Phone Number | 8155881111 |
| Gender | F |
| Graduation Year | 2014 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 8628233053 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140179 | LITTLE COMPANY OF MARY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 16221 W 159th St, Lockport, IL 60441-7959 | 8155881111 | LOCKPORT EXPRESS MEDICAL GROUP INC |
| Organization Legal Name | LOCKPORT EXPRESS MEDICAL GROUP INC |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Charinne L Thommen | Physician Assistant | Lockport Express Medical Group Inc | 16221 W 159th St, Lockport, IL 60441-7959 |
| Nagui Hanna | Emergency Medicine | Lockport Express Medical Group Inc | 16221 W 159th St, Lockport, IL 60441-7959 |
| Matthew J Glowacki | Emergency Medicine | Lockport Express Medical Group Inc | 16221 W 159th St, Lockport, IL 60441-7959 |
| Tejal Nanubhai Patel | Physician Assistant | Lockport Express Medical Group Inc | 16221 W 159th St, Lockport, IL 60441-7959 |
| Street Address |
16221 W 159TH ST |
| City | LOCKPORT |
| State | IL |
| Zip | 60441-7959 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Charinne L Thommen | Physician Assistant | Lockport Express Medical Group Inc | 16221 W 159th St, Lockport, IL 60441-7959 |
| Nagui Hanna | Emergency Medicine | Lockport Express Medical Group Inc | 16221 W 159th St, Lockport, IL 60441-7959 |
| Matthew J Glowacki | Emergency Medicine | Lockport Express Medical Group Inc | 16221 W 159th St, Lockport, IL 60441-7959 |
| Tejal Nanubhai Patel | Physician Assistant | Lockport Express Medical Group Inc | 16221 W 159th St, Lockport, IL 60441-7959 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Daniel Murphy | Physical Therapy | Accelerated Rehabilitation Centers Ltd | 1147 E 9th St, Lockport, IL 60441-3219 |
| Margaret L Leise | Physical Therapy | 400 Summit Dr, Lockport, IL 60441-3241 | |
| Justine Johnson | Chiropractic | Lockport Chiropractic Center Ltd | 360 Summit Dr, Lockport, IL 60441-3244 |
| Maria Radcliffe | Chiropractic | Lockport Chiropractic Center Ltd | 360 Summit Dr, Lockport, IL 60441-3244 |
| Timothy E Radcliffe | Chiropractic | Lockport Chiropractic Center Ltd | 360 Summit Dr, Lockport, IL 60441-3244 |
| Laura Mayerson | Chiropractic | Lockport Chiropractic Center Ltd | 360 Summit Dr, Lockport, IL 60441-3244 |
| Andrew J Garner | Chiropractic | Lockport Chiropractic Center Ltd | 360 Summit Dr, Lockport, IL 60441-3244 |
| Jill Suzanne House | Chiropractic | 1110 E 9th St, Lockport, IL 60441-3247 | |
| Thomas Richard Brescia | Chiropractic | 1110 E 9th St, Lockport, IL 60441-3247 | |
| Daniel R Co | Internal Medicine | 300 Read St, C, Lockport, IL 60441-3265 | |
| Find all physicians in zip 60441 | |||
| City | LOCKPORT |
| Zip Code | 60441 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | LOCKPORT + PHYSICIAN ASSISTANT |
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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.