Nicholas G Tzanetakos (NPI# 1720126535, PAC ID# 6406035567) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY PRACTICE.
| Nation Provider ID (NPI) | 1720126535 |
| PAC ID by PECOS | 6406035567 |
| Professional Enrollment ID | I20110121000809 |
| Full Name | Nicholas G Tzanetakos |
| Organization Legal Name | RUSH-COPLEY MEDICAL GROUP NFP |
| Address |
99 Boulder Hill Pass Montgomery IL 60538-1911 |
| Phone Number | 6308972848 |
| Gender | M |
| Graduation Year | 1981 |
| Primary Specialty | FAMILY PRACTICE |
| Group Practice PAC ID | 7618864877 |
| Number of Group Practice Members | 84 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140029 | COPLEY MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 99 Boulder Hill Pass, Montgomery, IL 60538-1911 | 6308972848 | RUSH-COPLEY MEDICAL GROUP NFP |
| 4789 Route 71, Oswego, IL 60543-7415 | 6304994721 | RUSH-COPLEY MEDICAL GROUP NFP |
| 4789 State Route 71, Oswego, IL 60543-7415 | 6308985969 | RUSH-COPLEY MEDICAL GROUP NFP |
| Organization Legal Name | RUSH-COPLEY MEDICAL GROUP NFP |
| Physicians | 90 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Emily Tillotson | Nurse Practitioner | Rush-copley Medical Group Nfp | 4789 State Route 71, Oswego, IL 60543-7415 |
| Maria F Saavedra | Internal Medicine | Rush-copley Medical Group Nfp | 1901 W Galena Blvd, Rush Copley Medical Group, Aurora, IL 60506-4305 |
| Adam Estrada | Nurse Practitioner | Rush-copley Medical Group Nfp | 4789 Route 71, Oswego, IL 60543-7415 |
| Kevin Peters | Nurse Practitioner | Rush-copley Medical Group Nfp | 444 N Eola Rd, Suite 110 Rush Copley Medical Group, Aurora, IL 60502-9619 |
| Melissa Battista | Nurse Practitioner | Rush-copley Medical Group Nfp | 472 N Sugar Grove Pkwy, Rush Copley Medical Group, Sugar Grove, IL 60554-8107 |
| Tommy Y Pacana | Gastroenterology | Rush-copley Medical Group Nfp | 1256 Waterford Dr, Suite 120, Aurora, IL 60504-4510 |
| Christopher Stallter | Family Medicine | Rush-copley Medical Group Nfp | 2972 Indian Trail A, Aurora, IL 60502-9408 |
| Nidhi Tiwari | Internal Medicine | Rush-copley Medical Group Nfp | 2088 Ogden Ave, Suite 270, Aurora, IL 60504-4385 |
| Cathleen O Kovanic | Qualified Audiologist | Rush-copley Medical Group Nfp | 1100 W Veterans Pkwy, Suite 310, Yorkville, IL 60560-4728 |
| Craig Leslie Weinstein | General Surgery | Rush-copley Medical Group Nfp | 2040 Ogden Ave, Suite 201, Aurora, IL 60504-7222 |
| Street Address |
99 BOULDER HILL PASS |
| City | MONTGOMERY |
| State | IL |
| Zip | 60538-1911 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David D Leger | Chiropractic | 2100 Baseline Rd, Montgomery, IL 60538-1237 | |
| Jessica R Torres | Chiropractic | Montgomery Chiropractic Clinic PC | 212 Webster St, Montgomery, IL 60538-1324 |
| Neil S Schlupp | Chiropractic | Montgomery Chiropractic Clinic PC | 212 Webster St, Montgomery, IL 60538-1324 |
| Robert L Hamlin | Clinical Social Worker | Neighborhood Counseling Associates Nfp | 155 Boulder Hill Pass, Montgomery, IL 60538-2305 |
| City | MONTGOMERY |
| Zip Code | 60538 |
| Specialty | FAMILY PRACTICE |
| City + Specialty | MONTGOMERY + FAMILY PRACTICE |
Please comment or provide details below to improve the information on Nicholas G Tzanetakos.
| 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.