Pooja Dave Patel (NPI# 1639430655, PAC ID# 6709032022) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1639430655 |
| PAC ID by PECOS | 6709032022 |
| Professional Enrollment ID | I20140731000245 |
| Full Name | Pooja Dave Patel |
| Organization Legal Name | DUPAGE MEDICAL GROUP LTD |
| Address |
430 Pennsylvania Ave Glen Ellyn IL 60137-4464 |
| Phone Number | 6304699200 |
| Gender | F |
| Medical School | LOYOLA UNIVERSITY OF CHICAGO, STRITCH SCHOOL OF MEDICINE |
| Graduation Year | 2011 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 5496667941 |
| Number of Group Practice Members | 1174 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140231 | EDWARD HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 430 Pennsylvania Ave, Glen Ellyn, IL 60137-4464 | 6304699200 | DUPAGE MEDICAL GROUP LTD |
| 430 Warrenville Rd, Suite 210, Lisle, IL 60532-1348 | 6304326180 | DUPAGE MEDICAL GROUP LTD |
| 25 N Winfield Rd, Winfield, IL 60190-1222 | DUPAGE MEDICAL GROUP LTD |
| Organization Legal Name | DUPAGE MEDICAL GROUP LTD |
| Physicians | 1099 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Yekaterina Polyatskaya | Plastic and Reconstructive Surgery | Dupage Medical Group Ltd | 28381 Davis Pkwy, Suite 700, Warrenville, IL 60555-3033 |
| Gina Marie Sementa | Physical Therapy | Dupage Medical Group Ltd | 854 Roosevelt Rd, Suite E10, Glen Ellyn, IL 60137-6057 |
| Carolyn Bogart | Physical Therapy | Dupage Medical Group Ltd | 1807 S Washington St, Suite 12, Naperville, IL 60565-2446 |
| Lauren Wright | Physical Therapy | Dupage Medical Group Ltd | 1801 S Highland Ave, Lombard, IL 60148-4932 |
| Lauren Helen Fischer | Physical Therapy | Dupage Medical Group Ltd | 2124 Ogden Ave, 1c, Aurora, IL 60504-7514 |
| Danielle Bryant | Nurse Practitioner | Dupage Medical Group Ltd | 430 Pennsylvania Ave, Glen Ellyn, IL 60137-4464 |
| Kathryn Winkler | Ophthalmology | Dupage Medical Group Ltd | 1327 Butterfield Rd, Suite 618, Downers Grove, IL 60515-1001 |
| Yvonne Tran | Physical Therapy | Dupage Medical Group Ltd | 17129 Harlem Ave, B3, Tinley Park, IL 60477-3369 |
| Emily Koch | Physical Therapy | Dupage Medical Group Ltd | 1163 E Ogden Ave, Suite 719, Naperville, IL 60563-8535 |
| Jennesa K Fahey | Physical Therapy | Dupage Medical Group Ltd | 1504 Essington Rd, Suite B, Joliet, IL 60435-2871 |
| Street Address |
430 PENNSYLVANIA AVE |
| City | GLEN ELLYN |
| State | IL |
| Zip | 60137-4464 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Danielle Bryant | Nurse Practitioner | Dupage Medical Group Ltd | 430 Pennsylvania Ave, Glen Ellyn, IL 60137-4464 |
| Melissa Lee Robinson | Pediatric Medicine | Dupage Medical Group Ltd | 430 Pennsylvania Ave, Glen Ellyn, IL 60137-4464 |
| Chad Martin Randolph | Physical Therapy | Dupage Medical Group Ltd | 430 Pennsylvania Ave, Glen Ellyn, IL 60137-4464 |
| Lekshmi Nair | Diagnostic Radiology | Dupage Medical Group Ltd | 430 Pennsylvania Ave, Glen Ellyn, IL 60137-4464 |
| Seema R Mamtora | Physician Assistant | Dupage Medical Group Ltd | 430 Pennsylvania Ave, Glen Ellyn, IL 60137-4464 |
| Erin K Kopeny | Physician Assistant | Dupage Medical Group Ltd | 430 Pennsylvania Ave, Glen Ellyn, IL 60137-4464 |
| Amrit Mangat | General Surgery | Dupage Medical Group Ltd | 430 Pennsylvania Ave, Glen Ellyn, IL 60137-4464 |
| Michelle L Brewer | Physical Therapy | Dupage Medical Group Ltd | 430 Pennsylvania Ave, Glen Ellyn, IL 60137-4464 |
| Angeline Heaver | Nurse Practitioner | Dupage Medical Group Ltd | 430 Pennsylvania Ave, Glen Ellyn, IL 60137-4464 |
| Sara J Brandal | Nurse Practitioner | Dupage Medical Group Ltd | 430 Pennsylvania Ave, Glen Ellyn, IL 60137-4464 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Susan L Thorne Devin | Clinical Social Worker | 500 Roosevelt Rd, Suite 205, Glen Ellyn, IL 60137-2600 | |
| Brenda Sypolt | Clinical Social Worker | Kb Psychological Practice PC | 2 S 706 Park Blvd, Glen Ellyn, IL 60137-3936 |
| Alan Y K Chow | Ophthalmology | 386 Pennsylvania Ave, Suite 3n, Glen Ellyn, IL 60137-4323 | |
| Melissa J Siavelis | Qualified Audiologist | Hartman Hearing Group Inc | 487 Pennsylvania Ave, Glen Ellyn, IL 60137-4403 |
| Jeanne P. Perkins | Qualified Audiologist | Hartman Hearing Group Inc | 487 Pennsylvania Ave, Glen Ellyn, IL 60137-4403 |
| Linda A Burba | Audiologist | 487 Pennsylvania Ave, Glen Ellyn, IL 60137-4403 | |
| Shaukat Jamal | Psychiatry | 478 Pennsylvania Ave, Suite 101, Glen Ellyn, IL 60137-4425 | |
| Marzenna Schoeneich | Internal Medicine | 420 Pennsylvania Ave, Suite 103, Glen Ellyn, IL 60137-4437 | |
| Caroline M Wolfe | Internal Medicine | Dupage Medical Group Ltd | 430 Pennsylvania Ave, Glen Ellyn, IL 60137-4464 |
| Elizabeth A Rodgers | Physical Therapy | Dupage Medical Group Ltd | 430 Pennsylvania Ave, Glen Ellyn, IL 60137-4464 |
| Find all physicians in zip 60137 | |||
| City | GLEN ELLYN |
| Zip Code | 60137 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | GLEN ELLYN + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Pooja Dave Patel.
| 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.