Mikhail Khodarkovskiy
CORDIAL MEDICAL CENTER, S.C.


Address: 333 E Il Route 83 105, Mundelein, IL 60060-4278
Phone: 8479709922

Mikhail Khodarkovskiy (NPI# 1215919196, PAC ID# 7113919937) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.

Physician Overview

Nation Provider ID (NPI) 1215919196
PAC ID by PECOS 7113919937
Professional Enrollment ID I20040401000611
Full Name Mikhail Khodarkovskiy
Organization Legal Name CORDIAL MEDICAL CENTER, S.C.
Address 333 E Il Route 83 105
Mundelein
IL 60060-4278
Phone Number 8479709922
Gender M
Credential MD
Graduation Year 1984
Primary Specialty FAMILY MEDICINE
Group Practice PAC ID 6901898873
Number of Group Practice Members 2
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
140242 CENTRAL DUPAGE HOSPITAL
140202 ADVOCATE CONDELL MEDICAL CENTER
140010 NORTHSHORE UNIVERSITY HEALTHSYSTEM - EVANSTON HOSPITAL
140252 NORTHWEST COMMUNITY HOSPITAL 1

Other Locations

Address Phone Organization
333 E Il Route 83 105, Mundelein, IL 60060-4278 8479709922 CORDIAL MEDICAL CENTER, S.C.

Individual EP (Eligible Professionals) Public Reporting – Performance Scores
Physician Quality Reporting System (PQRS) and non-PQRS Qualified Clinical Data Registry (QCDR)

Measure Identifier Measure Title Performance Rate Reporting Mechanism
ACI_EC_TRANS_PPHI_1 Security Risk Analysis %
MIPS_EC_047_overall Care Plan 100%

Organization Information

Organization Legal Name CORDIAL MEDICAL CENTER, S.C.
Physicians 2

Physicians with the same organization

Name Specialty Organization Address
Bela Glantsman Family Medicine Cordial Medical Center, S.c. 333 E Il Route 83 105, Mundelein, IL 60060-4278

Office Location

Street Address 333 E IL ROUTE 83 105
City MUNDELEIN
State IL
Zip 60060-4278

Physicians in the same location

Name Specialty Organization Address
Bela Glantsman Family Medicine Cordial Medical Center, S.c. 333 E Il Route 83 105, Mundelein, IL 60060-4278

Physicians in the same zip code

Name Specialty Organization Address
Julie Y Palumbo Clinical Social Worker Catholic Charities of The Archdiocese of Chicago 998 E Maple St, Mundelein, IL 60060
Vibhuti Np Patel Nurse Practitioner Inverness Healthcare Associates Inc 201 E Park C, Mundelein, IL 60060
Jake R. Livingston Physical Therapy Rci Wrs Inc 1401 N Midlothian Rd, Mundelein, IL 60060-1149
Michelle Dietrick Physical Therapy Accelerated Rehabilitation Center of Kenosha Ltd 1186 W Maple Ave, Mundelein, IL 60060-1438
Diana A Guse General Practice Northshore University Healthsystem Faculty Practice Associates 1162 W Maple Ave, Mundelein, IL 60060-1438
Edward Schulz Podiatry 550 N Midlothian Rd, Suite 100, Mundelein, IL 60060-1613
Christopher J Hoklas Chiropractic 550 N Midlothian Rd, Suite 300, Mundelein, IL 60060-1613
Suzanne L Battaglia Optometry Lake County Vision Care PC 437 N Lake St, Mundelein, IL 60060-1824
Roger V Hecker Internal Medicine Advocate Health and Hospitals Corporation 550 N Lake St, Mundelein, IL 60060-1827
Jennifer Sasutan Ramos Chiropractic 524 N Lake St, Mundelein, IL 60060-1827
Find all physicians in zip 60060

Competitor

Search similar physicians

City MUNDELEIN
Zip Code 60060
Specialty FAMILY MEDICINE
City + Specialty MUNDELEIN + FAMILY MEDICINE

Improve Information

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Dataset Information

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.

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