Michael Larry (NPI# 1164433348, PAC ID# 7315961760) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OBSTETRICS/GYNECOLOGY.
| Nation Provider ID (NPI) | 1164433348 |
| PAC ID by PECOS | 7315961760 |
| Professional Enrollment ID | I20100630000792 |
| Full Name | Michael Larry |
| Organization Legal Name | CENTRAL DUPAGE PHYSICIAN GROUP |
| Address |
397 S Schmale Rd Carol Stream IL 60188-2756 |
| Phone Number | 6302219663 |
| Gender | M |
| Medical School | LOYOLA UNIVERSITY OF CHICAGO, STRITCH SCHOOL OF MEDICINE |
| Graduation Year | 1989 |
| Primary Specialty | OBSTETRICS/GYNECOLOGY |
| Group Practice PAC ID | 5890696231 |
| Number of Group Practice Members | 660 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140211 | DELNOR COMMUNITY HOSPITAL |
| 140242 | CENTRAL DUPAGE HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 397 S Schmale Rd, Carol Stream, IL 60188-2756 | 6302219663 | CENTRAL DUPAGE PHYSICIAN GROUP |
| Organization Legal Name | CENTRAL DUPAGE PHYSICIAN GROUP |
| Physicians | 623 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert James Kasper | Family Medicine | Central Dupage Physician Group | 298 Randall Rd, Geneva, IL 60134-4203 |
| Lauren E Miser | Physician Assistant | Central Dupage Physician Group | 2425 Fargo Blvd, Geneva, IL 60134-3591 |
| Melissa Lancaster | Psychologist, Clinical | Central Dupage Physician Group | 302 Randall Rd, Geneva, IL 60134-4209 |
| Deborah A Henschler | Nurse Practitioner | Central Dupage Physician Group | 224 E Railroad St, Sandwich, IL 60548-2240 |
| Mehr Iqbal | Psychiatry | Central Dupage Physician Group | 1800 N Main St, Wheaton, IL 60187-3112 |
| Rakhee Kalelkar | Internal Medicine | Central Dupage Physician Group | 1019 School St, Lisle, IL 60532-1870 |
| Katharyn Lupo | Pediatric Medicine | Central Dupage Physician Group | 636 Raymond Dr, Naperville, IL 60563-9789 |
| Carrie A Feid | Nurse Practitioner | Central Dupage Physician Group | 304 Randall Rd, Geneva, IL 60134-4200 |
| Spring S Piatek | Certified Clinical Nurse Specialist (cns) | Central Dupage Physician Group | 473 W Army Trail Rd, Bloomingdale, IL 60108-2674 |
| Rhonda Koach | Qualified Speech Language Pathologist | Central Dupage Physician Group | 2127 Midlands Ct, Unit 203, Sycamore, IL 60178-3173 |
| Street Address |
397 S SCHMALE RD |
| City | CAROL STREAM |
| State | IL |
| Zip | 60188-2756 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lynn Fesenmyer | Obstetrics/gynecology | Central Dupage Physician Group | 397 S Schmale Rd, Carol Stream, IL 60188-2756 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Erin M Liebich | Psychologist, Clinical | Suite, Suite 212, Carol Stream, IL 60188 | |
| Pauline K Wiener | Psychiatry | 27 W170 Saint Charles Rd, Carol Stream, IL 60188-1935 | |
| Marc L Wiener | Internal Medicine | 27 W170 Saint Charles Rd, Carol Stream, IL 60188-1935 | |
| Lee A Everett | Physical Therapy | 135 E Saint Charles Rd G, Carol Stream, IL 60188-2078 | |
| Kevin A Fredericks | Chiropractic | 166 N Gary Ave, Carol Stream, IL 60188-2093 | |
| Frank C Chao | Family Medicine | Adventist Health Partners Inc | 630 E N Ave, Carol Stream, IL 60188-2127 |
| Christopher T Boniquit | Urology | Adventist Health Partners Inc | 630 E N Ave, Carol Stream, IL 60188-2127 |
| Sunny K Sharma | Internal Medicine | Adventist Health Partners Inc | 630 E N Ave, Carol Stream, IL 60188-2127 |
| Roshni Patel | Qualified Audiologist | Adventist Health Partners Inc | 630 E N Ave, Carol Stream, IL 60188-2127 |
| Keith M Lertsburapa | Otolaryngology | Adventist Health Partners Inc | 630 E N Ave, Carol Stream, IL 60188-2127 |
| Find all physicians in zip 60188 | |||
| City | CAROL STREAM |
| Zip Code | 60188 |
| Specialty | OBSTETRICS/GYNECOLOGY |
| City + Specialty | CAROL STREAM + OBSTETRICS/GYNECOLOGY |
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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.