Jennifer Luzentales (NPI# 1366896631, PAC ID# 7719261718) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
Nation Provider ID (NPI) | 1366896631 |
PAC ID by PECOS | 7719261718 |
Professional Enrollment ID | I20170310000023 |
Full Name | Jennifer Luzentales |
Organization Legal Name | WAUKEGAN CLINIC CORP |
Address |
1616 Grand Ave Suite A Waukegan IL 60085-3676 |
Phone Number | 8472491733 |
Gender | F |
Graduation Year | 2016 |
Primary Specialty | NURSE PRACTITIONER |
Group Practice PAC ID | 4284631086 |
Number of Group Practice Members | 27 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
140084 | VISTA MEDICAL CENTER EAST |
Address | Phone | Organization |
---|---|---|
1616 Grand Ave, Suite A, Waukegan, IL 60085-3676 | 8472491733 | WAUKEGAN CLINIC CORP |
Organization Legal Name | WAUKEGAN CLINIC CORP |
Physicians | 30 |
Name | Specialty | Organization | Address |
---|---|---|---|
Sherry A Owen | Nurse Practitioner | Waukegan Clinic Corp | 3 S Greenleaf St, Suite A, Gurnee, IL 60031-3377 |
Anita Bhardwaj | Family Medicine | Waukegan Clinic Corp | 200 S Greenleaf St, Gurnee, IL 60031-3398 |
Mathangi R Sekharan | Internal Medicine | Waukegan Clinic Corp | 103 S Greenleaf St A, Gurnee, IL 60031-3380 |
Richard A Margolin | Family Medicine | Waukegan Clinic Corp | 15 Commerce Dr, Suite 113, Grayslake, IL 60030-7807 |
Daisy S Andaleon | Family Medicine | Waukegan Clinic Corp | 1616 Grand Ave B, Waukegan, IL 60085-3676 |
Asif Anwar | Internal Medicine | Waukegan Clinic Corp | 15 Tower Ct, Suite 265, Gurnee, IL 60031-3340 |
Srikanth Davuluri | Pulmonary Disease | Waukegan Clinic Corp | 200 S Greenleaf St, Gurnee, IL 60031-3398 |
Ralph A Seymoure | Physician Assistant | Waukegan Clinic Corp | 200 S Greenleaf St, Gurnee, IL 60031-3398 |
Lavanya Srinivasan | Pulmonary Disease | Waukegan Clinic Corp | 200 S Greenleaf St, Gurnee, IL 60031-3398 |
Kunal Patel | Internal Medicine | Waukegan Clinic Corp | 15 Tower Ct, Suite 265, Gurnee, IL 60031-3340 |
Street Address |
1616 GRAND AVE SUITE A |
City | WAUKEGAN |
State | IL |
Zip | 60085-3676 |
Name | Specialty | Organization | Address |
---|---|---|---|
Thomas M Winslow | Chiropractic | 1390 N Green Bay Rd, Waukegan, IL 60085-1104 | |
Adeel Kamal | Physician Assistant | App of Illinois Hm Pllc | 1324 N Sheridan Rd, Waukegan, IL 60085-2161 |
Josia N Henry | Internal Medicine | App of Illinois Hm Pllc | 1324 N Sheridan Rd, Waukegan, IL 60085-2161 |
Haili Campanella | Nurse Practitioner | App of Illinois Hm Pllc | 1324 N Sheridan Rd, Waukegan, IL 60085-2161 |
Jeffrey B Helwig | Emergency Medicine | App of Illinois Ed Pllc | 1324 N Sheridan Rd, Waukegan, IL 60085-2161 |
James Song | Diagnostic Radiology | Vista Imaging Associates Sc | 1324 N Sheridan Rd, Waukegan, IL 60085-2161 |
David N Zull | Emergency Medicine | App of Illinois Ed Pllc | 1324 N Sheridan Rd, Waukegan, IL 60085-2161 |
Wei Wei | Physician Assistant | App of Illinois Hm Pllc | 1324 N Sheridan Rd, Waukegan, IL 60085-2161 |
Marina A Sodagar | Physician Assistant | App of Illinois Hm Pllc | 1324 N Sheridan Rd, Waukegan, IL 60085-2161 |
Sara Ferrera | Emergency Medicine | App of Illinois Ed Pllc | 1324 N Sheridan Rd, Waukegan, IL 60085-2161 |
Find all physicians in zip 60085 |
City | WAUKEGAN |
Zip Code | 60085 |
Specialty | NURSE PRACTITIONER |
City + Specialty | WAUKEGAN + NURSE PRACTITIONER |
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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.