Mary T Pham (NPI# 1659404325, PAC ID# 8325132558) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1659404325 |
| PAC ID by PECOS | 8325132558 |
| Professional Enrollment ID | I20070919000597 |
| Full Name | Mary T Pham |
| Organization Legal Name | CENTRAL ILLINOIS RADIOLOGICAL ASSOCIATES LTD |
| Address |
114 W Stratford Dr E Peoria IL 61614-7300 |
| Phone Number | 3097404270 |
| Gender | F |
| Medical School | MEDICAL COLLEGE OF VIRGINIA COMMONWEALTH UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1999 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Group Practice PAC ID | 9436061827 |
| Number of Group Practice Members | 102 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140067 | SAINT FRANCIS MEDICAL CENTER |
| 141325 | OSF SAINT LUKES MEDICAL CENTER |
| 140064 | ST MARY MEDICAL CENTER |
| 141337 | PERRY MEMORIAL HOSPITAL |
| 140110 | OTTAWA REGIONAL HOSPITAL & HEALTHCARE CENTER |
| Address | Phone | Organization |
|---|---|---|
| 114 W Stratford Dr E, Peoria, IL 61614-7300 | 3097404270 | CENTRAL ILLINOIS RADIOLOGICAL ASSOCIATES LTD |
| Organization Legal Name | CENTRAL ILLINOIS RADIOLOGICAL ASSOCIATES LTD |
| Physicians | 73 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Cameron Taylor | Diagnostic Radiology | Central Illinois Radiological Associates Ltd | 111 Oakwood Rd, East Peoria, IL 61611-1853 |
| Jamie J Rinehart | Physician Assistant | Central Illinois Radiological Associates Ltd | 114 W Stratford Dr, Suite E, Peoria, IL 61614-7300 |
| Alexander Roman Oshmyansky | Diagnostic Radiology | Central Illinois Radiological Associates Ltd | 8712 W Fair Dr, Littleton, CO 80123-3229 |
| Nuha Krad | Diagnostic Radiology | Central Illinois Radiological Associates Ltd | 172 Gitano, Irvine, CA 92618-1115 |
| Leon J Wise | Diagnostic Radiology | Central Illinois Radiological Associates Ltd | 107 Watters Dr, Dwight, IL 60420-1280 |
| Lawrence C Wang | Diagnostic Radiology | Central Illinois Radiological Associates Ltd | 350 N Wall St, Kankakee, IL 60901-2901 |
| Grace A Tye | Diagnostic Radiology | Central Illinois Radiological Associates Ltd | 956 Calle Santa Cruz, Encinitas, CA 92024-6609 |
| Hugh Mcswain | Diagnostic Radiology | Central Illinois Radiological Associates Ltd | 31 Dorset Ln, Mill Valley, CA 94941-5203 |
| Miriam Jill Sullivan | Diagnostic Radiology | Central Illinois Radiological Associates Ltd | 114 W Stratford Dr E, Peoria, IL 61614-7300 |
| Howard I Roth | Diagnostic Radiology | Central Illinois Radiological Associates Ltd | 350 N Wall St, Kankakee, IL 60901-2901 |
| Street Address |
114 W STRATFORD DR E |
| City | PEORIA |
| State | IL |
| Zip | 61614-7300 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Miriam Jill Sullivan | Diagnostic Radiology | Central Illinois Radiological Associates Ltd | 114 W Stratford Dr E, Peoria, IL 61614-7300 |
| Amanda Cross | Diagnostic Radiology | Central Illinois Radiological Associates Ltd | 114 W Stratford Dr E, Peoria, IL 61614-7300 |
| Gary S Zwicky | Diagnostic Radiology | Central Illinois Radiological Associates Ltd | 114 W Stratford Dr E, Peoria, IL 61614-7300 |
| Raymond E Bertino | Diagnostic Radiology | Central Illinois Radiological Associates Ltd | 114 W Stratford Dr E, Peoria, IL 61614-7300 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kurt Michael Pepperell | Chiropractic | 3530 W Willow Knolls Dr, Peoria, IL 61614-1010 | |
| Caleb O Johnson | Physical Therapy | Accelerated Rehabilitation Centers Ltd | 3531 Willow Knolls Dr, Peoria, IL 61614-1078 |
| Lance A Reiman | Physical Therapy | Accelerated Rehabilitation Centers Ltd | 3531 Willow Knolls Dr, Peoria, IL 61614-1078 |
| Caitlin Marie Pribble | Physical Therapy | Accelerated Rehabilitation Centers Ltd | 3531 Willow Knolls Dr, Peoria, IL 61614-1078 |
| James L Swingler | Obstetrics/gynecology | 7501 N University St, Suite 113, Peoria, IL 61614-1234 | |
| Christine A Haynes | Chiropractic | Haynes Family Chiropractic Inc | 1921 W Willow Knolls Dr, Suite D, Peoria, IL 61614-1243 |
| Kyle J Haynes | Chiropractic | Haynes Family Chiropractic Inc | 1921 W Willow Knolls Dr, Suite D, Peoria, IL 61614-1243 |
| Christine Marie Fletcher | Qualified Speech Language Pathologist | Speech and Language Rehabilitation Service Ltd | 2001 W Willow Knolls Dr, Suite 106, Peoria, IL 61614-1262 |
| Danila L Mcasey | Qualified Speech Language Pathologist | Speech and Language Rehabilitation Service Ltd | 2001 W Willow Knolls Dr, Suite 106, Peoria, IL 61614-1262 |
| Keith A Kramer | Chiropractic | Kramer Chiropractic and Acupuncture | 2208 W Willow Knolls Rd, Peoria, IL 61614-1467 |
| Find all physicians in zip 61614 | |||
| City | PEORIA |
| Zip Code | 61614 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | PEORIA + DIAGNOSTIC RADIOLOGY |
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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.