Angel Leake (NPI# 1679729842, PAC ID# 8527249671) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1679729842 |
| PAC ID by PECOS | 8527249671 |
| Professional Enrollment ID | I20110222000788 |
| Full Name | Angel Leake |
| Organization Legal Name | CHRISTIAN COMMUNITY HEALTH CENTER |
| Address |
9718 S Halsted St Chicago IL 60628-1007 |
| Phone Number | 7732334100 |
| Gender | F |
| Medical School | UNIVERSITY OF ILLINOIS AT CHICAGO HEALTH SCIENCE CENTER |
| Graduation Year | 2002 |
| Primary Specialty | INTERNAL MEDICINE |
| Secondary Specialties | INFECTIOUS DISEASE |
| Group Practice PAC ID | 4284533183 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140179 | LITTLE COMPANY OF MARY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 9718 S Halsted St, Chicago, IL 60628-1007 | 7732334100 | CHRISTIAN COMMUNITY HEALTH CENTER |
| Organization Legal Name | CHRISTIAN COMMUNITY HEALTH CENTER |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Victor L Thomas | Internal Medicine | Christian Community Health Center | 9718 S Halsted St, Chicago, IL 60628-1007 |
| Solomon O Okai | Internal Medicine | Christian Community Health Center | 9718 S Halsted St, Chicago, IL 60628-1007 |
| Street Address |
9718 S HALSTED ST |
| City | CHICAGO |
| State | IL |
| Zip | 60628-1007 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Victor L Thomas | Internal Medicine | Christian Community Health Center | 9718 S Halsted St, Chicago, IL 60628-1007 |
| Solomon O Okai | Internal Medicine | Christian Community Health Center | 9718 S Halsted St, Chicago, IL 60628-1007 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jamiere Y Smith | Obstetrics/gynecology | Jamiere Y Smith Md Sc | 9915 S Halsted St, Chicago, IL 60628-1035 |
| Aquila R Shelby | Nurse Practitioner | Little Company of Mary Affiliated Services Inc | 736 W 95th St, Chicago, IL 60628-1063 |
| Nicole D King | Internal Medicine | 9500 S Dorchester Ave, Suite 100, Chicago, IL 60628-1700 | |
| Olukayode Olowe | Internal Medicine | 123 E 103rd St, Chicago, IL 60628-2713 | |
| Emily Therese Opiola | Nurse Practitioner | American Current Care of Illinois PC | 900 E 103rd St, Chicago, IL 60628-3033 |
| Mejo Vayalil | Nurse Practitioner | Seby S C | 10830 S Halsted St, Chicago, IL 60628-3126 |
| James B Achebe | Family Medicine | 10810 S Halsted St, Chicago, IL 60628-3126 | |
| Joseph S Thomas | Obstetrics/gynecology | 10814 S Halsted St, Chicago, IL 60628-3126 | |
| Sebastian Joseph | Family Medicine | Seby S C | 10830 S Halsted St, Chicago, IL 60628-3126 |
| Delovely G Jackson | Nurse Practitioner | New Southtown Medical Group S C | 11000 S Halsted St, Chicago, IL 60628-3909 |
| Find all physicians in zip 60628 | |||
| City | CHICAGO |
| Zip Code | 60628 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | CHICAGO + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Angel Leake.
| 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.