Vipan K Gupta (NPI# 1356393730, PAC ID# 9133184732) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NEUROLOGY.
| Nation Provider ID (NPI) | 1356393730 |
| PAC ID by PECOS | 9133184732 |
| Professional Enrollment ID | I20041124000169 |
| Full Name | Vipan K Gupta |
| Organization Legal Name | BONAVENTURE MEDICAL FOUNDATION LLC |
| Address |
943 N Plum Grove Rd Suite B Schaumburg IL 60173-4779 |
| Phone Number | 8479529140 |
| Gender | M |
| Credential | MD |
| Graduation Year | 1982 |
| Primary Specialty | NEUROLOGY |
| Group Practice PAC ID | 7517863178 |
| Number of Group Practice Members | 199 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140258 | ALEXIAN BROTHERS MEDICAL CENTER 1 |
| 140290 | ST ALEXIUS MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1626 W Algonquin Rd, Hoffman Est, IL 60195-1587 | 8476405640 | BONAVENTURE MEDICAL FOUNDATION LLC |
| 943 N Plum Grove Rd, Suite B, Schaumburg, IL 60173-4779 | 8479529140 | BONAVENTURE MEDICAL FOUNDATION LLC |
| 190 W Irving Park Rd, Wood Dale, IL 60191-1364 | 6307660412 | BONAVENTURE MEDICAL FOUNDATION LLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_226_overall | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 100% |
| Organization Legal Name | BONAVENTURE MEDICAL FOUNDATION LLC |
| Physicians | 191 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Helen Muchow | Nurse Practitioner | Bonaventure Medical Foundation LLC | 1555 Barrington Rd, Suite 3450, Hoffman Estates, IL 60169-1031 |
| Amy J Walters | Nurse Practitioner | Bonaventure Medical Foundation LLC | 2100 S Finley Rd, Lombard, IL 60148-4830 |
| Ibrahim S Sadek | Internal Medicine | Bonaventure Medical Foundation LLC | 1041 W Stearns Rd, Bartlett, IL 60103-4509 |
| Vanja Cuk | Internal Medicine | Bonaventure Medical Foundation LLC | 955 Beisner Rd, Elk Grove Village, IL 60007-3475 |
| Deepa Potti | Family Medicine | Bonaventure Medical Foundation LLC | 50 S Northwest Hwy, Palatine, IL 60074-6231 |
| Stephen Rittman | Family Medicine | Bonaventure Medical Foundation LLC | 361 W Golf Rd, Schaumburg, IL 60195-3607 |
| Reinhold Llerena | Family Medicine | Bonaventure Medical Foundation LLC | 1626 W Algonquin Rd, Hoffman Est, IL 60195-1587 |
| Mark E Collins | Family Medicine | Bonaventure Medical Foundation LLC | 126 Biesterfield Rd, Elk Grove Village, IL 60007-3657 |
| Michael J Osten | Family Medicine | Bonaventure Medical Foundation LLC | 25 E Schaumburg Rd, Schaumburg, IL 60194-3550 |
| John Wilkerson | Family Medicine | Bonaventure Medical Foundation LLC | 1015 Summit St, Elgin, IL 60120-4362 |
| Street Address |
943 N PLUM GROVE RD SUITE B |
| City | SCHAUMBURG |
| State | IL |
| Zip | 60173-4779 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Alexandra Faye Muller | Physician Assistant | Bonaventure Medical Foundation LLC | 943 N Plum Grove Rd, Suite B, Schaumburg, IL 60173-4779 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Thomas Chrusciel | Physical Therapy | Team Rehabilitation Il06, LLC | 186 E Golf Rd, Schaumburg, IL 60173-3726 |
| Matthew J Ganser | Physical Therapy | Team Rehabilitation Il06, LLC | 186 E Golf Rd, Schaumburg, IL 60173-3726 |
| Seema J Bhagwakar | Physical Therapy | Team Rehabilitation Il06, LLC | 186 E Golf Rd, Schaumburg, IL 60173-3726 |
| Nicolejoanne Wood | Psychologist, Clinical | 650 E Algonquin Rd, Suite 108, Schaumburg, IL 60173-3853 | |
| Savan Dixit Patel | Orthopedic Surgery | Chicago Hand and Orthopedic Surgery Centers Sc | 2000 E Algonquin Rd, Suite 109, Schaumburg, IL 60173-4167 |
| Paul E Papierski | Hand Surgery | Chicago Hand and Orthopedic Surgery Centers Sc | 2000 E Algonquin Rd, Suite 109, Schaumburg, IL 60173-4167 |
| Alexander P Soneru | Hand Surgery | Chicago Hand and Orthopedic Surgery Centers Sc | 2000 E Algonquin Rd, Suite 109, Schaumburg, IL 60173-4167 |
| Paul M Mikulski | Chiropractic | 2010 E Algonquin Rd, Suite 211, Schaumburg, IL 60173-4168 | |
| Matthew Landstrom | Clinical Psychologist | 2010 E Algonquin Rd, Suite 207, Schaumburg, IL 60173-4168 | |
| Thomas C Todd | Clinical Psychologist | Todd and Lewis-todd, Inc. | 2010 E Algonquin Rd, Schaumburg, IL 60173-4168 |
| Find all physicians in zip 60173 | |||
| City | SCHAUMBURG |
| Zip Code | 60173 |
| Specialty | NEUROLOGY |
| City + Specialty | SCHAUMBURG + NEUROLOGY |
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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.