Justin Stiles Clark (NPI# 1033146634, PAC ID# 9133420664) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1033146634 |
| PAC ID by PECOS | 9133420664 |
| Professional Enrollment ID | I20180202000116 |
| Full Name | Justin Stiles Clark |
| Organization Legal Name | INTEGRATED IMAGING CONSULTANTS LLC |
| Address |
1775 Dempster St Park Ridge IL 60068-1143 |
| Phone Number | 8478031000 |
| Gender | M |
| Graduation Year | 2006 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Group Practice PAC ID | 2567784408 |
| Number of Group Practice Members | 152 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 420071 | SELF REGIONAL HEALTHCARE |
| Address | Phone | Organization |
|---|---|---|
| 23862 W Bayview Rd, Antioch, IL 60002-2252 | 8647255437 | SELF MEDICAL GROUP |
| 17800 Kedzie Ave, Hazel Crest, IL 60429-2029 | 7087998000 | INTEGRATED IMAGING CONSULTANTS LLC |
| 4440 W 95th St, Oak Lawn, IL 60453-2600 | 7086848000 | INTEGRATED IMAGING CONSULTANTS LLC |
| 1775 Dempster St, Park Ridge, IL 60068-1143 | 8478031000 | INTEGRATED IMAGING CONSULTANTS LLC |
| Organization Legal Name | INTEGRATED IMAGING CONSULTANTS LLC |
| Physicians | 131 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mayte P Gierbolini | Diagnostic Radiology | Integrated Imaging Consultants LLC | 500 Lakeview Ct, Miami Beach, FL 33140-2628 |
| Naveen Prabhakar | Diagnostic Radiology | Integrated Imaging Consultants LLC | 450w Il Route 22, Barrington, IL 60010-1919 |
| Pradeep K Jacob | Diagnostic Radiology | Integrated Imaging Consultants LLC | 1131 Stringers Ridge Rd, Apt 6a, Chattanooga, TN 37405-3251 |
| Michael S Siegfried | Diagnostic Radiology | Integrated Imaging Consultants LLC | 1775 Dempster St, Park Ridge, IL 60068-1143 |
| Vincent B Rowley | Diagnostic Radiology | Integrated Imaging Consultants LLC | 1775 Dempster St, Park Ridge, IL 60068-1143 |
| Joshua A Weiss | Diagnostic Radiology | Integrated Imaging Consultants LLC | 450w Il Route 22, Barrington, IL 60010-1919 |
| Kathleen G Draths Hanson | Diagnostic Radiology | Integrated Imaging Consultants LLC | 1775 Dempster St, Park Ridge, IL 60068-1143 |
| Wesley D Roberts | Diagnostic Radiology | Integrated Imaging Consultants LLC | 1775 Dempster St, Park Ridge, IL 60068-1143 |
| Jonathan M Tresley | Diagnostic Radiology | Integrated Imaging Consultants LLC | 1775 Dempster St, Park Ridge, IL 60068-1143 |
| Richard M Bauer | Diagnostic Radiology | Integrated Imaging Consultants LLC | 1775 Dempster St, Park Ridge, IL 60068-1143 |
| Street Address |
1775 DEMPSTER ST |
| City | PARK RIDGE |
| State | IL |
| Zip | 60068-1143 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Yanixia Li | Pathology | Midwest Diagnostic Pathology, S.c. | 1775 Dempster St, Park Ridge, IL 60068-1143 |
| Jason Macklis | Hematology/oncology | Advocate Health and Hospitals Corporation | 1775 Dempster St, Park Ridge, IL 60068-1143 |
| Amy L Miner | Nurse Practitioner | Advocate Health and Hospitals Corporation | 1775 Dempster St, Park Ridge, IL 60068-1143 |
| Nayana P Dave | Internal Medicine | Advocate Health and Hospitals Corporation | 1775 Dempster St, Park Ridge, IL 60068-1143 |
| John D Mckenzie Jr. | General Surgery | 1775 Dempster St, Park Ridge, IL 60068-1143 | |
| Manoj R Shah | General Surgery | Advocate Health and Hospitals Corporation | 1775 Dempster St, Park Ridge, IL 60068-1143 |
| Eleni Ioanna Kritikos | Nurse Practitioner | Advocate Health and Hospitals Corporation | 1775 Dempster St, Suite Aip, Park Ridge, IL 60068-1143 |
| Shantha S Sreekanth | Pathology | Midwest Diagnostic Pathology, S.c. | 1775 Dempster St, Park Ridge, IL 60068-1143 |
| Michael S Siegfried | Diagnostic Radiology | Integrated Imaging Consultants LLC | 1775 Dempster St, Park Ridge, IL 60068-1143 |
| Shetal M Patel | Internal Medicine | Advocate Health and Hospitals Corporation | 1775 Dempster St, Park Ridge, IL 60068-1143 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Eric Pales | Internal Medicine | 1550 N Northwest Hwy 211, Park Ridge, IL 60068 | |
| Lisa Ann Ditchek | Clinical Psychologist | Lisa A Ditchek Psy D P C | 1580n Northwest Hwy 116a, Park Ridge, IL 60068 |
| Tricia Muir | Nurse Practitioner | Advanced Medical Consultations Ltd | 1725 Ballard Rd, Park Ridge, IL 60068-1005 |
| Agatha Jefferson | Nurse Practitioner | Advocate Health and Hospitals Corporation | 1775 W Ballard Rd, Geriatrics, Park Ridge, IL 60068-1005 |
| William D Rhoades | Geriatric Medicine | Advocate Health and Hospitals Corporation | 1775 Ballard Rd, Park Ridge, IL 60068-1005 |
| Lawrence A Domont | Endocrinology | Advocate Health and Hospitals Corporation | 1775 Ballard Rd, Park Ridge, IL 60068-1005 |
| David J Kushner | Internal Medicine | Advocate Health and Hospitals Corporation | 1775 Ballard Rd, Park Ridge, IL 60068-1005 |
| Sydney R Brandwein | Rheumatology | Advocate Health and Hospitals Corporation | 1775 Ballard Rd, Park Ridge, IL 60068-1005 |
| Mariana K Krive | Internal Medicine | Advocate Health and Hospitals Corporation | 1775 Ballard Rd, Park Ridge, IL 60068-1005 |
| Kaleigh A Suhs | Sports Medicine | Advocate Health and Hospitals Corporation | 1775 Ballard Rd, Park Ridge, IL 60068-1005 |
| Find all physicians in zip 60068 | |||
| City | PARK RIDGE |
| Zip Code | 60068 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | PARK RIDGE + DIAGNOSTIC RADIOLOGY |
Please comment or provide details below to improve the information on Justin Stiles Clark.
| 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.