Nada Farooq (NPI# 1083020796, PAC ID# 9133495302) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1083020796 |
| PAC ID by PECOS | 9133495302 |
| Professional Enrollment ID | I20171017000824 |
| Full Name | Nada Farooq |
| Organization Legal Name | PEKIN PROHEALTH INC |
| Address |
600 S 13th St I Pekin IL 61554-4936 |
| Phone Number | 3096209327 |
| Gender | F |
| Graduation Year | 2010 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 1951214576 |
| Number of Group Practice Members | 37 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140013 | PROCTOR HOSPITAL |
| 140120 | PEKIN MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 600 S 13th St I, Pekin, IL 61554-4936 | 3096209327 | PEKIN PROHEALTH INC |
| 5401 N Knoxville Ave, Peoria, IL 61614-5021 | PROCTOR HEALTH SYSTEMS |
| Organization Legal Name | PEKIN PROHEALTH INC |
| Physicians | 28 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rada I Ivanov | Pulmonary Disease | Pekin Prohealth Inc | 600 S 13th St L, Pekin, IL 61554-4936 |
| Eliathamby Kuganeswaran | Gastroenterology | Pekin Prohealth Inc | 600 S 13th St J, Pekin, IL 61554-4936 |
| John R Lindell | Internal Medicine | Pekin Prohealth Inc | 19 Olt Ave, Pekin, IL 61554-6214 |
| Greg J Jun | Internal Medicine | Pekin Prohealth Inc | 600 S 13th St D, Pekin, IL 61554-4936 |
| Jami M Klenzman | Nurse Practitioner | Pekin Prohealth Inc | 600 S 13th St I, Pekin, IL 61554-4936 |
| Paul A Siebert | General Surgery | Pekin Prohealth Inc | 600 S 13th St, Pekin, IL 61554-4936 |
| Maytee Boonyapredee | Internal Medicine | Pekin Prohealth Inc | 600 S 13th St, Pekin, IL 61554-4936 |
| Michael R Treanor | Gastroenterology | Pekin Prohealth Inc | 600 S 13th St J, Pekin, IL 61554-4936 |
| John E Player | General Surgery | Pekin Prohealth Inc | 600 S 13th St I, Pekin, IL 61554-4936 |
| Terry L Baldwin | Gastroenterology | Pekin Prohealth Inc | 600 S 13th St J, Pekin, IL 61554-4936 |
| Street Address |
600 S 13TH ST I |
| City | PEKIN |
| State | IL |
| Zip | 61554-4936 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jami M Klenzman | Nurse Practitioner | Pekin Prohealth Inc | 600 S 13th St I, Pekin, IL 61554-4936 |
| John E Player | General Surgery | Pekin Prohealth Inc | 600 S 13th St I, Pekin, IL 61554-4936 |
| Farnaz Nani Moazzam | General Surgery | Pekin Prohealth Inc | 600 S 13th St I, Pekin, IL 61554-4936 |
| Shams B Ilahi | Internal Medicine | Pekin Prohealth Inc | 600 S 13th St I, Pekin, IL 61554-4936 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brendon J Johnson | Optometry | 2611 Broadway St, Pekin, IL 61554-2501 | |
| Douglas C Harrington | Obstetrics/gynecology | 2709 Broadway St, Pekin, IL 61554-2676 | |
| Raymond Rs Heyde | Ophthalmology | Heyde Eye Center S.c | 111 N 4th St, Pekin, IL 61554-3248 |
| William E Fish | Optometry | Heyde Eye Center S.c | 111 N 4th St, Pekin, IL 61554-3248 |
| Jerry B Witt | Chiropractic | 611 Margaret St, Pekin, IL 61554-3355 | |
| Jijun Liu | Medical Oncology | Oncology Hematology Associates of Central Illinois PC | 1641 Broadway St, Pekin, IL 61554-3805 |
| Lindsey Lorraine Grys | Nurse Practitioner | Oncology Hematology Associates of Central Illinois PC | 1641 Broadway St, Pekin, IL 61554-3805 |
| Nicholas L Warnecke | Physician Assistant | Methodist Medical Center of Illinois | 1800 Broadway St, Pekin, IL 61554-3822 |
| Pawan Sarda | Cardiovascular Disease (cardiology) | Methodist Medical Center of Illinois | 1800 Broadway St, Pekin, IL 61554-3822 |
| Tahir Ilahi | Cardiovascular Disease (cardiology) | Methodist Medical Center of Illinois | 1800 Broadway St, Pekin, IL 61554-3822 |
| Find all physicians in zip 61554 | |||
| City | PEKIN |
| Zip Code | 61554 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | PEKIN + FAMILY MEDICINE |
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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.