Jerry R Coltro (NPI# 1962456442, PAC ID# 9234107947) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
Nation Provider ID (NPI) | 1962456442 |
PAC ID by PECOS | 9234107947 |
Professional Enrollment ID | I20120430000418 |
Full Name | Jerry R Coltro |
Organization Legal Name | MERRIONETTE PARK PHYSICIANS GROUP |
Address |
9830 Ridgeland Ave Suite 7 Chicago Ridge IL 60415-2668 |
Phone Number | 7084226800 |
Gender | M |
Graduation Year | 1981 |
Primary Specialty | INTERNAL MEDICINE |
Secondary Specialties | RHEUMATOLOGY |
Group Practice PAC ID | 4082682794 |
Number of Group Practice Members | 2 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
140208 | ADVOCATE CHRIST HOSPITAL & MEDICAL CENTER |
140179 | LITTLE COMPANY OF MARY HOSPITAL |
Address | Phone | Organization |
---|---|---|
9830 Ridgeland Ave, Suite 7, Chicago Ridge, IL 60415-2668 | 7084226800 | MERRIONETTE PARK PHYSICIANS GROUP |
Organization Legal Name | MERRIONETTE PARK PHYSICIANS GROUP |
Physicians | 2 |
Name | Specialty | Organization | Address |
---|---|---|---|
Raymond P Weiss | Internal Medicine | Merrionette Park Physicians Group | 9830 Ridgeland Ave, Suite 7, Chicago Ridge, IL 60415-2668 |
Street Address |
9830 RIDGELAND AVE SUITE 7 |
City | CHICAGO RIDGE |
State | IL |
Zip | 60415-2668 |
Name | Specialty | Organization | Address |
---|---|---|---|
Ahmed M Asy | Physical Therapy | All American Physical Therapy P.C. | 9830 Ridgeland Ave, Suite 3a, Chicago Ridge, IL 60415-2668 |
Khaled Khorshid | Chiropractic | 9830 Ridgeland Ave, Suite 5a, Chicago Ridge, IL 60415-2668 | |
Raymond P Weiss | Internal Medicine | Merrionette Park Physicians Group | 9830 Ridgeland Ave, Suite 7, Chicago Ridge, IL 60415-2668 |
Hugh R Savage | Cardiovascular Disease (cardiology) | 9830 Ridgeland Ave, Chicago Ridge, IL 60415-2667 | |
Dominic A Andriacchi | Podiatry | 9830 Ridgeland Ave, Suite 9, Chicago Ridge, IL 60415-2668 | |
Hisham Atallah | Physical Therapy | All American Physical Therapy P.C. | 9830 Ridgeland Ave, Suite 3a, Chicago Ridge, IL 60415-2668 |
Abdul R Amine | Neurosurgery | 9830 Ridgeland Ave, Suite 1, Chicago Ridge, IL 60415-2668 | |
Sherif M Rashad | Physical Therapy | Mid American Physical Therapy PC | 9830 Ridgeland Ave, Chicago Ridge, IL 60415-2667 |
Name | Specialty | Organization | Address |
---|---|---|---|
Michael A Devito | Podiatry | 10255 Southwest Hwy, Chicago Ridge, IL 60415-1350 | |
Amy A Lohan | Physical Therapy | Chicago Ridge Physical Therapy LLC | 10255 Southwest Hwy, Chicago Ridge, IL 60415-1350 |
Martin Ira Ellenby | Vascular Surgery | Cardiothoracic and Vascular Surgical Associates S C | 10258 Southwest Hwy, Suite A, Chicago Ridge, IL 60415-1361 |
Regina Tsang | Nurse Practitioner | Cardiothoracic and Vascular Surgical Associates S C | 10258 Southwest Hwy, Suite A, Chicago Ridge, IL 60415-1361 |
Dean M Govostis | Vascular Surgery | Cardiothoracic and Vascular Surgical Associates S C | 10258 Southwest Hwy, Suite A, Chicago Ridge, IL 60415-1361 |
Gabriel Abraham Wallace | Vascular Surgery | Cardiothoracic and Vascular Surgical Associates S C | 10258 Southwest Hwy, Suite A, Chicago Ridge, IL 60415-1361 |
Ikechukwu K Oguejiofor | Urology | Associated Urological Specialists LLC | 10400 Southwest Hwy, Chicago Ridge, IL 60415-1427 |
Jae H Kim | Urology | Associated Urological Specialists LLC | 10400 Southwest Hwy, Chicago Ridge, IL 60415-1427 |
Laura M Seweryn | Registered Dietitian Or Nutrition Professional | Associated Urological Specialists LLC | 10400 Southwest Hwy, Chicago Ridge, IL 60415-1427 |
Herbert M User | Urology | Associated Urological Specialists LLC | 10400 Southwest Hwy, Chicago Ridge, IL 60415-1427 |
Find all physicians in zip 60415 |
City | CHICAGO RIDGE |
Zip Code | 60415 |
Specialty | INTERNAL MEDICINE |
City + Specialty | CHICAGO RIDGE + INTERNAL 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.