Carl Vancol (NPI# 1245222454, PAC ID# 9739186966) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
Nation Provider ID (NPI) | 1245222454 |
PAC ID by PECOS | 9739186966 |
Professional Enrollment ID | I20061101000490 |
Full Name | Carl Vancol |
Address |
45 W 111th St Suite 304 Chicago IL 60628-4200 |
Gender | M |
Credential | MD |
Medical School | SOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE |
Graduation Year | 1994 |
Primary Specialty | FAMILY MEDICINE |
Secondary Specialties | PEDIATRIC MEDICINE |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
140068 | ROSELAND COMMUNITY HOSPITAL |
Address | Phone | Organization |
---|---|---|
134 W 111th St, Chicago, IL 60628-4215 | ||
45 W 111th St, Suite 304, Chicago, IL 60628-4200 |
Street Address |
45 W 111TH ST SUITE 304 |
City | CHICAGO |
State | IL |
Zip | 60628-4200 |
Name | Specialty | Organization | Address |
---|---|---|---|
Teia L Atwood | Nurse Practitioner | Emergency Medical Specialist Sc | 45 W 111th St, Chicago, IL 60628-4200 |
Jai D Arya | Family Medicine | 45 W 111th St, Chicago, IL 60628-4247 | |
Charles F Motley | Emergency Medicine | Emergency Medical Specialist Sc | 45 W 111th St, Chicago, IL 60628-4200 |
Ruperto U Buscaino | Anesthesiology | Noel G Alcantara Md Sc | 45 W 111th St, Chicago, IL 60628-4200 |
Subhash C Goyal | Psychiatry | 45 W 111th St, Chicago, IL 60628-4200 | |
Chukwueloka N Ikedionwu | Family Medicine | Emergency Medical Specialist Sc | 45 W 111th St, Chicago, IL 60628-4200 |
Anthony Lawrence Buckles | Family Medicine | Emergency Medical Specialist Sc | 45 W 111th St, Chicago, IL 60628-4200 |
Noel G Alcantara | Anesthesiology | Noel G Alcantara Md Sc | 45 W 111th St, Chicago, IL 60628-4200 |
Capri M Reese | Nurse Practitioner | Emergency Medical Specialist Sc | 45 W 111th St, Chicago, IL 60628-4200 |
Rakesh Salgia | Internal Medicine | 45 W 111th St, Chicago, IL 60628-4247 | |
Find all physicians in the same address |
Name | Specialty | Organization | Address |
---|---|---|---|
Victor L Thomas | Internal Medicine | Christian Community Health Center | 9718 S Halsted St, Chicago, IL 60628-1007 |
Angel Leake | 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 |
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 | |
Find all physicians in zip 60628 |
City | CHICAGO |
Zip Code | 60628 |
Specialty | FAMILY MEDICINE |
City + Specialty | CHICAGO + 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.