Bright Prophet E Fellowes (NPI# 1679781710, PAC ID# 9830269158) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHOLOGIST, CLINICAL.
| Nation Provider ID (NPI) | 1679781710 |
| PAC ID by PECOS | 9830269158 |
| Professional Enrollment ID | I20080529000387 |
| Full Name | Bright Prophet E Fellowes |
| Address |
201 E Park St Unit B Mundelein IL 60060-1973 |
| Gender | M |
| Graduation Year | 2005 |
| Primary Specialty | PSYCHOLOGIST, CLINICAL |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 201 E Park St Unit B, Mundelein, IL 60060-1973 |
| Street Address |
201 E PARK ST UNIT B |
| City | MUNDELEIN |
| State | IL |
| Zip | 60060-1973 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Julie Y Palumbo | Clinical Social Worker | Catholic Charities of The Archdiocese of Chicago | 998 E Maple St, Mundelein, IL 60060 |
| Vibhuti Np Patel | Nurse Practitioner | Inverness Healthcare Associates Inc | 201 E Park C, Mundelein, IL 60060 |
| Jake R. Livingston | Physical Therapy | Rci Wrs Inc | 1401 N Midlothian Rd, Mundelein, IL 60060-1149 |
| Michelle Dietrick | Physical Therapy | Accelerated Rehabilitation Center of Kenosha Ltd | 1186 W Maple Ave, Mundelein, IL 60060-1438 |
| Diana A Guse | General Practice | Northshore University Healthsystem Faculty Practice Associates | 1162 W Maple Ave, Mundelein, IL 60060-1438 |
| Edward Schulz | Podiatry | 550 N Midlothian Rd, Suite 100, Mundelein, IL 60060-1613 | |
| Christopher J Hoklas | Chiropractic | 550 N Midlothian Rd, Suite 300, Mundelein, IL 60060-1613 | |
| Suzanne L Battaglia | Optometry | Lake County Vision Care PC | 437 N Lake St, Mundelein, IL 60060-1824 |
| Roger V Hecker | Internal Medicine | Advocate Health and Hospitals Corporation | 550 N Lake St, Mundelein, IL 60060-1827 |
| Jennifer Sasutan Ramos | Chiropractic | 524 N Lake St, Mundelein, IL 60060-1827 | |
| Find all physicians in zip 60060 | |||
| City | MUNDELEIN |
| Zip Code | 60060 |
| Specialty | PSYCHOLOGIST, CLINICAL |
| City + Specialty | MUNDELEIN + PSYCHOLOGIST, CLINICAL |
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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.