Active NPI 1215022074 Individual Practitioner Male Practitioner

Dr. Vanja Cuk , MD

Internal Medicine • Bloomingdale, IL

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Vanja Cuk, MD is a certified Internal Medicine practicing in Bloomingdale, IL. With approximately 34 years of clinical experience since completing medical education in 1992, Dr. Cuk delivers high-quality medical care to the local community at 303 E ARMY TRAIL RD.

Dr. Cuk is affiliated with Bonaventure Medical Foundation Llc and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit, hemoglobin a1c level, subsequent hospital care with moderate levelof medical decision making, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

303 E Army Trail Rd
Suite 100

Bloomingdale, IL 60108

Telephone 6309808600

Fax 6309808650

Associated Practice Facility / Clinic

🏢 Wohl Eye Center Sc Facility NPI 1942242730

Medicare Profile & Education

Medical School

Other

Graduation Year

1992

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Bloomingdale, IL

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

34 Yrs +9.3 yrs vs City Avg

City Avg: 24.7 Yrs

State Avg: 28.9 Yrs

Regional Practice Density

16 Specialists

Practicing in Bloomingdale, IL (7544 Statewide)

Telehealth Adoption Rate

68.8% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

49.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Cuk (34 Years) 34 Yrs

Bloomingdale Specialty Average (24.7 Years) 24.7 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	836	349	$230.00	$131.75
83036 Hemoglobin A1C level	244	121	$59.00	$9.49
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	156	62	$162.00	$80.25
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	127	127	$251.00	$133.25
99497 Advance care planning, first 30 minutes	107	107	$184.00	$84.40
G0008 Administration of influenza virus vaccine	59	58	$56.00	$33.70
90662 Influenza vaccine split virus, preservative free	54	54	$119.78	$79.94
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	51	33	$116.00	$55.03
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	49	46	$439.00	$178.51
93000 Routine ekg using at least 12 leads including interpretation and report	47	44	$68.00	$14.97
99239 Hospital discharge day management, more than 30 minutes	44	41	$232.00	$117.32
99213 Established patient office or other outpatient visit, typically 15 minutes	35	34	$157.00	$88.85
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	33	21	$225.00	$122.20
G0009 Administration of pneumococcal vaccine	29	29	$56.00	$33.70
99495 Transitional care management services for problem of at least moderate complexity	25	24	$350.00	$185.98
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	18	18	$160.00	$130.80
99496 Transitional care management services for problem of high complexity	14	14	$497.00	$286.64
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use	12	12	$662.00	$288.67
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$356.00	$174.42

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	877	357	$230.00	$132.26
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	261	46	$162.00	$83.03
83036 Hemoglobin A1C level	214	116	$59.00	$9.52
G0008 Administration of influenza virus vaccine	91	91	$56.00	$32.32
90662 Influenza vaccine split virus, preservative free	83	83	$119.00	$70.16
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	62	46	$439.00	$181.81
99239 Hospital discharge day management, more than 30 minutes	62	45	$232.00	$120.25
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	55	55	$251.00	$133.59
99213 Established patient office or other outpatient visit, typically 15 minutes	35	29	$157.00	$92.80
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	34	13	$64.00	$14.69
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	33	11	$23.00	$1.51
99496 Transitional care management services for problem of high complexity	28	25	$497.00	$277.52
93000 Routine ekg using at least 12 leads including interpretation and report	25	24	$68.00	$15.25
G0009 Administration of pneumococcal vaccine	20	20	$56.00	$32.32
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	16	14	$116.00	$54.13
99495 Transitional care management services for problem of at least moderate complexity	16	16	$350.00	$199.74
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	14	13	$225.00	$124.80
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	13	13	$356.00	$174.71
90670 Pneumococcal vaccine for injection into muscle	12	12	$318.00	$252.83
99441 Telephone medical discussion with physician, 5-10 minutes	11	11	$73.00	$58.30
90674 Influenza vaccine, quadrivalent derived from cell cultures, preservative and antibiotic free	11	11	$45.00	$30.45

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	746	298	$230.00	$133.32
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	466	60	$162.00	$74.74
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	202	202	$251.00	$134.92
99213 Established patient office or other outpatient visit, typically 15 minutes	140	123	$157.00	$95.22
83036 Hemoglobin A1C level	117	86	$59.00	$9.54
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	94	62	$439.00	$205.17
G0008 Administration of influenza virus vaccine	93	92	$56.00	$30.72
99239 Hospital discharge day management, more than 30 minutes	91	61	$232.00	$107.99
90662 Influenza vaccine split virus, preservative free	69	69	$119.00	$67.55
G0009 Administration of pneumococcal vaccine	58	56	$56.00	$30.77
93000 Routine ekg using at least 12 leads including interpretation and report	47	44	$68.00	$15.29
90670 Pneumococcal vaccine for injection into muscle	43	42	$318.00	$246.14
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	38	13	$64.00	$15.14
99441 Telephone medical discussion with physician, 5-10 minutes	35	32	$73.00	$56.62
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	26	24	$116.00	$55.89
90674 Influenza vaccine, quadrivalent derived from cell cultures, preservative and antibiotic free	25	25	$45.00	$30.16
99496 Transitional care management services for problem of high complexity	24	20	$497.00	$293.03
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	15	11	$89.00	$43.61
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	15	15	$160.00	$131.96
69210 Removal of impacted ear wax	14	13	$133.00	$51.03
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	13	13	$348.85	$175.46
G0444 Annual depression screening, 5 to 15 minutes	12	12	$39.00	$19.52

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	789	269	$230.00	$137.10
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	456	71	$162.00	$76.33
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	101	101	$251.00	$140.30
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	97	72	$439.00	$210.98
99239 Hospital discharge day management, more than 30 minutes	79	61	$232.00	$112.67
G0008 Administration of influenza virus vaccine	79	78	$56.00	$17.70
90674 Influenza vaccine, quadrivalent derived from cell cultures, preservative and antibiotic free	53	53	$45.00	$29.38
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	39	13	$64.00	$15.02
99213 Established patient office or other outpatient visit, typically 15 minutes	39	36	$157.00	$97.31
93000 Routine ekg using at least 12 leads including interpretation and report	37	35	$68.00	$15.23
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	36	11	$23.00	$1.99
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	29	16	$89.00	$43.86
90662 Influenza vaccine split virus, preservative free	25	24	$119.00	$59.87
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	22	18	$116.00	$56.22
99496 Transitional care management services for problem of high complexity	20	19	$497.00	$295.19
69210 Removal of impacted ear wax	16	15	$133.00	$51.80
G0009 Administration of pneumococcal vaccine	13	13	$56.00	$17.90
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	13	12	$225.00	$109.57
90670 Pneumococcal vaccine for injection into muscle	12	12	$304.00	$219.39
99238 Hospital discharge day management, 30 minutes or less	12	12	$158.00	$76.53
G0444 Annual depression screening, 5 to 15 minutes	11	11	$39.00	$19.80

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	642	243	$229.89	$116.21
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	595	124	$162.00	$78.26
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	148	148	$251.00	$124.30
99213 Established patient office or other outpatient visit, typically 15 minutes	132	98	$157.00	$78.84
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	110	96	$439.00	$220.20
G0008 Administration of influenza virus vaccine	101	97	$56.00	$17.48
99239 Hospital discharge day management, more than 30 minutes	100	83	$232.00	$115.70
90756 Vaccine for influenza for injection into muscle	80	80	$36.00	$27.70
99441 Telephone medical discussion with physician, 5-10 minutes	55	44	$59.00	$49.11
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	51	26	$225.00	$112.37
G0009 Administration of pneumococcal vaccine	49	49	$56.00	$17.28
90670 Pneumococcal vaccine for injection into muscle	47	47	$262.00	$223.14
99442 Telephone medical discussion with physician, 11-20 minutes	36	25	$97.00	$80.58
93000 Routine ekg using at least 12 leads including interpretation and report	31	31	$68.00	$18.49
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	28	12	$64.00	$15.25
G0444 Annual depression screening, 5 to 15 minutes	22	22	$39.00	$19.62
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	18	16	$116.00	$57.29
90662 Influenza vaccine split virus, preservative free	14	14	$119.00	$60.98
99496 Transitional care management services for problem of high complexity	13	13	$497.00	$261.72
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$356.00	$163.46
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	11	11	$309.91	$150.10

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	830	278	$199.72	$113.64
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	537	111	$195.11	$108.72
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	392	89	$144.26	$76.28
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	130	111	$359.88	$212.21
99239 Hospital discharge day management, more than 30 minutes	127	101	$193.45	$111.76
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	106	106	$238.63	$122.52
G0444 Annual depression screening, 5 to 15 minutes	85	85	$38.86	$19.01
G0008 Administration of influenza virus vaccine	79	78	$55.78	$17.38
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	75	17	$77.28	$46.68
90674 Influenza vaccine, quadrivalent derived from cell cultures, preservative and antibiotic free	74	74	$45.00	$27.57
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	55	49	$270.51	$139.48
99213 Established patient office or other outpatient visit, typically 15 minutes	47	41	$140.83	$78.46
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	42	13	$47.33	$17.58
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	42	29	$115.36	$56.25
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	41	12	$20.27	$1.78
99238 Hospital discharge day management, 30 minutes or less	27	27	$141.93	$72.41
93000 Routine ekg using at least 12 leads including interpretation and report	25	24	$68.00	$16.71
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	25	15	$149.00	$73.09
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	23	15	$89.43	$43.43
69210 Removal of impacted ear wax	18	16	$127.44	$50.80

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	824	265	$137.70	$113.24
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	578	134	$155.19	$110.63
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	502	108	$99.72	$77.34
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	452	178	$50.00	$44.27
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	185	185	$252.83	$121.79
99213 Established patient office or other outpatient visit, typically 15 minutes	180	157	$91.61	$76.93
G0444 Annual depression screening, 5 to 15 minutes	139	139	$39.83	$18.84
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	133	119	$214.29	$199.56
99239 Hospital discharge day management, more than 30 minutes	126	114	$138.17	$113.74
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	86	23	$63.78	$47.13
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	85	74	$178.47	$146.09
G0008 Administration of influenza virus vaccine	75	72	$31.61	$21.43
90756 Vaccine for influenza for injection into muscle	68	68	$30.00	$22.33
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	54	54	$76.50	$73.61
G0009 Administration of pneumococcal vaccine	52	52	$30.52	$21.45
99238 Hospital discharge day management, 30 minutes or less	50	46	$115.96	$77.48
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	49	38	$85.71	$56.60
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	48	24	$65.00	$43.97
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	41	16	$95.00	$73.49
77080 Dxa bone density measurement of hip, pelvis, spine	37	37	$50.00	$43.06
93000 Routine ekg using at least 12 leads including interpretation and report	31	28	$61.55	$18.05
69210 Removal of impacted ear wax	20	16	$43.65	$40.11
99306 Initial nursing facility visit, typically 45 minutes per day	20	19	$203.60	$176.07
G0506 Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service)	15	15	$65.00	$64.06
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	13	13	$218.77	$162.10

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	836	211	$50.00	$44.12
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	834	282	$130.00	$112.30
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	490	115	$150.00	$110.86
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	399	116	$95.00	$76.45
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	182	182	$259.34	$121.34
99213 Established patient office or other outpatient visit, typically 15 minutes	133	125	$90.00	$76.82
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	119	105	$200.00	$196.82
99239 Hospital discharge day management, more than 30 minutes	114	103	$135.00	$113.57
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	103	23	$65.00	$47.12
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	88	84	$170.00	$146.40
G0506 Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service)	82	82	$65.00	$63.41
Q2037 Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluvirin)	79	79	$30.00	$17.34
G0008 Administration of influenza virus vaccine	77	77	$29.94	$26.62
G0444 Annual depression screening, 5 to 15 minutes	61	61	$40.00	$18.84
99238 Hospital discharge day management, 30 minutes or less	55	53	$115.36	$76.56
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	47	35	$80.00	$56.60
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	45	45	$75.00	$71.87
G0009 Administration of pneumococcal vaccine	44	44	$30.00	$26.65
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	43	22	$60.00	$43.51
77080 Dxa bone density measurement of hip, pelvis, spine	23	23	$50.00	$43.12
93000 Routine ekg using at least 12 leads including interpretation and report	23	22	$60.00	$18.11
69210 Removal of impacted ear wax	15	14	$40.00	$39.43
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$210.00	$162.86

Medical Specialties & State Licenses

CMS Verified: 2021-03-15

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License IL 036100024

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

036100024 (IL)

Hospital & Practice Group Affiliations

Bonaventure Medical Foundation Llc

800 Biesterfield Rd, Elk Grove Village, IL 600073361

Bonaventure Medical Foundation Llc

1786 Moon Lake Blvd, Hoffman Est, IL 601945029

Phone: 8477558208

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners

Jessica Drew , APN

Nurse Practitioner

NPI 1053862201

Advanced Practice Nurse

Soohee Choi , NURSE PRACTITIONER

Nurse Practitioner - Family

NPI 1427549427

NURSEPRACTITIONER

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active October 03, 2012

NPI status registered as active in NPPES database

📍

Updated Practice Location October 03, 2012

Registered at 303 E ARMY TRAIL RD, SUITE 100, BLOOMINGDALE, IL 60108 (Tel: 6309808600)

📍

Updated Business Mailing Address October 03, 2012

Registered at 303 E ARMY TRAIL RD, SUITE 100, BLOOMINGDALE, IL 60108 (Tel: 6309808600)

👤

Provider Name / Credentials Updated October 03, 2012

Recorded as VANJA CUK, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 03, 2012

Internal Medicine (License #036100024 in IL)

🟢

Initial NPI Registration & Enumeration October 04, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1215022074

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: October 04, 2006

Last Update: March 15, 2021

Sole Proprietor: No

Update or Correct Profile

Mailing Address

303 E Army Trail Rd, Suite 100

Bloomingdale, IL 60108

Phone: 6309808600

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.