MEDPRO VISITING PHYSICIANS, LLC (NPI# 1023260023) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023260023 |
| Entity Type | Organization |
| Organization Name | MEDPRO VISITING PHYSICIANS, LLC |
| Practice Address |
7518 Tripp Ave Skokie IL 60076-3812 |
| Mailing Address |
1571 Woodland Ln Bolingbrook IL 60490-3273 |
| Practice Telephone | 7737272751 |
| Practice Fax Number | 6302265390 |
| Mailing Telephone | 7737272751 |
| Mailing Fax Number | 6302265390 |
| Enumeration Date | 2008-10-21 |
| Last Update Date | 2008-10-21 |
| Authorized Official Name | MR. ARNEL VILLAROMAN MALUNGCOT (ADMINISTRATOR) |
| Authorized Official Telephone | 7737272751 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | Allopathic & Osteopathic Physicians |
| Street Address |
7518 TRIPP AVE |
| City | SKOKIE |
| State | IL |
| Zip Code | 60076-3812 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902456999 | Gateway Foundation, Inc | Clinic/Center | 4028 W. Dempster, Ste 100, Skokie, IL 60076 | 2019-09-12 |
| 1336798255 | Renee Rosenberg | Speech-Language Pathologist | C/o East Prairie School, 7616 N. East Prairie Road, Skoke, IL 60076 | 2019-09-04 |
| 1710531223 | Dw Care Solutions | Hospice Care, Community Based | 4556 Oakton St, Suite 205, Skokie, IL 60076 | 2019-08-01 |
| 1689228157 | Elaine Ng | Pharmacist | 9650 Gross Point Rd Suite 4900, Skokie, IL 60076 | 2019-08-01 |
| 1881169381 | Kathleen Pyles | Registered Nurse | 9650 Gross Point Rd # 4900, Skokie, IL 60076 | 2018-10-10 |
| 1174013452 | Vitae Health of Illinois LLC | Social Worker | 3450 Oakton St, Skokie, IL 60076 | 2018-05-13 |
| 1396253530 | Jodi Novick Okner | Social Worker | 9134 Kilbourn Avenue, Skokie, IL 60076 | 2018-01-22 |
| 1700335924 | Olumide Adeyemo | Nurse Practitioner | 4711 Golf Rd Suite 1250, Skokie, IL 60076 | 2016-09-28 |
| 1255705315 | Malka Rokach | Pharmacist | 3358 W Touhy, Skokie, IL 60076 | 2015-11-30 |
| 1578932620 | Katrina Margaret Keithley | Physician Assistant | 9669 Kenton Ave Ste 203, Skokie, IL 60076 | 2015-09-18 |
| Find all providers in zip 60076 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
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| 1104245893 | Ameriwound Physicians Il LLC | General Practice | 4957 Oakton St, #306, Skokie, IL 60077-2903 | 2014-04-10 |
| 1629405063 | Radoslaw Koziol | General Practice | 5001 Madison St, Skokie, IL 60077-2584 | 2013-09-30 |
| 1649527383 | Dr Piergies, Ltd | General Practice | 9725 Woods Dr, Unit 1804, Skokie, IL 60077-4441 | 2012-08-13 |
| 1114272549 | The Eisenstein Clinic Inc | General Practice | 7514 Saint Louis Ave, Skokie, IL 60076-4034 | 2012-07-23 |
| 1417221300 | Resurrection Services | General Practice | 9312 Skokie Blvd, Skokie, IL 60077-1309 | 2012-02-24 |
| 1255603049 | Resurrection Services | General Practice | 9711 Skokie Blvd, Suite A, Skokie, IL 60077-1384 | 2012-02-08 |
| 1235401019 | Resurrection Services | General Practice | 4905 Old Orchard Ctr, Suite 634, Skokie, IL 60077-1458 | 2012-02-08 |
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| 1538775192 | Discover Integrated Medical Center, Ltd. | General Practice | 2207 N Us Highway 12 Ste E, Spring Grove, IL 60081-9706 | 2020-09-18 |
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| 1851920524 | Sahens Mezidor | General Practice | 228 Ridge Ave Apt G, Evanston, IL 60202-6409 | 2020-04-05 |
| 1447881487 | Tyrian Healthcare Solutions, LLC | General Practice | 2120 W Heading Ave, West Peoria, IL 61604-5138 | 2020-01-29 |
| 1598302077 | Enhance Medical LLC | General Practice | 1193 N Gary Ave, Carol Stream, IL 60188-9423 | 2019-12-04 |
| 1164067054 | League Corp. | General Practice | 515 N State St Fl 8, Chicago, IL 60654-9102 | 2019-11-14 |
| 1679129977 | Chronic Care Solutions LLC | General Practice | 3050 W Columbia Ave, Chicago, IL 60645-4006 | 2019-08-13 |
| 1205393972 | Midwest Medical LLC | General Practice | 2001 Midwest Rd Ste Ll22, Oak Brook, IL 60523-1316 | 2019-02-28 |
| 1306311725 | Genesis Integrative Medicine LLC | General Practice | 1881 S Randall Rd Ste C, Geneva, IL 60134-2532 | 2018-10-11 |
| 1982189395 | Saint Louis Home Health Care Inc | General Practice | 739 E Independence Dr, Palatine, IL 60074-1959 | 2018-10-02 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.