PROMEDHEALTHCARE LTD (NPI# 1033386586) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033386586 |
| Entity Type | Organization |
| Organization Name | PROMEDHEALTHCARE LTD |
| Practice Address |
550 E Boughton Rd # 140 Bolingbrook IL 60440-2100 |
| Practice Telephone | 6309720733 |
| Mailing Telephone | 6309720733 |
| Mailing Fax Number | 6309720749 |
| Enumeration Date | 2008-05-14 |
| Last Update Date | 2008-09-23 |
| Authorized Official Name | DR. ANATOLY GOROVITS (PRESIDENT) |
| Authorized Official Telephone | 6309720733 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 036113742 | IL | Allopathic & Osteopathic Physicians |
| Y | 207R00000X | Internal Medicine | 036113828 | IL | Allopathic & Osteopathic Physicians |
| Street Address |
550 E BOUGHTON RD # 140 |
| City | BOLINGBROOK |
| State | IL |
| Zip Code | 60440-2100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275525495 | Bharati Chittineni | Dermatology | 550 E Boughton Rd, Suite 170, Bolingbrook, IL 60440-2100 | 2005-08-16 |
| 1235736695 | Alejandra Godines | Physical Therapy Assistant | 550 E Boughton Rd, Bolingbrook, IL 60440-2100 | 2020-10-07 |
| 1750837761 | Forefront Dermatology, S.c. | Dermatology | 550 E Boughton Rd, Suite 170, Bolingbrook, IL 60440 | 2016-08-30 |
| 1114310893 | Bolingbrook Wellness | Chiropractor | 550 E Boughton Rd, Suite 205, Bolingbrook, IL 60440-2100 | 2015-03-05 |
| 1578973160 | Adventist Health Partners, Inc. | Family Medicine | 550 E Boughton Rd, 265, Bolingbrook, IL 60440-2100 | 2014-05-05 |
| 1912344409 | Reed Family Chiropractic Ltd | Chiropractor | 550 E Boughton Rd, Suite 150, Bolingbrook, IL 60440 | 2013-05-24 |
| 1346419827 | Bharati Chittineni Md Sc | Dermatology | 550 E Boughton Rd, Suite 170, Bolingbrook, IL 60440-2100 | 2008-02-28 |
| 1083896914 | Maria Medical LLC | Internal Medicine | 550 E Boughton Rd, Suite 140, Bolingbrook, IL 60440-2100 | 2007-12-03 |
| 1114071594 | Bolingbrook Family Chiropractic Ltd | Chiropractor | 550 E Boughton Rd, Suite 150, Bolingbrook, IL 60440-2100 | 2007-01-22 |
| 1164479044 | Youssef E Akl | Pediatrics | 550 E Boughton Rd, Suite 110, Bolingbrook, IL 60440 | 2006-05-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275141251 | Derick Dermatology, LLC | Dermatology | 239 Remington Boulevard, Suite 225, Bolingbrook, IL 60440 | 2020-07-16 |
| 1851949150 | Rachel Nicole Weis | Student in an Organized Health Care Education/Training Program | 777 Falconridge Way, Bolingbrook, IL 60440 | 2019-08-29 |
| 1578072815 | Onna Ford-kendrick | Nurse Practitioner | 151 E. Briarcliff Rd, -, Bolingbrook, IL 60440 | 2017-09-28 |
| 1891245213 | Megan Lotarski | Specialist/Technologist | 6 Copper Ct, Bolingbrook, IL 60440 | 2016-10-10 |
| 1144775800 | Mitchell Quill | Chiropractor | 550 E Boughton Rd Ste 150, Bolingbrook, IL 60440 | 2016-08-23 |
| 1477914125 | Alessia L. Elerby | Specialist | 128 S Cass Ave, Westmont, IL 60440 | 2016-03-09 |
| 1982073821 | Melissa Perkins | Counselor | 511 Preston Drive, Bolingbrook, IL 60440 | 2015-09-22 |
| 1821467754 | Advanced Patient Care, LLC. | Pharmacy | 335-337 Remington Blvd., Bolingbrook, IL 60440 | 2015-09-22 |
| 1770998262 | Adventist Bolingbrook Hospital | Internal Medicine | 420 S Schmidt, Ste 230, Bolingbrook, IL 60440 | 2014-06-24 |
| 1467864512 | Alice II Salons | Specialist | 311 Quadr,., Bolingbrook, IL 60440 | 2014-05-23 |
| Find all providers in zip 60440 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| 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. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770060394 | Hyo Joon Cha | Internal Medicine | 235 Remington Blvd Ste E, Bolingbrook, IL 60440-3685 | 2018-07-26 |
| 1972098804 | Wasey Ali Yadullahi Mir | Internal Medicine | 459 Falcon Ridge Way, Bolingbrook, IL 60440-2247 | 2018-06-23 |
| 1649795444 | Susan Lombardi | Internal Medicine | 619 E Boughton Rd Ste 143, Bolingbrook, IL 60440-3170 | 2017-08-14 |
| 1053841130 | Home Physicians Group LLC | Internal Medicine | 368 Clifton Ln, Bolingbrook, IL 60440-6132 | 2017-06-12 |
| 1043748338 | Presence Healthcare Services | Internal Medicine | 1000 Remington Blvd Ste 100, Bolingbrook, IL 60440-4707 | 2017-05-31 |
| 1326489436 | Sonal Mahajan Varma | Internal Medicine | 130 N Weber Street, Bolingbrook, IL 60440-6044 | 2013-07-17 |
| 1932248341 | Adult Health Ltd | Internal Medicine | 215 Remington Blvd Unit 1, Bolingbrook, IL 60440-3535 | 2007-02-05 |
| 1962588061 | Mohammed Shujauddin Ahmed | Internal Medicine | 396 Remington Blvd Ste 140, Bolingbrook, IL 60440-4311 | 2006-10-31 |
| 1659481562 | Srinivas Chakravarthy Kota | Internal Medicine | 726 S Weber Rd, Bolingbrook, IL 60490-5451 | 2006-08-30 |
| 1487660148 | George Pitsilos | Internal Medicine | 550 E Boughton Rd Ste 140, Bolingbrook, IL 60440-2192 | 2006-08-01 |
| Find all providers in BOLINGBROOK | ||||
| City | BOLINGBROOK |
| Zip Code | 60440 |
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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.