AARON ROBERT CUNDALL (NPI# 1063911311) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063911311 |
| Entity Type | Individual |
| Full Name | AARON ROBERT CUNDALL |
| Practice Address |
107 Northview Dr Collinsville IL 62234-4746 |
| Practice Telephone | 6184689181 |
| Mailing Telephone | 6184689181 |
| Enumeration Date | 2018-02-01 |
| Last Update Date | 2018-02-01 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171W00000X | Contractor | IL | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 163W00000X | 05 |
| Street Address |
107 NORTHVIEW DR |
| City | COLLINSVILLE |
| State | IL |
| Zip Code | 62234-4746 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730791005 | Kendall Kotter | Pharmacist | 401 Beltline Rd, Collinsville, IL 62234 | 2020-08-18 |
| 1851804207 | Apex Physical Therapy, LLC | Clinic/Center | 1095 Beltine Rd., Ste. 400, Collinsville, IL 62234 | 2017-11-08 |
| 1205361110 | Pc Associates, LLC | Family Medicine | 1095 Beltline Road, Suite 500, Collinsville, IL 62234 | 2017-04-28 |
| 1538405451 | Joan M Polwort | Pharmacist | 801 Braidwood Ct, Collinsville, IL 62234 | 2012-12-20 |
| 1275818080 | Stephen Scott Branding | Pharmacist | 401 Beltline Rd., Collinsville, IL 62234 | 2011-10-13 |
| 1447534417 | Lindsay Eakin | Pharmacist | 401 Beltline, Collinsville, IL 62234 | 2011-10-07 |
| 1700171568 | Patrick Joseph Swierczek | Social Worker | 820 St. Louis Rd Apt#232, Collinsville, IL 62234 | 2011-06-09 |
| 1366670887 | Susan M. Smith Dc LLC | Chiropractor | 226 South Morrison, Collinsville, IL 62234 | 2009-06-23 |
| 1649418492 | Lynette M Patton | Counselor | 415 W Main St Ste 3, Collinsville, IL 62234 | 2009-02-02 |
| 1558506626 | Kimberly Jean Miller | Counselor | Meadow Heights Professional Park, Suite 2b, Collinsvile, IL 62234 | 2008-12-03 |
| Find all providers in zip 62234 | ||||
| Taxonomy Code | 171W00000X |
| Grouping | Other Service Providers |
| Classification | Contractor |
| A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering). |
| Notes: Source: Websters New World Dictionary of the American Language, Second College Edition, William Collins + World Publishing Co., Inc., New York: 1974, p. 308 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356958607 | Letisha Smith | Contractor | 1921 Michigan City Rd Apt 1e, Calumet City, IL 60409-3724 | 2020-09-29 |
| 1184249088 | Yanko I Stoykov | Contractor | 1807 W Locust Ln, Mt Prospect, IL 60056-4405 | 2020-06-16 |
| 1043844293 | S.crider Construction An Supply Corp. | Contractor | 529 Woodbridge Dr., Quincy, IL 62301 | 2020-02-26 |
| 1245864784 | Kendall Divante Leonard | Contractor | 524 N Roberts Dr Apt 2b, Glenwood, IL 60425-2300 | 2020-02-24 |
| 1477185379 | Azar Garayev | Contractor | 300 Hudson Ct Apt 106, Wheeling, IL 60090-3184 | 2020-02-07 |
| 1578031183 | Yesenia Servin | Contractor | 2 Westbrook Corporate Ctr Ste 600, Westchester, IL 60154-5716 | 2018-11-13 |
| 1194205781 | Anais J Robles | Contractor | 1626 S Allport St, Chicago, IL 60608 | 2018-08-14 |
| 1225528524 | Tara Rada Nieberding | Contractor | 1701 Quincy Ave Ste 12, Naperville, IL 60540 | 2018-05-14 |
| 1710482542 | Lanisha Blockmon | Contractor | 8214 S Evans Ave, Chicago, IL 60619-5306 | 2018-03-25 |
| 1487157913 | Stavone Mcherron | Contractor | 3420 Fountainbleau Dr, Hazel Crest, IL 60429-2257 | 2018-03-12 |
| Find all providers with the same taxonomy | ||||
| City | COLLINSVILLE |
| Zip Code | 62234 |
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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.