JUILIO A MANCERA (NPI# 1073630315) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073630315 |
| Entity Type | Individual |
| Full Name | JUILIO A MANCERA |
| Credential | M.D. |
| Practice Address |
8125 River Dr Morton Grove IL 60053-2642 |
| Mailing Address |
5080 Spectrum Dr Suite 1200w Addison TX 75001-4648 |
| Practice Telephone | 6157784066 |
| Mailing Telephone | 9723648000 |
| Enumeration Date | 2007-03-23 |
| Last Update Date | 2010-02-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2083P0500X |
Preventive Medicine Specialization: Preventive Medicine/Occupational Environmental Medicine |
036-059326 | IL | Allopathic & Osteopathic Physicians |
| Street Address |
8125 RIVER DR |
| City | MORTON GROVE |
| State | IL |
| Zip Code | 60053-2642 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801913819 | Monisha Nichani-jain | Preventive Medicine | 8125 River Dr, Morton Grove, IL 60053-2642 | 2007-03-23 |
| 1013358472 | American Current Care of Illinois PC | Clinic/Center | 8125 River Dr, Ste. 102, Morton Grove, IL 60053-2642 | 2013-07-15 |
| 1558702860 | Occupational Health Centers of Illinois PC | Clinic/Center | 8125 River Dr, Ste. 102, Morton Grove, IL 60053-2642 | 2013-07-15 |
| 1912029737 | Timothy B. Trusewych | Preventive Medicine | 8125 River Dr, Morton Grove, IL 60053-2642 | 2007-04-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710536206 | 360 Rehabilitation & Physical Therapy LLC | Clinic/Center | 9041 Moody Avenue, Morton Grove, IL 60053 | 2019-09-06 |
| 1205312147 | Ziing Healthcare, Inc | Nursing Care | 6126 Lincoln Ave, Suite 1010, Morton Grove, IL 60053 | 2018-07-13 |
| 1578053674 | Megan Ruffalo | Home Health | 8922 Marion Ave, Morton Grove, IL 60053 | 2018-05-14 |
| 1215441381 | Kristen Marie Kowalski | Occupational Therapist | 8145 River Dr Ste 101, Morton Grove, IL 60053 | 2017-11-27 |
| 1760846190 | Lukasz Jarosinski | Physical Therapy Assistant | 8425 N Waukegan, Morton Grove, IL 60053 | 2016-04-12 |
| 1538547898 | Alysha Gillani | Behavioral Analyst | 9240 Merrill Ave, Morton Grove, IL 60053 | 2015-05-07 |
| 1043578909 | Jordan Jon Wolf | Social Worker | 9224 Cameron Lane, Morton Grove, IL 60053 | 2012-04-30 |
| 1427217454 | Amy Sakoda | Specialist | 9400 N Orile, Morton Grove, IL 60053 | 2008-06-05 |
| 1063679348 | Minsook Do Kroon | Chiropractor | 6021 W Dempster, Morton Grove, IL 60053 | 2008-05-22 |
| 1023282217 | Simona Balan | Dentist | 6223 W Dempster St, Morton Grove, IL 60053 | 2008-04-17 |
| Find all providers in zip 60053 | ||||
| Taxonomy Code | 2083P0500X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Preventive Medicine |
| Specialization | Preventive Medicine/Occupational Environmental Medicine |
| A preventive medicine physician who specializes in preventive medicine/occupational-environmental medicine, which is focused on protecting the population from occupational and environmental conditions. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Preventive Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801913819 | Monisha Nichani-jain | Preventive Medicine | 8125 River Dr, Morton Grove, IL 60053-2642 | 2007-03-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568860500 | Healthstat On-site Clinic Watlow Richmond Il | Preventive Medicine | 5710 Kenosha St, Richmond, IL 60071-9411 | 2014-12-08 |
| 1164854402 | Healthstat On-site Clinic/parker Hannifin Rockford | Preventive Medicine | 10711 N 2nd St, Machesney Park, IL 61115-1459 | 2013-08-08 |
| 1114299476 | Martin W Harrison | Preventive Medicine | 1318 W Catalpa Ave, Chicago, IL 60640-1317 | 2012-02-02 |
| 1851660583 | Healthstat Inc | Preventive Medicine | 2700 Ellis Rd, Joliet, IL 60433-8459 | 2011-12-27 |
| 1568756831 | William Leslie Rutherford Jr. | Preventive Medicine | 9660 Wolf Rd, Box 42, Geneseo, IL 61254-9039 | 2011-06-04 |
| 1437451374 | Maria Rosa | Preventive Medicine | 2133 W Lexington St, Chicago, IL 60612-3707 | 2010-11-29 |
| 1437464112 | Leena H.a.h Almarzouqi | Preventive Medicine | 114 E Cook Ave, Libertyville, IL 60048-2015 | 2010-08-18 |
| 1598995870 | Shari Beth Glynn | Preventive Medicine | 100 Abbott Park Road, C/o Abbott Laboratories: Ap6d/dept. 058p, Abbott Park, IL 60064-6035 | 2009-07-21 |
| 1578786117 | John K Parker | Preventive Medicine | Veeder Health Center, 20th and Iowa, Granite City, IL 62040 | 2007-04-11 |
| 1063539674 | James Robert Desalvio | Preventive Medicine | 810 W. Anthony Dr., Urbana, IL 61802-7431 | 2007-03-26 |
| Find all providers with the same taxonomy | ||||
| City | MORTON GROVE |
| Zip Code | 60053 |
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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.