TEAM MED PC (NPI# 1093029233) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093029233 |
| Entity Type | Organization |
| Organization Name | TEAM MED PC |
| Practice Address |
2320 W Peterson Ave Suite 605 Chicago IL 60659-5242 |
| Practice Telephone | 7733387278 |
| Practice Fax Number | 7733389736 |
| Mailing Telephone | 7733387278 |
| Mailing Fax Number | 7733389736 |
| Enumeration Date | 2010-07-29 |
| Last Update Date | 2010-08-05 |
| Authorized Official Name | DR. JOSE J CASTELLANOS (OWNER) |
| Authorized Official Telephone | 7733387278 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 036073558 | IL | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073917134 | Team Med PC | Family Medicine | 4849 W Fullerton Ave, Chicago, IL 60639-2503 | 2014-10-20 |
| 1265845408 | Team Med PC | Family Medicine | 4941 N Kedzie Ave, Chicago, IL 60625-5009 | 2014-06-05 |
| Street Address |
2320 W PETERSON AVE SUITE 605 |
| City | CHICAGO |
| State | IL |
| Zip Code | 60659-5242 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609882653 | Forest Mapes | Chiropractor | 2320 W Peterson Ave, Chicago, IL 60659-5242 | 2006-07-31 |
| 1154793016 | Simi Thomas | Physical Therapist | 2320 W Peterson Ave, Chicago, IL 60659-5242 | 2015-10-30 |
| 1902153430 | Rosanna Martinez | Physical Therapist | 2320 W Peterson Ave, Chicago, IL 60659-5242 | 2012-08-15 |
| 1285917542 | Nancy Maria Mule | Physician Assistant | 2320 W Peterson Ave, Chicago, IL 60659-5242 | 2011-09-23 |
| 1649562596 | Andrology Specialists of Chicago, Sc | Clinical Medical Laboratory | 2320 W Peterson Ave, Chicago, IL 60659-5242 | 2011-05-11 |
| 1821317397 | Advanced Institute for Infertility, Sc | Clinical Medical Laboratory | 2320 W Peterson Ave, Chicago, IL 60659-5242 | 2010-05-24 |
| 1699001339 | Fen Yu Chang | Physical Therapist | 2320 W Peterson Ave, Chicago, IL 60659-5242 | 2009-10-31 |
| 1639357437 | Center for Advanced Medicine and Surgery, Sc | General Practice | 2320 W Peterson Ave, Chicago, IL 60659-5242 | 2008-02-04 |
| 1275654097 | The Rehabilitation and Pain Management Institue, Sc | Clinic/Center | 2320 W Peterson Ave, Chicago, IL 60659-5242 | 2007-04-02 |
| 1114034071 | Irving Samuel Garlovsky | Urology | 2320 W Peterson Ave, Chicago, IL 60659-5242 | 2006-08-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043811425 | Devon Homecare Physicians Inc. | Family Medicine | 2822 W. Granville Ave. Apt 1, Chicago, IL 60659 | 2020-11-03 |
| 1932724200 | Tatyana Menaker | Nurse Practitioner | 2958 West Devon Ave, Chicago, IL 60659 | 2020-06-12 |
| 1508410069 | Kara Lyn Anderson | Counselor | 2551 W. Peterson Ave, Chicago, IL 60659 | 2019-08-01 |
| 1568980019 | Saba Suleman | Counselor | 5815 N Spaulding Ave Apt 3a, Chicago, IL 60659 | 2017-09-05 |
| 1639695257 | Go Diagnostics Inc | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 5862 N Lincoln Ave, Suite 4, Chicago, IL 60659 | 2017-08-15 |
| 1972039568 | Trilogy, Inc. | Community/Behavioral Health | 2551 W Peterson Ave, Chicago, IL 60659 | 2017-05-03 |
| 1689029050 | Soulu | Voluntary or Charitable | 3557 W Peterson Ave #122, Chicago, IL 60659 | 2016-05-04 |
| 1730540550 | Michael Wei-tsi Chien | Dentist | 3425 W Peterson Ave Ste 107, Chicago, IL 60659 | 2016-03-08 |
| 1497129688 | Acquaint Homecare LLC | Home Health | 3525 West Peterson Avenue, Unit 118, Chicago, IL 60659 | 2015-11-25 |
| 1083054621 | Rebecca Schnell | Speech-Language Pathologist | 6124 N Saint Louis Ave, Chicago, IL 60659 | 2013-06-27 |
| Find all providers in zip 60659 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053911495 | Moataz Barkat | Family Medicine | 3315 W 66th Pl, Chicago, IL 60629-3427 | 2020-10-26 |
| 1558976589 | Jasmine Ashley Fowler | Family Medicine | 2416 N Lotus Ave, Chicago, IL 60639-1435 | 2020-09-15 |
| 1720699176 | Healing Hands Resource Center Streator | Family Medicine | 2128 S Central Park Ave, Chicago, IL 60623-3113 | 2020-08-10 |
| 1285251892 | Soe Lwin Oo | Family Medicine | 1625 E 75th St # 1, Chicago, IL 60649-3603 | 2020-06-30 |
| 1124645700 | Timothy Alan Williams Jr. | Family Medicine | 1625 E 75th St Fl 1, Chicago, IL 60649-3603 | 2020-06-30 |
| 1194340026 | Kaysha Lynne Ribao | Family Medicine | 2116 S Springfield Ave, Chicago, IL 60623-2465 | 2020-06-16 |
| 1932724341 | Toni Kurian | Family Medicine | 1550 S Indiana Ave Apt 407, Chicago, IL 60605-4822 | 2020-06-11 |
| 1528689486 | Thurman J Robertson | Family Medicine | 1950 W. Polk Street, 7th Floor, Chicago, IL 60612-3714 | 2020-05-01 |
| 1629697297 | Lyndsey Danielle Johnson | Family Medicine | 2804 W Walton St, Chicago, IL 60622-4450 | 2020-04-13 |
| 1730708884 | Iruoma Genevieve Nwangwu | Family Medicine | 1950 W Polk Street, Chicago, IL 60612-3714 | 2020-04-09 |
| Find all providers in CHICAGO | ||||
Please comment or provide details below to improve the information on TEAM MED PC.
| 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.