PALOS PEDIATRIC ASSOCIATES, PC (NPI# 1093067233) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093067233 |
| Entity Type | Organization |
| Organization Name | PALOS PEDIATRIC ASSOCIATES, PC |
| Practice Address |
13011 S 104th Ave Ste 203 Palos Park IL 60464-1506 |
| Practice Telephone | 6306960022 |
| Enumeration Date | 2012-10-11 |
| Last Update Date | 2012-10-11 |
| Authorized Official Name | MRS. STEPHANIE HUSS (CREDENTIALING CONSULTANT) |
| Authorized Official Telephone | 7088705617 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 036099854 | IL | Other Service Providers |
| Street Address |
13011 S 104TH AVE STE 203 |
| City | PALOS PARK |
| State | IL |
| Zip Code | 60464-1506 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508810086 | Heart Care Centers of Illinois, S.c. | Internal Medicine | 13011 S 104th Ave, Suite 100, Palos Park, IL 60464-1506 | 2006-05-20 |
| 1437714383 | Jillian Meaney | Physician Assistant | 13011 S 104th Ave, Palos Park, IL 60464-1506 | 2019-05-07 |
| 1396284949 | Samantha Mary Brown | Physician Assistant | 13011 S 104th Ave, Suite 100, Palos Park, IL 60464-1506 | 2017-02-15 |
| 1750767604 | Jacqueline Lee Marchbank | Nurse Practitioner | 13011 S 104th Ave, Suite 100, Palos Park, IL 60464-1506 | 2015-08-03 |
| 1497144075 | Yvette Lombardi | Acupuncturist | 13011 S 104th Ave, Palos Park, IL 60464-1506 | 2015-01-20 |
| 1104238534 | Heart Care Centers of Illinois, Sc | Internal Medicine | 13011 S 104th Ave, Palos Park, IL 60464-1506 | 2014-05-20 |
| 1316288392 | Kemet Chiropractic & Wellness, S.c. | Chiropractor | 13011 S 104th Ave, 207, Palos Park, IL 60464-1506 | 2013-03-15 |
| 1962797142 | New Beginnings Home Health Care, Inc. | Home Health | 13011 S 104th Ave, Suite 205, Palos Park, IL 60464-1506 | 2011-06-15 |
| 1083915474 | Brian Edwin Bailey | Dentist | 13011 S 104th Ave, Suite # 209, Palos Park, IL 60464-1506 | 2010-11-16 |
| 1437450541 | Dwonna Denise Thompson | Counselor | 13011 S 104th Ave, Palos Park, IL 60464-1506 | 2010-11-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518456102 | Lisa Kay York | Behavior Technician | 8207 Il-83, Palos Park, IL 60464 | 2018-05-09 |
| 1972000479 | Elizabeth Faye Putman | Physical Therapy Assistant | 10300 Village Cir Dr, Peace Village, Palos Park, IL 60464 | 2018-04-11 |
| 1730446998 | Steven Jay Quinn | Internal Medicine | 11900 Southwest Hwy Ste 101, Palos Park, IL 60464 | 2012-04-12 |
| 1376677625 | Palos C C S D 118 | Local Education Agency (LEA) | 8800 West 119th Street, Palos Park, IL 60464 | 2007-03-16 |
| 1730233297 | Rajitha Lakshmi Avva | Psychiatry & Neurology | Palos Behavioral Health, 13011 S 104th Ave, Palos Park, IL 60464 | 2007-01-22 |
| 1487714671 | Maple Park Dental Care, P.C. | Dentist | 1048 104th Street, #108, Naperville, IL 60464 | 2006-12-11 |
| 1912065418 | David M Kozal | Dentist | 11900 Sw Hwy, Palos Park, IL 60464 | 2006-12-05 |
| 1598845422 | Michele Antoinette Nealon Woods | Psychologist | Palos Behavioral Health Professionals, 103011 S 104th Ave Suite 200, Palos Park, IL 60464 | 2006-10-16 |
| 1679683585 | Linda G Baer | Psychologist | 13011 104th Ave, Suite 200, Palos Park, IL 60464 | 2006-08-30 |
| 1578507430 | Hugh Michael Oneill | Family Medicine | 14741 Ravinia Ave, Orland Park, IL 60464 | 2006-06-15 |
| Find all providers in zip 60464 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932384328 | Jennifer Lynn Serritella | Specialist | 13010 S Parkside Dr, Palos Park, IL 60464-1612 | 2008-01-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447850730 | Nirvana Medspa and Laser Center, Ltd | Specialist | 11801 Southwest Hwy Ste 2n, Palos Heights, IL 60463-1069 | 2020-10-27 |
| 1801402938 | Terri Sendelbach | Specialist | 340 W Butterfield Rd Ste 4b-418, Elmhurst, IL 60126-5069 | 2020-09-23 |
| 1346899630 | Jeremy Gantz Morse | Specialist | 815 W Buena Ave, Chicago, IL 60613-1694 | 2019-09-09 |
| 1619539632 | Benjamin Mendoza | Specialist | 6303 W 63rd St Unit 3c, Chicago, IL 60638-7015 | 2019-06-29 |
| 1891356176 | Kristin Michelle Stahlheber | Specialist | 6718 Goshen Rd, Edwardsville, IL 62025-3025 | 2019-06-26 |
| 1689238438 | Sara Sladoje | Specialist | 936 Raleigh Rd, Glenview, IL 60025-4330 | 2019-04-26 |
| 1760940100 | Eqmd, Inc. | Specialist | 1800 Nations Dr Ste 216, Gurnee, IL 60031-9174 | 2019-03-05 |
| 1962979286 | Time 2 Talk, LLC | Specialist | 6791 Wesley Chapel Rd, Chatham, IL 62629-9722 | 2018-10-24 |
| 1871068783 | Kelsey Lynn Mora | Specialist | 5225 Old Orchard Rd Ste 14, Skokie, IL 60077-1027 | 2018-10-06 |
| 1811471808 | Judith M Penn | Specialist | 8312 S Kedzie Ave, Chicago, IL 60652-3309 | 2018-09-17 |
| Find all providers with the same taxonomy | ||||
| City | PALOS PARK |
| Zip Code | 60464 |
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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.