NACER KHENOUCHE (NPI# 1093123994) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093123994 |
| Entity Type | Individual |
| Full Name | NACER KHENOUCHE |
| Credential | CPO |
| Practice Address |
4710 W 95th St Suite 11 Oak Lawn IL 60453-2546 |
| Practice Telephone | 7085290753 |
| Mailing Telephone | 7085290753 |
| Enumeration Date | 2014-07-24 |
| Last Update Date | 2014-07-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 222Z00000X | Orthotist | 213.000316 | IL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 224P00000X | Prosthetist | 211.000279 | IL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
4710 W 95TH ST SUITE 11 |
| City | OAK LAWN |
| State | IL |
| Zip Code | 60453-2546 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164481115 | Select Physical Therapy Orthopedic Services Inc | Clinic/Center | 4710 W 95th St, Ste B-6, Oak Lawn, IL 60453-2546 | 2006-03-20 |
| 1356997803 | Connor Patrick Ganzer | Physical Therapist | 4710 W 95th St, Oak Lawn, IL 60453-2453 | 2019-08-12 |
| 1215419296 | Morgan Sayre | Physical Therapist | 4710 W 95th St, Oak Lawn, IL 60453-2453 | 2018-09-05 |
| 1982011102 | Ability Prosthetic and Orthotic Care Inc. | Prosthetic/Orthotic Supplier | 4710 W 95th St, Suite 11, Oak Lawn, IL 60453-2546 | 2014-07-21 |
| 1447673777 | Metro Kidz Dental, PC | Dentist | 4710 W 95th St, Unit B10, Oak Lawn, IL 60453-2546 | 2014-01-22 |
| 1215371505 | North Suburban Orthodontics, Ltd | Dentist | 4710 W 95th St, Unit B 10, Oak Lawn, IL 60453-2546 | 2013-04-17 |
| 1326397472 | Sleepmed, Inc. | Clinic/Center | 4710 W 95th St, A6, Oak Lawn, IL 60453-2546 | 2012-09-05 |
| 1922357219 | Adam E Gabaldon | Physical Therapist | 4710 W 95th St, Suite B6, Oak Lawn, IL 60453-2546 | 2012-09-03 |
| 1437161163 | Digitrace Care Services, Inc | Durable Medical Equipment & Medical Supplies | 4710 W 95th St, Suite A6, Oak Lawn, IL 60453-2546 | 2006-08-12 |
| 1467484378 | Carrie L Glaza | Physical Therapist | 4710 W 95th St, Suite 1b, Oak Lawn, IL 60453-2546 | 2006-07-07 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659995231 | Natalia Zero | Student in an Organized Health Care Education/Training Program | 4440 W 95th St, Rm 131 North, Oak Lawn, IL 60453 | 2020-05-30 |
| 1114554300 | Sylvia Maria Chlebek | Student in an Organized Health Care Education/Training Program | Advocate Christ Medical Center 4440 W. 95th St., Rm 131 North, Oak Lawn, IL 60453 | 2020-03-26 |
| 1972066751 | Amanda Mroczek | Family Medicine | 9555 52nd Avenue, Suite F, Oak Lawn, IL 60453 | 2019-04-09 |
| 1013479955 | Leah Rae Prager | Physician Assistant | 4400 W. 95th St., Attn: Pediatric General Surgery, Oak Lawn, IL 60453 | 2019-04-01 |
| 1659833473 | Chelsea Sumida Gipson | Family Medicine | 9555 South 52nd Avenue, Suite F, Oak Lawn, IL 60453 | 2019-04-01 |
| 1518427418 | Robert Lindgren | Family Medicine | 9555 S. 52nd Ave., Suite F, Oak Lawn, IL 60453 | 2019-03-25 |
| 1154886695 | Stephanie Anne Comer | Social Worker | 10102 South Cicero Avenue, Suite C, Oak Lawn, IL 60453 | 2019-02-08 |
| 1700360070 | Brian L Lee | Counselor | 8938 S Ridgeland Avenue Suite 100, Oak Lawn, IL 60453 | 2018-09-21 |
| 1679085245 | International Dental of Oak Lawn | Clinic/Center | 9539 S Cicero Ave, Oak Lawn, IL 60453 | 2017-11-03 |
| 1124538301 | Kavitha Rajendran | Physician Assistant | 5851 W. 95th Street, Suite 300, Oak Lawn, IL 60453 | 2017-10-02 |
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| Taxonomy Code | 222Z00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Orthotist |
| A health care professional who is specifically educated and trained to manage comprehensive orthotic patient care, including musculoskeletal and neuromuscular anomalies resulting from injuries or disease processes involving the lower extremity, upper extremity or spinal segment/s and positional deformation of the cranium. Orthotists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care. |
| Notes: Source: American Board for Certification in Orthotics, Prosthetics, and Pedorthics, Inc. [7/1/2010: modified, 7/1/2013: modified] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073140414 | Phoenix Rising Prosthetic Orthotic Service Pllc | Orthotist | 330 W Colfax St Ste 100, Palatine, IL 60067-2538 | 2020-03-25 |
| 1730724394 | Pr Orthotics & Ot LLC | Orthotist | 4711 Golf Rd Ste 1055, Skokie, IL 60076-1272 | 2019-11-07 |
| 1831691104 | Ashley Zinnamon | Orthotist | 1525 E 55th St Ste 204, Chicago, IL 60615-5512 | 2018-03-02 |
| 1194225227 | David B Rotter | Orthotist | 121 Springfield Ave Ste 4, Joliet, IL 60435-6545 | 2018-02-15 |
| 1336651264 | Sandra Jean Schechner | Orthotist | 302 W Rosalie Ln, Palatine, IL 60074-1065 | 2017-11-01 |
| 1356798896 | Rick Allen | Orthotist | 5929 East Riverside Blvd, Rockford, IL 61114-4937 | 2016-05-14 |
| 1124484381 | Hori S Singha | Orthotist | 649 Ridgeview Dr., Mchenry, IL 60050 | 2016-01-04 |
| 1881947091 | Woodfield Ortho Services, LLC | Orthotist | 2401 Kaneville Rd Ste 2, Geneva, IL 60134-2577 | 2012-10-25 |
| 1881964757 | Rinella Orthotics, Inc. | Orthotist | 1890 Silver Cross Blvd # 445, New Lenox, IL 60451-9508 | 2012-01-09 |
| 1306065958 | Erik James Lindholm | Orthotist | 1316 Black Rd, Joliet, IL 60435-3962 | 2007-04-24 |
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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.